Defc 793 C 011 C 91 DB 3545

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FUNCTIONS OF THE INSTRUMENT MAKER This protocol are referring to the importance of FUNCTIONS OF THE NURSING ASSISTANT

accuratelycounting medical-surgical devices used


duringcardiovascular procedures to prevent any
devices frombeing left inside the patient's body. This
BEFORE THE START OFSURGERY: practice is crucialfor patient safety and to avoid BEFORE THE START OFSURGERY:
potential complicationspost-procedure.
Count the medical-surgical medical-surgical devices on the sterile Record the quantity reported by thesurgical instrumentation
nstrumentation surgical instrumentation professional ofthe initial count of the initial count ofmedical devices
Report the exact number of therespective counts to the nursing Indicate aloud that the compresses youused in the procedures you
assistant have nursingprocedures nursing procedures wereremoved from the
Determine a dedicated container and/orbag for the disposal of disposal operating roomoperating theatre
of gauze,swabs, sharps, compresses sharps,compresses and other.

DURING THE COURSE OFTHE SURGERY: DURING THE COURSE OFTHE SURGERY:

Be constantly vigilant about theintroduction of compresses, gauze


andother devices other medical devicesdevices in the operating
area.
When introducing new devices, checkthat they are correctly noted
DEVICE COUNT Pick up devices that fall on the floor andplace them in the
appropriate containerand do not remove them from the room.
Using PPE, the devices are counted inthe baskets on the floor so that

PROTOCOL
theinstrumentator can be informed andcount the devices on the
on the board. table and in thesurgical field.
When introducing new devices, checkthat they are correctly noted If the count does not match, a warning isgiven.
on theboard

AT THE END OF THESURGERY RESPONSIBILITIES OF THE MEDICAL SURGEON

You must have the surgical instruments and check that no instruments Direct and facilitate the counting of allmedical-surgical devices
orinstruments or parts of instruments parts are missing. involved in the surgery.
Do not close the operative cavity untilthe count is compliant.
All sharps sharps should be disposed ofin the disposed of in the
Advise the surgical instrumentationprofessional of the introduction
containers
ofcompresses or other compresses or otherdevice into the cavity
Inform the surgeon of the result of the"foreign body" count "foreign
Proper delivery of sharps material, andOrdering radiographic
body"count examinations, ifdeemed necessary

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