Term
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Definition
| Use of a sponge or blunt instrument to separate tissure on a normal anatomical plane |
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Term
|
Definition
| Separation of tissues through anatomical planes |
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Term
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Definition
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Term
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Definition
| Impenetrable to c-rays or other forms of radiation; therefore, is visible under x-ray |
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Term
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Definition
| Useof a knife, scissors, or cutting instrument to separate tissue |
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Term
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Definition
| Sterile materials applied to the incision site at completion of a surgical procedure |
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Term
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Definition
| Sterile, absorbent, lint-free material of varying sizes and shapes with radiopaque strips used during operative procedures |
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Term
| Two uses of surgical spnges |
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Definition
1. Hemstasis, to absorb blood
2. Tissue dissection, to protect tissue, to apply pressure or traction |
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Term
| (T,F)Surgical spnges are always counted according to written hospital policy and procedure |
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Definition
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Term
| (T,F)Surgical sponges awlways have a lead strip through them in order to facilitate identification if one is left in the wound |
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Definition
| Flase, Surgical sponges always have radiopaque strips through them in order to facilitate identification if one is left in the wound |
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Term
| (T,F)Laparotomy sponges are generally used in major surgical procedures |
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Definition
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Term
| (T,F)Gauge sponges are used on minor superficial procedures |
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Definition
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Term
| (T,F)Gauge sponges are left loose on the field after the peritoneum is opened |
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Definition
| False, Gauge sponges are placed on the field after the peritoneum is opened |
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Term
| (T,F)Gauge sponges may be called "sponge sticks" if mounted on an instrument |
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Definition
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Term
| (T,F)Dissectors are used for sharp dissection |
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Definition
| false, dissectors are used for blunt dissection |
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Term
| Discuss 4 uses of surgical dressings |
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Definition
1. To keep the incision free from microorganisms
2. to absorb drainage from the wound
3. to conceal the wound asthetically
4. they do not allow visual inspection of the wound site |
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Term
| (Which Layer)Act as a cushion to protect the wound |
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Definition
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Term
| (Which Layer)Lies against the wound to provide protective barrier |
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Definition
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Term
| (Which Layer)Should be non-adherent for painless removal |
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Definition
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Term
| (Which Layer)Prevents telescoping |
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Definition
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Term
| (Which Layer)Holds scretions passing through inner layer |
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Definition
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Term
| (Which Layer)Conforms and is stretchable for mobility |
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Definition
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Term
| Should not apply pressure that could compromise circulation |
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Definition
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Term
| (Which Layer)Stays in contact with wound surface for at least 48hours |
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Definition
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Term
| (Which Layer)Acts as a passageway for the wound secretions |
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Definition
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Term
| (Which Layer)Provides a wicking action to help reduce risk of infection |
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Definition
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Term
| Used in body cavities such as the _____ Cavitiy or _____ Cavitiy |
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Definition
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Term
| Available in long, thin strips of __________ material |
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Definition
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Term
| Frequently impregnated with __________ |
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Definition
| Lubricants or antiseptics |
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Term
| Generally removed by the __________ in the post-operative patient care unit |
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Definition
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Term
| _____ are used when frequent wound inspection are required |
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Definition
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Term
| The dressing used to stabilize tissues around the face or neck is called a/an _____ dressing |
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Definition
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Term
| A pressure dressing eliminates _____, prevents edema, or hematoma |
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Definition
| Dead Space, also provides comfort postoperatively, distributes pressure equally, absorbs excessive drainage, |
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Term
| _____ usually washes off or wears off after several days |
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Definition
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Term
| A dressing applied to a colostomy is called a/an |
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Definition
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Term
| Adhering occlusive polyurethane transparent film provides easy _____ the surgical wound |
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Definition
| visualization of, removed 20-24 hours |
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Term
| Application of surgical dressin (is, is not) considered part of the surgical procedure. |
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Definition
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Term
| The scrub person and circulator assist the (surgeon, anesthesiologist) to dress the wound properly |
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Definition
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Term
| The circulator opens the sterile dressing after the (first, final) count |
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Definition
