Instrument Counts
Sharp Counts
Gone Missing
Sponge Counts
Miscellaneous
100
Instruments will be counted when this is or could be entered...
What is a body cavity (incision 3" or greater)
100
Counts are done by these team members...
Who are the Circulating RN and the scrub. (At least one person has to be a registered nurse).
100
When a count is incorrect this team member is notified immediately...
Who is the surgeon.
100
Only these types of sponges should be used for surgery...
What are xray detectable.
100
Any surgical team member may do this...
What is initiate a surgical count.
200
This is used to verify the instruments in the tray being counted...
What is the instrument count form.
200
When a needle pack is opened onto the field the scrub and nurse must do this...
What is verify the number of needles.
200
Linen and this must stay in the OR after the initial count has been performed and until after the final count has been reported as correct...
What is the trash.
200
Name three types of sponges that are required to be counted...
What are laps, ratecs, surgical patties, kittners, episiotomy sponges and cottonballs.
200

The sequence of count out in your specific site is from...

What are any items removed from the sterile field->back  table->Mayo stand->sterile field.

300
If this happens to a counted instrument it must be isolated from the sterile field...
What is dropped or contaminated.
300

An xray was taken for a missing bulldog at skin closure. The result of the radiology image should be read in this location...

What is an OR theatre.

300
During an incorrect count, when the missing item can't be located after searching the room, this must be done.
What is an xray.
300

According to ORNAC, items should remain together until...

What is the initial count is done.

300

Sponge counts are performed at these times...

What are the beginning of the case, the closure of any cavity, initial wound closure, start of skin closure and permanent relief of the scrub person.

400

The surgeon took out the specimens from the vaginal in LAVH and asked for Vicryl 2-0 CT2 suture. Scrub nurse will start counting these items...

What are surgical instruments.

400

If a needle count box becomes full, the items are counted by the scrub and circulator and sealed and labeled with these...

What are the total number of suture needles, blades, and hypos in the box.

400

Closure may continue during the search for a missing item but the patient must remain this...

What is anesthetized and draped until the radiology report is obtained. (FYI...the radiologist must communicate with the attending surgeon.)

400

When the final sponge count is done and correct, the dressings that are opened onto the sterile field have to be this...

What is NON-xray detectable.

400

When using a throat pack this must be done...

What is documented on count sheet and noted time in/out

500

These items don't seem like instruments but are counted with the instrument on count sheet(name three)...

What are marking pens, rulers, syringes, stapler cartridges.

500
These should be kept to verify the needle count if needed...
What are the suture packages.
500

This must be done if there is an incorrect count and an xray has been taken...

What is a PSLS.

500

These actions are taken by scrub nurse when counting sponges and raytecs...

What are opened to length and separated prior to counting

500

Where do you document if sponges are intentionally left in a wound...

What are in Intentionally Retained Surgical Items Record and in the nursing notes.

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