The scrub nurse is preparing to access a sterilized item; however, the item is missing the appropriate sterilization tag. Which of the following should the nurse do?
1. Request another item be brought that has the appropriate sterilization tag present.
2. Use the item.
3. Inform the physician that the item does not have the sterilization tag and use the item.
4. Substitute the item with another similar item that has been properly sterilized.
Request another item be brought that has the appropriate sterilization tag present.
Rationale: Intra-operative infections do occur, primarily because no sterilization procedure can completely eliminate all microorganisms. Sterilized items should have the appropriate tag or marking identifying that sterilization has occurred. The nurse should reduce the patient's risk for infection by requesting another item be brought that has the appropriate sterilization tag present. The nurse should not use the item, nor inform the physician that the sterilization tag is not present and use the item anyway. The nurse should not substitute the item with another similar item that has been properly sterilized.
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