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counting test review
| Question | Answer |
|---|---|
| individual hospital policies/procedures may vary slightly, but ethically, counts do not have to be done | false |
| count policy is initiated by the OR Manager | true |
| Policy is approved by the administrator over the OR, the surgery committe,director of nursing and the hospital administration | true |
| polices/procedures s/be reviewed/revised every 10 years | false |
| policy/procedure should follow recommended standards of practice established by the AMA | false |
| which is not considered a counted item | marking pen |
| which is not considered a counted item | telfa pad |
| which is not considered a counted item | wound drain |
| counts are performed on all operating procedures except neurosurgical procedures | false |
| counts are performed prior to the beginning of a procedure | true |
| counts are performed as closure of wound begins | true |
| counts are performed after any part of a cavity or a cavity w/in a cavity is closed | false |
| counts are performed whenever there is a permanent change in scrub/circulating personnel | true |
| counts are performed as closure of skin begins | true |
| responsibility for counts, who records the count on the pt's operative record/count sheet | circulator |
| all sponges used during a surgical procedure should be | radiopaque |
| always keep various sizes of what separated during a procedure | sponges |
| always count together audibly, w/circulator and scrub concurrently viewing each sponge,sharp & instrument as it is | counted |
| always place small dissectors on a | instrument |
| never remove linen/trash container from the OR until | all counts are verified |
| never allow a counted what to be taken from the OR during a procedure | item |
| if the pt leaves the OR w/a counted sponge intentionally used as packing, what should be documented on the operative record | number & type |
| used sponges should be | confined and contained |
| used sponges should be handled w/ | instruments/gloved hands |
| sponges are removed from the sterile field to an imperviously lind | kick bucket |
| radiopaque sponges are ??? used for dressings | never |
| prep sponges are ??? and are kept isolated from the sterile field | non-radiopaque |
| never discard prep sponges in the | kick bucket |
| sharps are counted when thru out the procedure | continually |
| suture needles s/be counted according to the # marked on the outer package and verified by who | scrub and circulator |
| broken sharps/broken or disassembled instruments are accounted for | in their entirety |
| if either the scrub or circulator is relieved by another person during a procedure, the incoming person should verify all counts before the person being relieved leaves | the OR |
| circulator/scrub personnel count all items in what order | surgical field,mayo stand,back table,off field |
| where does the scrub place gauze sponges/small dissectors | mayo stand |
| what is a sponge stick made of | raytex |
| sterile,absorbent,lint-free material of varying size/shapes w/radiopaque strips | surgical sponge |
| how many layers of dressings are there | 3 layers |
| who removes the packing in the clinic | attending surgeon |
| which doesn't pertain to a pressure dressing | collodion spray |