Call Me
It's Protocol
Hold Me Accountable
Name That Policy
Name That Count
100

Main OR Desk

What is 44872?

100

The purpose of this is to prevent wrong person, wrong procedure, and wrong body site errors by describing standards for verification of patient, procedure, site, diagnostic reports, blood products, implants or devices.

What is the Universal Protocol?

100

All free sponges will be present on the field or distributed to the field in multiples of this. 

What is 10?

100

You are the circulator assigned to a case where the surgeon wants to film the procedure.  If you have questions regarding proper authorization, you would be reading this.

What is the Consents Policy?

100

A count performed after skin closure, when surgical sponges are no longer in use and ALL sponges are passed off the sterile field.

What is a final count?

200

CSD

What is 44488?

200

The sterility of all instruments and equipment is verified by the CST and circulator by agreeing that the indicator confirms sterility prior to this. 

What is setting up the sterile field?

200

All counts will be performed audibly and require concurrent visualization of items by both (2) colleagues involved in the counts and documented in the medical record.  In the operating room, one (1) of the two (2) colleagues MUST be this.

What is an RN?

200

You've just spent hundreds of dollars on Etsy on cloth hats.  This is what you would review to see if you need to wear a disposable bouffant over the "tie-dye Friday" hat you want to wear today. 

What is the Surgical Attire Policy?

200

A count performed before closure of the uterus or bladder for example.

What is a cavity count?

300

Call into a Main OR room

What is 403XX?

300

The surgical site will be clearly marked with the surgeon's initials, using a permanent marker.  The initials must remain visible after this. 

What is skin prep and draping?

300

ONLY sponges which contain a this will be used on the sterile field before the incision has been closed.

What is an X-ray detectable element?

300
When you interview your patient, she informs you that she has a piercing she refuses to remove. You go here to determine your next steps.

What is the Jewelry and Piercings in the Perioperative Patient Policy?

300

A count performed before wound closure begins.

What is a closing count?

400
Overhead Page

What is 62320?

400
Once the patient has been prepped and draped and the site mark is visible, the circulating RN will initiate this. 

What is the time out?

400

This will be performed by the provider using both visual and tactile methods when feasible, prior to closing the wound.

What is a methodical wound exploration?

400

Gale calls you into her office.  Yesterday you called in sick at 6:08am, when you were scheduled to work 6:30am-3pm.  She asks you to review this policy. 

What is the Attendance Policy?

400

Counted items in use should be accounted for at the time of break/lunch relief of either the scrubbed or circulating personnel. 

What is a temporary relief count?

500

Charge RN phone

What is 54437?

500

The name of the procedure when the circulating RN confirms the name of the surgical procedure, correct counts, specimens, wound class, equipment problems, key concerns for recovery and patient management, and any intentionally retained items if applicable with the surgeon and surgical team.

What is the post procedure debriefing?

500

If a surgical item is discovered to be missing, this is required prior to the patient leaving the operating room. 

What is an intra-operative radiograph (two views)?

500
Lisa is on vacation and you are the charge nurse today.  The trauma patient comes up escorted by a Hartford Police Officer.  You are unsure if the officer can go into the room, but you look here. 

What is the Patient Prisoner or In Custody Policy?

500

Count performed at the discretion of any member of the OR team.

What is an anytime count?