Responsibility
This is who is responsible for performing surgical counts in the OR or other invasive procedure setting
Who is the RN circulator and a member of the surgical team scrubbed at the sterile field?
This is the best way to prevent surgical items left in the patient upon discharge from the operating room
What is the surgical count process?
This is the order of locations for counting an item from beginning to end
What is at the surgical field, the mayo, the back table, kick bucket, then the count tree?
The AORN recommendation for performing counts: audibly, visually and concurrently
What is the method of looking at items during the count, counting out loud and counting together?
Dressings that contain gauze sponges are placed on the surgical field at this time.
What is when all sponge counts have been reconciled as to avoid placing a countable item as a dressing?
This is who can initiate a surgical count
Who is anyone on the surgical team when a count needs to be reconciled, or if there is a count discrepancy, or permanent change of shift.
the acronym RSI stands for this
What is the new term coined by AORN for "retained surgical item"
This is when is it permissible to not perform a final count
When the surgeon has determined that the time it takes to do a final count may contribute to the loss of life or limb to the patient?
This is the method used to reconcile counts for sponges and sharps that provide transparency and safety by allowing all members of the surgical team to visualize the count.
What is the white dry erase board in each OR?
During a hand assisted/laparoscopic procedure, this is the best method to prevent RSIs .
What would be to perform counts of all sponges, sharps, instruments and miscellaneous items at the initial count closing counts and final count including instruments in closing and final counts if procedure converted to open.
In the event of an incorrect count, these persons need to be notified
Who is: The surgeon, anesthesia, charge nurse, and finally radiology for an X-ray to rule out a retained foreign body.
The "radiopaque" strip on sponges Is used for this.
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 counted for these instances.
When there is a chance that they could be retained such as in procedures that involve a greater than 3 inch incision in the chest, thoracic, or abdominal cavities, Minimally invasive procedures in which a major cavity may be entered,
When closing a cavity within a cavity, such as the dura, uterus, bladder, stomach, chest, heart or joint spaces.
In the event of an incorrect count during an exploratory laparotomy procedure, the X-ray technician should expect to take these two views
What are the AP and lateral views?
Demonstrate counting of sponges with radiopaques strip showing and sponges counted individually in the packaged multiple
Demonstrate the correct counting of sponges
In the event of an incorrect count and X-ray, this person reads the film before the patient can leave the OR
Who is the radiologist attending trained to read X-ray films.
This is the meaning of a "never" event per TJC standards.
What is the preventable occurence that can harm to patients such as an RSI?
These are the six crucial times a count must be performed per AORN Standards.
What is: 1. At the beginning of a procedure to establish a baseline 2. When new items are added to the sterile field 3. During the final count when there is a cavity within a cavity (i.e. uterus) 4. Fascial closure 5. Skin closure 6. Permanent relief of the surgical team
This is the appropriate method to fill the counting bags/tree
What is from the bottom up with 10 pockets filled for Raytecs and 5 pockets filled for Laparotomy sponges?
Of the following choices, this is the best method for fascial closure to prevent retention of a surgical instrument: 1.Using a malleable ribbon retractor 2. Having the surgeon place their hand or fingers in the abdomen 3. Utilizing a fish with the ring visually apparent at all times until removal
What is :3. Utilizing a fish with the ring visually apparent at all times until removal
this is who is most affected by a retained surgical item.
Who is the patient as well as everyone on the surgical team
The term miscellaneous countable item means this.
What is an item small enough to be retained in the patient during surgery-can be radiopaque or non-radiopaque and must be identified per policy and procedure so that all surgical team members are counting the same item?
This is the safest time to perform the final count on a patient in the lithotomy position.
What is when both legs are lifted out of lithotomy and placed in the supine position?
The values documented regarding the surgical count in the patient's intraoperative record.
What is personnel performing the count, what is counted, when the count occurred, correct or incorrect, persons notified of incorrect count, and actions taken if the count is incorrect?
This is where the best surgical team in the universe exists
What is the surgical team at UF Health Shands Hospital