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Someone dropped a retractor in one of our big sharps boxes once and we fished it out with an atraumatic grasper (laparoscopic instrument that's about 2 ft long.)
I've dropped the morphine tubexes a couple times when I was throwing away other thing and absentmindedly threw that with everything else. Sign it out as wasted, dropped and get another.
I imagine that is the point to the question. It's not hard to figure out if it's happened to you.