Instruments will be counted when this is or could be entered...
What is a body cavity (incision 3" or greater)
100
Counts are done by these team members...
Who are the Circulating RN and the scrub. (At least one person has to be a registered nurse).
100
When a count is incorrect this team member is notified immediately...
Who is the surgeon.
100
Only these types of sponges should be used for surgery...
What are xray detectable.
100
Any surgical team member may do this...
What is initiate a surgical count.
200
This is used to verify the instruments in the tray being counted...
What is the instrument count form.
200
When a needle pack is opened onto the field the scrub and nurse must do this...
What is verify the number of needles.
200
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.
200
Name three types of sponges that are required to be counted...
What are laps, ratecs, surgical patties, kittners, episiotomy sponges and cottonballs.
200
These are used for and counted in ophthamology for vitrectomies...
What are scleral plugs.
300
If this happens to a counted instrument it must be isolated from the sterile field...
What is dropped or contaminated.
300
An xray should be taken for a missing needle larger than this length...
What is 17mm.
300
During an incorrect count, when the missing item can't be located after searching the room, this must be done.
What is an xray.
300
The scrub person must do this to the sponge packet when counting with the nurse...
What is break the paper band and seperate when counting so both can see the sponges (demonstrate).
300
Sponge counts are performed at these times...
What are the beginning of the case, the closure of any cavity, initial wound closure, start of skin closure and permanent relief of the scrub person.
400
Spinal procedures by these approaches need to have a postoperative xray taken in the OR and do not need an instrument count...
What are transthoracic and transabdominal.
400
If a needle count box becomes full, the items are counted by the scrub and circulator and sealed and labeled with these...
What are the total number of suture needles, blades, and hypos in the box.
400
Closure may continue during the search for a missing item but the patient must remain this...
What is anesthetized and draped until the radiology report is obtained. (FYI...the radiologist must communicate with the attending surgeon.)
400
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.
400
When using a throat pack this must be done...
What is activate the "throat pack in" sign on the OR door.
500
A limited instrument count would include these (name three)...
What are temporary aneurysm clips, bulldogs, fistula tips, coronary artery occluders, femoral head trials, SGT vascular clamps, titus needles, varus needles and yassergils.
500
These should be kept to verify the needle count if needed...
What are the suture packages.
500
This must be done if there is an incorrect count and an xray has been taken...
What is a PSN.
500
Sponges and raytecs are opened to length and seperated prior to counting and placing in these...
What are sponge count pockets (demonstrate).
500
Where do you document if sponges are intentionally left in a wound...
What are in EPIC under count comments and in the nursing notes.