Instrument Counts
Instruments must be counted when this part of the body is or could be entered.
What is a body cavity?
Prior to a patient entering the OR all possible attempts should be made to do _________
What is 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?
Any surgical team member may do this regarding a count.
What is initiate a surgical count?
Laparoscopy/diagnostic endoscopy does not require this type of 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 soft goods that are required to be counted.
What are laps, raytecs, surgical patties, kittners, cottonballs.
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 do you document if sponges are intentionally left in a wound.
What is in EPIC under count comments and in the nursing notes.
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 when counting 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 x-ray?
This may be used to find a lost needle.
What is magnet or xray.
These two people must visualize the counted items when counting.
Who are the RN circulator and scrub?
Name three types of sharps that need to be counted.
What are suture needles, hypo needles, bovie tips, blades.
How many sponges can go into each sponge count pocket.
One
Closure may continue during the search for a missing item but the patient must remain__________
What is anesthetized and draped until the radiologist and the surgeon review and interpret intraoperative imaging. When the radiologist is not immediately available, the surgeon should conduct a preliminary interpretation of the image.
The minimum number of counts during every case.
What is three
Must be done if a non-emergent laparoscopic case converts to open.
What is instrument count?
When a suture box becomes full, what should the scrub do next?
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.
Sponges and raytecs are opened to length and separated prior to placing in these.
What are sponge count pockets?
This must be done if there is an incorrect count and an xray has been taken.
What is event report or UOR.
The people most affected by a retained surgical item.
Who are the patient as well as everyone on the surgical team?