Sample interview questions: Discuss your knowledge of surgical instrument counts and their importance.
Sample answer:
Surgical instrument counts are essential for ensuring patient safety during surgical procedures by verifying that all instruments are accounted for before, during, and after surgery to prevent complications associated with retained surgical items (RSIs). The presence of an RSI can lead to serious infections, additional surgeries, and even death.
Responsibilities of an OR Nurse Regarding Instrument Counts:
- Pre-operative Count:
- Prior to surgery, the OR nurse verifies the instrument sets against the surgical preference card.
- Instruments are counted and checked for integrity (e.g., sharpness, functionality).
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Any discrepancies are reported immediately to the surgical team.
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Intra-operative Count:
- During the surgery, the OR nurse performs counts at specific intervals (often every 30-60 minutes) to ensure all instruments are accounted for.
- This includes instruments in use, on back tables, and in the surgical field.
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Discrepancies are communicated to the surgeon and surgical team for immediate resolution.
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Post-operative Count:
- After the surgery, a final instrument count is performed to ensure all instruments have been removed from the surgical field and patient.
- If a discrepancy is identified, a thorough search is conducted, and the surgical team is notified.
- If the instrument cannot be located, appropriate actions are taken, including documentation and reporting to the appropriate authorities.
Importance of Accurate Instrument Counts:
- Patient Safety: Read full answer
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