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Surgical counting

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