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