Responsibility
The team members responsible for performing surgical counts in the OR
Who is the RN circulator and the member of the surgical team that is scrubbed at the field
The best way to prevent surgical items being left in the patient after surgery.
What is the surgical count process.
During a count, the count progresses in this way.
What is surgical field, mayo stand, back table and sponge counter bag.
A counted item falls on the floor, what happens next?
What is placed in a safe, visible place to all team members (such as ON the sharps box).
Dressings can be placed on the field after this happens.
What is the final count.
The person who can initiate a surgical count.
Who is anyone on the surgical team at any time
RSI stands for?
What is Retained Surgical Items.
Example of when it is acceptable not to perform an initial count.
What is when surgeon determines that the case is life or limb and cannot wait.
The area where counted items are recorded for entire team to visualize.
What is the count board.
When doing a hernia repair, when is the first closing count performed?
What is when mesh is being sewn in.
A count is incorrect, who is notified immediately
Who is surgeon and charge nurse, x-ray if it is not resolved
What is to detect location of the sponge in the body during x-ray to prevent a retained surgical item in the patient.
Surgical instruments are counted here.
What is prior to any procedure where any cavity may be entered and laparoscopic cases.
An xray is taken after an incorrect count, when can the patient leave the OR suite?
What is after the x-ray has been read by radiologist. Document radiology findings in a note.
This segment is added to documentation if count is incorrect.
What is incorrect count segment.
An incorrect count is not resolved and x-ray taken, who can read the film prior to patient leaving OR?
Who is trained radiologist
Meaning of a "never" event per TJC standards.
What is a preventable occurrence that can harm a patient such as an RSI.
The 6 crucial times a count must be performed.
What is: 1) Prior to start of procedure 2) When new items are added to field 3) At closure of cavity within cavity (Uterus) 4) Fascia closure 5) Skin closure 6) At permanent relief of team members.
A sponge counter bag is filled properly how?
What is from bottom to top, one sponge per pocket.
The parts that are radiopaque on the Clearify scope warmer that are radiopaque.
What is the tampon stick and the edge of cloth.
A retained surgical items affects who the most?
Who is the patient and everyone on the surgical team
A small miscellaneous item.
What is other accessory items not listed and may be counted at the discretion of the OR team if they have potential to become concealed or retained in the surgical wound.
During a lithotomy procedure, a final count is performed at this time.
What is when legs are ready to come down out of stirrups.
Documentation in the record regarding counts includes these things.
What are staff performing count, each count as it is performed, if correct or incorrect and actions taken if incorrect.
The best surgical team in the universe exists in this place.
What is Calvert Health, of course!