Counting?

[mercys]

So a Doc left a cervical cup in pt lady parts after Lap Hyster.We discovered it in Recovery Rm. We did not count all vag inst on these cases. Now Manager want counting on all vag cases. Put up sign Count Inst on all cases where there is a open cavity with tissue around it. So what do you think.Do you count inst on total joints,neuro cases. This has not been addressed yet as she has been in contuinual meetings since. We do not like the wording. A mouth is a open cavity as is a hip or back. What do you think about that wording.

[fusionfire32]

i think it is very important to count all d and c instruments because we had an untoward incident at our hospital. surgeon was using dilator for holding the uterus antevert/retrovert for a lap case and whilst he was doing the procedure laproscopically, he did not remove the dilator and the intruments were not counted. the woman became very ill and intrument was removed at another facility. not a good experience for the patient, surgeon or the scrub involved. so i think that no matter what, all intruments need to be accounted for and double check with the surgeon if surgeon is performing the procedure on his/her own.