Study

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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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