Test EE Flashcards
red vessel loop
artery
yellow vessel loops
ereter
what is the purpose of the surgical count?
to account for all sponges and other items used in surgical wound
how are cottonoids used?
moist
what are lap sponges used for?
absorption
protect
pack
pressure
how are eye sponges used?
moisten in saline
what do you do if item falls from sterile field
isolate in room so doesn’t affect end count
how many eye sponge-weckcels are in a pack?
10
when are eye sponges used?
surgical procedures of the eye
what is the umbilical tape used for?
retraction
what is the most common lawsuit in the OR
miscounts
can the patient go home with the dental sponges in mouth?
yes because they aren’t counted
how many tonsil sponges come in a pack?
5
how is umbilical tape used?
moisten with saline and attach to straight kelly
what are cotton balls used for?
absorption
protection
how are tonsil sponges used?
dry
when are raytex used?
small shallow incisions
what are eye sponges used for?
absorption
what does the CN tell the surgeon after the count?
count is correct
white vessel loops
nerve
what are peanuts used for?
dissection
when do you do a sponge and sharps count?
before surgery begins closure of hollow viscera closure of peritoneum closure of subq or skin if ST or CN is relieved on case
what determines when you do a surgical count?
hospital policy
how many vessel loops come in a pack?
2
what supplies are included in the first count?
sponges and sharps
what are raytex used for?
grasping
absorption
dissection
what type of surgery is a surgical count done for?
when a body cavity is open
what in never removed from the room until counts are correct?
linen/waste containers
where is the first instrument count done outside of the OR?
sterile processing area
if count doesn’t add up
re count
look everywhere
taken xray
describe a surgical sponge
soft
lint free
radiopaque strip for xray
when are cotton balls used?
neuro cases
what happens if something kept in body?
lawsuit
infection of wound
improper healing
patient back in surgery to remove
what are tonsil sponges used for?
absorption
should you cut cottonoids for the doctor?
no, just get a new pack of the size the doctor wants
what type of cases are cottonoids used for?
nerve
brain
spinal cord
what do you do if a pack comes with incorrect count?
discard entire pack
what does the RN do once the sponge count is completed?
verify and signed on OR record
how many umbilical tapes come in a pack?
2
when are dental sponges used?
oral surgery
how are cotton balls used?
moisten in saline
who participates in a surgical count?
RN circulator and ST
sentinel event
exposing patient to unnecessary risk
what are sponges used for?
absorption
retract
dissect
protect
when can you ignore a sponge count?
true emergency!!!!
what is used to verify number of instruments?
count sheet located inside of the instrument pan
blue vessel loops
vein
sequence for sponge count
operative field mayo stand back table basin kick bucket
how can you see sponges for xray?
radiopaque strip
how many peanuts come in a pack?
5
what should be done on all surgeries?
the first count
why is the surgical count important?
patient safety and legal reasons
how many raytex come in a pack?
10
what are vessel loops used for?
retraction
who must see the instrument when counting?
the CN and ST
what are cottonoids used for?
absorption
hemostasis
what do you do with sharps at the end of each case?
put in designated sharps container
what do you do if a count is interrupted?
start over
why did the surgical count become a thing?
human error occurs
can you remove instruments before final count?
no
how should instruments always be on the field?
mounted on instrument or in a container, should never be loose on the field
what happens if an instrument breaks?
all parts must be accounted for and then isolate
how many cotton balls are in a pack?
5
how many cottonoids come in a pack?
10
does a patient go home with tonsil sponge?
no because it is counted
how many lap sponges come in a pack?
5
how are instruments counted?
systematic order
what are dental sponges used for?
retraction
absorption