Exam (elaborations)
Unit 3 (1).
- Course
- Institution
Exam of 6 pages for the course unit 9 at unit 9 (Unit 3 (1).)
[Show more]
Seller
Follow
modockochieng06
Content preview
Unit 3-1) protects patient from possibility of postoperative complications in event that any item was
inadvertently left in patient
-2) to protect yourself and employer from legal liabilities
---surgeon, circulator, and ST each plan equal roles and responsibilities in counts and one or all
can be held liable for retained objects because of counting errors
---"captain of the ship" doctrine: surgeon assumes responsibility for the actions of assistants
employed by another entity---no longer applies---actions directed by facility policy, not surgeon
-3) to keep instrument sets complete (helps to cut down on instrument loss = cost decrease to
replace lost instruments - ANS-Purpose of counting sponges, instruments, needles, sharp items
-a serious and reportable event that should never happen to a patient
-leaving an object in a patient = UNINTENTIONAL TORT (includes negligence and malpractice)
-MALPRACTICE: negligent act
-NEGLIGENCE: a breach of duty omission or commission of an act that a reasonable and
prudent person wouldn't do in the same situation
-minimal, if any, legal defense possible in a case in which a foreign body is retained
-in this type of case, the jury will be encouraged to take into consideration:
-----did the team member act as any prudent, reasonable, professional would to account for
items prior to closure?
------testimony of expert witnesses
-----AORN recommended practices
-----facility count policies - ANS-leaving object in patient
-OR management team and personnel share in formulation of policy and procedures
-policy approved by nursing administrator over the OR, surgery committee, and director of
nursing services and hospital admin
-many hospitals follow recommended standards of practice established by AORN
-AORN continuously reviews policy and new guidelines are released each year
-AST established recommended standards of practice that are utilized in policy development
-count policy / procedures may vary between facilities, but COUNTS MUST BE PERFORMED
-count policy and procudure should be reviewed and / or revised annually (reviews incident
reports and near misses) - ANS-who establishes count policy and procedure
-good communication among team
-standardized processes
-counting
-wound exploration prior to closure
-use of technology (xray) as needed - ANS-strategies to prevent retained foreign objects in the
surgical wound
, -Sponges (any required for use during procedure)
-Sharps (knife blades, safety pins, hypodermic needles, cautery tips)
-cautery scratch pads generally counted separately
-Instruments (any instruments used and / or placed on sterile back table and mayo tray for
procedure
-Surgical needles (required and used for a procedure--may be atraumatic or eyed
needles)(usually counted separately, but may be counted with sharps,depending on facility
policy)
-may also need to count bulldogs, heparin needles, hip pins, syringes, suture boots, lig-a-clip
cartridges, defogger and sponge, depending on facility - ANS-Items to be included in counts
-during preop phase while sterile field prepared before procedure starts (ALL counted items
counted at this time)
---called initial count
---ideally should be performed before circulator gets patient and before mayo stand setup
-during intraoperative phase, if any additional counted items are added to sterile field not
originally present, and not included in initial count
-whenever there is a permanent change in scrub or circulating personnel (all counted items are
counted)
-before any part of a body cavity is closed (all counted items are counted except instruments)
-upon closure of peritoneum or joint capsule when surgeon makes the first stitch (all counted
items are counted)
---called 1st closing count
-upon closure of sub Q or skin (when surgeon makes first stitch (all counted items counted
except instruments)
---called 2nd closing count
-additional counts may be done whenever they are deemed necessary
***closing - ANS-when are counts to be performed?
-includes the beginning before the procedure, during the procedure, and at the completion of the
procedure
-perioperative = preoperative + intraoperative + postoperative - ANS-what is perioperative
phase of the surgical procedure
-SPONGE counts (3 taken)
---beginning, at closure of peritoneum, at closure of sub Q or skin
-INSTRUMENT counts (2 taken)
---beginning, at closure of peritoneum
-SHARPS counts (3 taken)
---beginning, at closure of peritoneum, at closure of sub Q layer or skin
-SURGICAL NEEDLES counts (3 taken)
---beginning, upon closure of peritoneum, at closure of sub q or skin - ANS-Counts during an
average procedure
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79751 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now