At the conclusion of a surgical procedure, it has been determined that one sponge is missing. How should the nurse manage this situation?
1. Ask housekeeping personnel to look for the missing sponge while preparing the surgical suite for the next procedure.
2. Ask the surgeon to recount the sponges along with the nurse.
3. Refer to AORN standards for guidance.
4. Call the nursing supervisor to report the missing sponge.
3
Rationale 1: It is not the housekeeping staff's responsibility to look for the missing sponge.
Rationale 2: Sponge count is the responsibility of the perioperative nurses.
Rationale 3: Most facilities follow a legal counting procedure based on AORN recommended standards. The nurse should refer to these standards for guidance in this situation.
Rationale 4: It is not necessary to call the supervisor because the first sponge count is wrong.
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