Vaginal prep & sponge count

  1. 0 Does anybody count the prep sponges before doing the internal vaginal prep? We had an incident where a radiopaque prep sponge was found in the vagina (at the end of the case) when a vaginal pack was taken out.
  2. Visit  gracie5 profile page

    About gracie5

    From 'Cranbrook, BC, Canada'; Joined Mar '00; Posts: 2.

    4 Comments so far...

  3. Visit  banana17 profile page
    0
    Originally posted by gracie5:
    Does anybody count the prep sponges before doing the internal vaginal prep? We had an incident where a radiopaque prep sponge was found in the vagina (at the end of the case) when a vaginal pack was taken out.
    I work in an Ontario, Canada hospital and we always count prep sponges for vag preps because it is a body cavity and sponges could easily get lost.



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  4. Visit  mud profile page
    0
    in our gyne. procedures, the circulator usually does the prep. We have a prep set that we use, that comes with five prep sponges. It is not part of the set up, the scrub nurse does not count them with her other sponges. However, for a pt. who has had a previous hyster, the surgeon inserts a sponge on a stick to manipulte internally when performing a laperoscopy. The count done at skin, includes the one "inside". Once removed, the scrub will show the circulator the removed sponge. When I first did this procedure, as the scrub. I was used to having to remove the tenac, and sound for the surgeon. I went to gently undo what I thought was the tenac, when the surgeon told me, that it was a sponge stick, with sponge on. I was new, and never knew what is now obvious to me, there is nothing for the tenac to grab with a lady who has had a hyster!! I hadn't even seen him insert the sponge on a stick!! I learned something that day. It frightened me to think I may have left it inside.
  5. Visit  Pam RN profile page
    0
    We count sponges before and after the case because of the reason you mentioned: the vagina is a body cavity and the sponges can be retained. We even count for a D/C. Some nurses question this practice! Keep counting!
  6. Visit  Pam RN profile page
    0
    We count sponges before and after the case because of the reason you mentioned: the vagina is a body cavity and the sponges can be retained. We even count for a D/C. Some nurses question this practice! Keep counting!


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