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Term
| Skin surrounding the incision is cleaned of blood with a (damp, dry) sponge |
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Definition
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Term
| Surgeon, first assistant, or scrub person should don a clean pair of sterile gloves over operating gloves (after, before) applying inner and intermediate layers of dressing |
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Definition
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Term
| Incision and wound drainage site are dressed (separately, together) unless the drain comes out through the incision |
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Definition
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Term
| Surgeon, first assistant, or scrub person applies sterile dressings (before, after) drapes are removed |
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Definition
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Term
| Circulator applies tape or Montgomery straps firmly (and tightly, but not tightly) to avoid wrinkling and traction of skin |
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Definition
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Term
| Surgeon or first assistant applies elastic bandages, pressure dessings, stockinets, cast and stint if required |
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Definition
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Term
| Discuss at least two purposes of sponge, sharp and instrument counts. |
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Definition
| To protect the patient from leaving something in them inadvertently, to protect yourself and your employer from legal liability, to keep instrument sets complete |
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Term
| (T,F)individual hospital policies and procedures may vary slightly, but legally and ethically counts do not have to be done |
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Definition
| False, individual hospital policies and procedures may vary slightly, but legally and ethically counts must be performed |
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Term
| (T,F)Count policy is initiated by the Operating Room Manager |
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Definition
|
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Term
| (T,F)Policy is approved by the administrator over the operating room, the surgery committee, the director of nursing service, and the hospital administration |
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Definition
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Term
| (T,F)Policies and procedures should be reviewed and revised every ten years |
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Definition
| False, Policies and procedures should be reviewed and revised annually |
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Term
| (T,F)Policy and procedure should follow recommended standards or practice established by the Americal Medical Association |
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Definition
| False, Policy and procedure should be follow recommended standards of practice established bby the Association of Operating Room Nurses (AORN) |
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Term
| What items do not need to be counted |
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Definition
| Asepto Syringe, Marking Pen, Telfa Pad, Culture Tube, Wound drain, Basin Set |
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Term
| (T,F)Counts are performed on all operating procedures except neurosurgical procedures |
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Definition
| False, Certain procedures |
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Term
| (T,F)Counts are performed prior to the beginning of a procedure |
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Definition
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Term
| (T,F)Counts are performed as closure of the wound begins |
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Definition
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Term
| (T,F)Counts are performed after any part of a cavisity or a cavitiy within a cavity is closed |
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Definition
| False, Counts are performed before any part of a cavitiy or a cavity within a cavity is closed |
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Term
| (T,F)Counts are performed whenever there is permanent change in scrub and/or circulating persoannel |
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Definition
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Term
| (T,F)Counts are performed as closure of skin begins |
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Definition
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Term
| (T,F)Counts are performed as judged neccessary only by the circulator |
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Definition
| false, additional counts are judged necessary only by the circulator |
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Term
| Discuss the procedure required for the omission of counts |
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Definition
| If an x-ray is taken at the end of the procedure, if the opportunity presents time count, count. If -x-rary If there is a reason and that reason is documented. X-ray |
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Term
| The _____ counts sponges, sharps, and instruments on the sterile field |
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Definition
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Term
| The _____ counts spongges, sharps, and instruments off the sterile Fields |
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Definition
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Term
| The count is done _____ together with the scrub and circulating person concurrently _____ each article as it is counted |
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Definition
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Term
| The _____ records the count on the patient's operative record and/or the count sheet |
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Definition
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Term
| _____ and _____ of personnel performing the counts are recorded on the patient's operative record and /or the count sheets |
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Definition
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Term
| The _____ must sign the patient's operative record |
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Definition
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Term
| If the count is omitted or not completed, the incident must be recorded on the patients _____ and _____ for the count omission |
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Definition
| Operative Record, Rational |
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Term
| If count _____ occur, action(s) taken must be recorded on the patient's operative record |
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Definition
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Term
| All aponges used during a surgical procedure should be? |
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Definition
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Term
| Always count together audibly, with circulator and scrub person concurrently viewing each sponge, sharp, and instrument as it is _____ |
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Definition
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|
Term
| Always keep various sizes of _____ separated during the procedure |
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Definition
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|
Term
| Always place small dissectors on a/an _____ |
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Definition
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|
