Wisconsin
Items used to absorb fluids, protect tissues, and apply pressure. All used and unused sponges need to be put in counter bags at the end of the procedure for final reconciliation.
What are Soft goods?
Before the procedure begins to establish baseline items.
What is initial count?
There are extra items when the final count is done.
What is an incorrect count?
Hinders the RN and Scrub from focusing only on the counting process.
What is unnecessary activity and distractions?
The correct standard of counting.
What is All items on the field will be counted together with scrub and nurse while under direct visualization and verbal confirmation of each item?
Items with edges or points capable of cutting or puncturing through other items.
What are Sharps?
Before closure of each hollow organ or cavity within a cavity (ie Uterus, bladder, kidney).
What is cavity within a cavity count?
Prevention of retained/surgicalitems/providing safe care?
You be safe in the bathroom
Surgeon requesting a count after a critical situation with his or her surgery.
What is Anytime count?
This instrument count is required before all cases, and a final instrument count is needed if the case goes to and open procedure.
What are laparoscopic cases?
Items on the sterile field that could be retained in the surgical wound and must be accounted for, Ie. Pens and caps, antifog, etc..)
What are Miscellaneous?
Multiple procedures for the same patient are counted?
Together at the final count
A final count has been done and a needle is missing, everyone in the room has searched without success for 10 minutes, next step is.
What is follow radiological imaging protocol- AP/LAT ordered as STAT with immediate read and interpreted prior to closure?
The count is interrupted.
What is the count should be restarted? During the count a no interruption zone should be established that prohibits non-essential conversation, and activities including rushing the count!!
This is identified in the count as two or more individually (IE. Balfour wingnuts)
What are instruments that have two or more separate parts?
Surgical tools or devices designed to perform a specific function, such as cutting, dissecting, or grasping.
What are Instruments?
A patient is donating organs for an organ harvest retrieval.
What is the count that must be performed due to patient being at risk for RSI? (Retained surgical instruments)
The previous case ran over and your surgeon is rushing you to get in the room for the next case because he has to get to his office you the circulator and your scrub tech do an initial count and write it on a tag the procedure is quick and the final count is not incorrect this happened because?
What is correct procedure is not followed because of being rushed prior to start of case the white board count board was not verified that the previous case count was on the board
Anesthesia inserts a throat pack.
What is announce and count?
Soft goods, sharps, miscellaneous, and instruments.
What is the correct order for how to count?
A package defect containing an incorrect number of 11 items?
What is excluded from the count removed from the field bag label and isolate from rest of countable items note can remove prior to patient coming into the room
Judy wants to leave for the day relief is here however it is during a critical portion of the surgery?
You are relief to count should not be done at this time
What do delayed and has a case at another hospital and they are saying they are going to bump the surgeon if he does not start on time the surgeon runs out before debriefing can occur/count is incorrect?
What is did not follow the debrief process at end of case where the final count is reconciled audibly to announce count is done
The scrub tech noticed that a counted item was dropped from the sterile field but did not say anything because they thought it was unimportant.
What is did not follow correct protocol for any individual who observes an item dropped from the surgical field.They should immediately inform the RN circulator and other members of the periop team?
Packages of Raytecs and lap sponges.
What is will be physically separated, band broken and discarded, pointed out while being audibly counted by both RN and Scrub?