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surgical technology-counts
counts
11
Medical
Undergraduate 2
03/15/2010

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Cards

Term
what items are to be counted every case
Definition
sponge
sharps
inst
Term
what are the reasons for counting
Definition
Items lost in patient’s body, causing need for additional surgery
Personnel injury for items in trash, not belonging there
Inventory replacement, Instruments are high dollar items
Term
by who and how sohuld things be counted?
Definition
Counted together scrub and circulator
Visually, audibly and individually
All items before procedure begins
Wrapper is taken off sponges and laps and each is counted one by one
Counts to be done before the patient arrives in the room
No interruptions to the counting process
Term
first count procedure
Definition
Field: Counts start at the field
Table: Then the mayo stand and back table
Floor: Items off the field, kick bucket, instruments passed off
Done at the closure of a body cavity or deep large incision
All counts verified by the scrub and the circulator both parties must see the items, counted together
Term
final count procedure
Definition
Final count: Second Count
Additional counts before closure of cavity or a cavity with in a cavity C Section: Uterus, Pelvic cavity
Count results reported to the surgeon
Incorrect counts documented Incident report
Must search for missing items. Trash, linen, floor
Omitted counts documented - emergency
Term
Raytec come in packs of
Definition
10
Term
Laps come in packs of
Definition
5
Term
Kittners, peanuts, tissue dissectors come in
Definition
5
Term
If sponges and laps are incorrect in package at initial count
Definition
throw away out of the room
Term
when should raytecks not be used
Definition
handing off specimen
should not be packed into wound not dressings
Term
what sponge should be on a stick once peritonium is open?
Definition
4x4
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