Where have you found missing countable items? - page 3
by IdahoGrad 4,937 Views | 26 Comments
Hi, I am an experienced med/surg RN who is new to the OR and am in a training program where we are to present a topic to the group. My topic is Counts/Preventing the Retention of Foreign Bodies. I'm trying to come up with... Read More
- 0Nov 15, '11 by maryorrnA scrub nurse used a sponge before the case started to wipe the patient's hand and left it on the armboard. We searched trash, drapes, inside gloves, floor, and every nook and cranny. The scrub insisted I somehow must have let it leave the room, or that we were somehow shorted by the manufacture and didn't catch it on our first count. When we were ready to order an X-ray, the anesthesiologist found it when adjusting the patient's arm.
- 0Nov 30, '11 by ChristineAdrianaRNI flipping hate counting needles. A travel nurse I work with told me a place she used to work would employ the practice of filling up a needlebox, counting it once, and then snapping it shut, so you can just count by 50 or whatever number it holds instead of counting each one individually each time. Does any of your workplaces do this? Sure would be nice to not have to individually count 97 needles four times in a case...
I know this is an old thread and the question about ideas on how to present this topic is old news, but I was going to suggest spreading some needles out on the floor, getting a couple of those magnetic roller things, and letting audience members loose to try to find them...
- 0Nov 30, '11 by Rose_Queen GuideWe do the needle counter thing, just slightly differently: ours hold 40, and once filled, they are counted and handed off the field. Then when we do the closing count, the circulator will say "I have 40/80/120 needles, and the scrub starts counting on the field with 41/81/121.
- 0Jan 27, '12 by goats'r'usnot really a countable item, but here's a scary one that's stuck with me..
before i started theatre nursing i was on a plastics ward, and i had this lovely woman who had had an abdominoplasty two years previously. unfortunately for her, her wound had not healed well, and she had suffered repeated dehiscences, had many returns to surgery, and now had extensive scarring across her lower abdomen.
on a previous admission, she had had the wound debrided and a VAC dressing placed, and glory be, it worked! her wound finally looked to be healing and she was so, so happy to finally have her life back.
sadly, though it almost healed, it was just never quite right.
two years and several admissions after her initial procedure, i had transferred to theatres, and saw her name on the theatre list for exploration and washout of her wound. i went out to see her pre-op, and she was understandably upset, praying that this would be the last time she'd be admitted, but no longer holding out much hope.
luckily, this WAS the last time, because this turned out to be the time that someone managed to locate the very well concealed and overgrown bit of VAC foam lurking deep in her wound.
terrifying how easy this mistake was to make. she'd had her initial VAC placed in theatre, and the surgeon had placed a few bits of foam, with bridges running between them, in order to fit the wound. he had not documented how many bits of foam had gone into the initial dressing, and when ward staff changed the dressing, one sneaky bit went unnoticed. the wound healed nicely over the foam, and it wasn't until months later when we went in for a relook that we found the little bugger!
now i'm the nurse who stands over doctors doing their op reports harassing them until they document how many bits of foam went into the dressing, and they all think i'm crazy. where is the justice in this world??