• Protect the patient
• Protect you and your hospital(each hospital has their own procedure according to AORN standars)

When do we count?

• Initial count (before the MD make an incision)
• Intra-operatively (if a hollow organ is involved in the procedure)
• When sponges added to the field
• Changing shifts, relief
• Bloody cases

when we count we are using tone of voice...

Out-loud

Never use sponges to pass

RAY-TEC

4X4, 4X8

• SM INCISIONS
• SKIN SPONGES
• SPONGE STICKS
• NOT LOOSE IN THE LARGE CAVITY
• tied or secured
• moist( depends)
• never use for dressings              #10/pack

Lap Sponges

(laparotomy)

• abdominal, chest wounds
• other large incisions
• usually moist
• packing
• dry sckin sponges
• protection wound, skin edges
• never to be use as a dressing

#5/pack

Dissectors,

kitners

peanuts

cherries

• blunt dissection
• hold with instrument (kelly, peon usually longer)
• Never loose
• do not discard from the field
• used moised or dry
• keep adhead to mayo-stand (sticky backing)
• always counted

#5/pack

• used in tonsillectomy
• used with tonsiltenaculum
• alway counted
• sometimes soaked in local or saline
• come with strings, do not cut or remove unless asked
• readiopaque embedded throughout

#5/pack

• used mostly in neuro cases
• sometimes in ENT
• rediopaque do to cut the strings
• do not throw off field
• be very careully handling these
• lint free, always moist in saline, meds

#10/ to one size

• used mostly in eyes cases, or plastics
• lint free
• no counting
• hold about 16 cc

• craniotomies
• laminectomies
• cervical fusions

dissectors,

kitners,

peanuts,

cherries

• lab sponges
• dissectors
• kitners
• peanuts
• cherries
• tonsil sponges

• neuro patties
• cottonoids
• ray-tec

• lab sponges
• tonsil sponges
• dissectors
• kitners
• peanuts
• cherries
• ray-tec