Instrument Counts
Instruments will be counted when this is or could be entered.
What is a body cavity?
Prior to a patient entering the OR all possible attempts should be made to _________
What is perform a count?
Only these types of sponges should be used for surgery_________
What are xray detectable?
When a count is incorrect this team member is notified immediately.
Who is the surgeon?
Where can you find the Saratoga Hospital policy on counts?
Saranet
When a laparoscopic case remains laparoscopic, what does not need to be counted that you counted on your initial count?
What is an instrument count?
When a needle pack is opened onto the field, the scrub and nurse must do this.
What is verify the number of needles?
Name three types of sponges that are required to be counted.
What are laps, raytecs, surgical patties, cottonballs, vaginal packing gauze
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?
Where and what do you document if sponges are intentionally left in a wound?
In the nurses notes-document specific sponge and amount left in wound
If this happens to a counted instrument it must be isolated from the sterile field.
What is dropped or contaminated?
These should not be used to verify the needle count if the final count is not correct
What are the suture packages?
The scrub person must do this to the sponge packet when counting with the nurse.
What is break the paper band and separate during the count (not before) so both can see the sponges?
During an incorrect count, when the missing item can't be located after searching the room, this must be done.
What is an xray?
This may be used to find a lost needle.
What is magnet or X-ray
These two people must visualize the counted items when counting.
Who are the circulator and scrub?
These are types of sharps that need to be counted.
What are suture needles, hypo needles, bovie tips, blades.
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?
Closure may continue during the search for a missing item but the patient must remain__________
What is anesthetized until the radiologist has read the xray and reported to the surgeon and OR room.
What is the sequence to performing a proper count?
What is starting at the sterile field, mayo stand, back table, kick bucket/sponge counter
When does a full count of instruments/sponges/sharps occur?
What is:
If a suture box becomes full, the scrub should do the following.
What is count the total number of needles with the RN circulator, pass the box off the sterile field and ask for a new suture box.
If a package of raytecs or lap sponges have an incorrect number on the initial count and the patient is not in the room, you should do this
What is remove the sponges/raytecs from the room and open a new package
This must be done if there is an incorrect count and an xray has been taken.
What is event report or RL6, notify charge or director
The people most affected by a retained surgical item.
Who are the patient as well as everyone on the surgical team?