Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1309_part3_Layout 1 9/6/13 12:21 PM Page 147 retained objects. "You don't have to count each sponge; you just look at the holders. If there is an empty pocket, you have a problem, and that patient can't leave the OR until the sponge is found." You can download free signage from the NoThing Left Behind website (nothingleftbehind.org) to provide colorful visual cues and memory joggers. There is a rack sign and an OR safety rules sign (both reminding staff, "Where are the sponges?"). An Incorrect Count Checklist guides team members through the best practices to use when they identify that a sponge is missing. Sponge ACCOUNTing can work in concert with new technology detection systems that use radiofrequency-tagged sponges. Staff keep a running total of the sponges added to the surgical field on the wall-mounted dry-erase board, which should be easily visible from anywhere in the room. During the procedure, they place used sponges in a clear plastic bag-lined receptacle, such as kick buckets or ring stands. You take each discarded sponge from the receptacle, opening it to ensure you have only 1 sponge. Fold it into an oval and put the sponge in one of the bottom pockets of the holder. Continue loading the holder, 1 sponge per pocket. Don't mix different types of sponges within one holder. Load from the bottom up because if you're missing a sponge at the end of the case, it's easier to see an empty pocket from anywhere in the room if it's one of the top 2 pockets. If you load top down, you'll have an empty pocket at the bottom of the holder, which is hard for everyone else to see. At the final count, the surgeon and nurses look at the blue-backed sponge holders and see that every pocket has a sponge. This is the show-me step when the team can see there are no empty pockets. — Gail Guterl S E P T E M B E R 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 4 7

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