| A | B |
|---|
| Hollow organ closing count | 4 |
| Initial count- what is done immediately before | break the band on the sponges |
| non-sterile portion of the gown | cuff |
| sterile portion of the gown | waist to mid chest and circumferentially to 2 inches above the elbows on the sleeves |
| instruments placed pencil style in a surgeon's hand | scalpels |
| required to be counted for every procedure | sponges, sharps, instruments |
| all tables part of the sterile field should be how far from the wall | 12 to 18 inches |
| 90 degrees | arm boards should not extend beyond this angle |
| Preference card | used to check supplies from the case cart |
| intraoperative routine | anesthesia, positioning, prep and draping, surgical time out |
| gowns are removed | prior to glove removal |
| back table cover | should be opened first |
| kitners | used to bluntly dissect around tissue |
| irrigation to a large abdominal wound | done via asepto |
| suture booties | used to provide cushioning between the clamp and closure |
| clamping instruments | occlude tissue |
| closing count order | patient, mayo, back table, floor |
| instruments with multiple pieces | counted separately |
| Hollow organ closing count includes | instruments, sponges and sharps, miscellaneous |
| Dressing sponges are opened onto the sterile field | after the final count |
| Closing counts for a procedure on the leg require these to be counted | sponges, sharps, miscellaneous |
| when finished kitners should be placed in | the container they came in |
| how many times are sutures counted in the initial count | twice |
| what is counted first in the initial count | sponges |
| If a counted item has been lost during the procedure and it is not located during the closing count, perform | an x-ray |
