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15
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The initial count requires
The initial count is only required for an open procedure
The count be done aloud by circulator and scrub
The count be done in the right-hand corner of the back table
The scrub to count each item and report to the circulator
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15
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If a sponge pack contains an incorrect number of sponges, once the patient is in the room, the circulating nurse should
Remove it from the room
Use after adding or subtraction the correct number
No documentation needed
Isolate the pack, put in bag, do not remove from the room
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The closing counts are done in what order? (1)Mayo (2)Back table (3)sterile field (4)items discarded off sterile field
1, 2, 3, 4
2, 3, 1, 4
3, 1, 2, 4
3, 2, 1, 4
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When performing a C-section, the first closing count is initiated
Before closing the body cavity
Before the closing suture is given
When the shift change occurs
Before closing the uterus
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The following statements regarding counts are true EXCEPT:
Person taking final count is held accountable for the count
If scrub/circulator is relieved, a count is not needed
Scrub/circulator must both be able to see each item counted
All counts are verified before person being relieved leaves
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thief
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seesaw
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rocket
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thief
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15
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Prior to the beginning of the surgical procedure, the ideal situation to count instruments is
Once you have set up your back table and mayo stand
At any time prior to the incision
After you assemble all instrument parts
Back table when all the instruments and parts are together
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seesaw
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fairy
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shark
Other team loses 15 points!
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baam
Lose 15 points!
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15
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In an instrument count
Precounted sets eliminate the need for preoperative count
Large bulky instruments need not be counted
All instruments and parts must be counted
Count only instruments that will be used
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15
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When are counts done in the OR?
Before case begins, at cavity/wound closure, at skin closure
Before beginning of the case and at end of case
As case begins and when case is in progress
At the beginning of the case
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