Term
| Never remove linen or trash container from the operating room until |
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Definition
|
|
Term
| always replaces rayteks with ______ sponges as the body cavity is opened |
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Definition
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|
Term
| Never allow a counted _____ to be taken from the operating room during a procedure |
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Definition
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Term
| If the patient leaves the operating room with a counted sponge intentionally used as packing, the _____ and _____ of sponges retained should be documented on the operative record |
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Definition
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Term
| Used sponges should be _____ |
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Definition
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Term
| Used sponges should be handled with |
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Definition
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Term
| Sponges are removed from the sterile field to an imperviously lined _____ never the trash |
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Definition
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Term
| Never take prepackaged sponge counts for granted. If packaged count is incorrect, isolate from the sterile field and _____ |
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Definition
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|
Term
| Radiopaque sponges are _____ used for dressings |
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Definition
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|
Term
| Prep sponges are _____ and are kept isolated from the sterile field |
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Definition
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|
Term
| Never discard prep sponges in the _____ |
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Definition
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|
Term
| Sharps are counted _____ throughout the procedure |
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Definition
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|
Term
| Suture needles should be counted according to the number marked on the outer package and verified by the _____ and _____ when the package is opened |
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Definition
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|
Term
| Broken shaprs and broken disassembled instruments are accounted for _____ |
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Definition
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Term
| If either the scrub person or circulating person is relieved by another person during the operation, the incoming person should verify all counts before the person being relieved leaves the _____ |
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Definition
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Term
| Circulator and scrub personnel count all items in the following order |
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Definition
| Surgical Field, May stand, Back table, Off field |
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Term
| Before surfery the scrub person and circulator count (separately, together) audibly and view each article as it is counted |
|
Definition
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|
Term
| The scrub person holds sponges (on,off) the table, checks for radiopaque strips, and count sponges (in groups, separately) |
|
Definition
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Term
| (Scrub person, circulator) records number and type of sponges in units of 5 or 10 on the count sheet |
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Definition
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Term
| During surgery scrub person discards used sponges in imperviously lined (trash container, kick bucket) |
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Definition
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Term
| Scrub person keeps small dissectors contained on the sterile field, grouping units of (5 or 10, 15 or 20) as they were prepackaged |
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Definition
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Term
| Scrub person replaces gauze sponges with (dissectors, laparotomy sponges) as cavity is opened |
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Definition
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Term
| Scrub person places gauze sponges and small dissectors on (instruments, may stand) while cavity is open giving them to the surgeon and/or assistant on an echange basis only |
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Definition
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Term
| Scrub notifies (circulator, assistant) if a sponge(s) will be left as temporary packing |
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Definition
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|
Term
| The counted unit is placed in (the kick bucket, its own container) by the circulator utilizing a closable impervious bag or container to minimize airborne contaminates |
|
Definition
|
|
Term
| The (anesthesia person, circulator) places the unit on an impervious surface |
|
Definition
|
|
Term
| As wound closure beings, and as skin closure begins, scrub person and circulator count all sponges in the following order(surgical field, mayo stand, back table, off field; on the back table, mayo stand, surgical field, off field) |
|
Definition
| surgical field, mayo stand, back table, off field |
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|
Term
| Circulator reports results to (surgeon, OR supervisor)correct or incorrect |
|
Definition
|
|
Term
| _____ needles should be counted according tot he number marked on the outer package and verified when the package is opened |
|
Definition
|
|
Term
| Scrub person and circulator count additional _____ as they are added to the sterile field |
|
Definition
|
|
Term
| _____ retians sharps in a puncture resistant, impervious container that is confined to ensure proper, safe disposal |
|
Definition
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|
Term
| As _____ begins , scrub person and circulator count all sharps; circulator reports results to surgeon |
|
Definition
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|
Term
| As _____ begins, scrub person and circulator do final count; circulator records count and reports results to surgeon |
|
Definition
|
|
Term
| Before surgery, _____ count the instruments |
|
Definition
|
|
Term
| _____ calls off the name of the instruments while _____ points to each |
|
Definition
|
|
Term
| Scrub person retains broken instruments or those _____ during the procedure. they must be accounted for in their entirety |
|
Definition
|
|
Term
| Instrument counts are taken after _____ have been accounted for. |
|
Definition
|
|
Term
| Closing count is taken as closure beigns, reported to surgeon, and recorded _____ by circulator |
|
Definition
|
|
Term
| The entire count is repeated (immediately, as soon as possible) |
|
Definition
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|
Term
| If the count is incorrect, the (scrub, circulator) notifies the surgeon, and a search is made for the missing item. |
|
Definition
|
|
Term
| (Scrub, circulator) looks in trash receptackles and linen hamper |
|
Definition
|
|
Term
| (Scrub, circulator) looks over drapes and under items on Mayo stand and back table |
|
Definition
|
|
Term
| IOf the missing item is not located, (a CT scan, X-Ray) is taken before the patient leaves the operating room |
|
Definition
|
|
Term
| If the missing item is not located, the (circulator, surgeon) writes an incident report and notifies the nurse manager |
|
Definition
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