In the middle of a laparoscopic cholecystectomy, the scrub nurse realizes a piece is missing from the laparoscope. Which is the best action for the scrub nurse to implement?
1. Break scrub and find missing piece.
2. Ask the circulating nurse to get help.
3. Tell the surgeon the piece is missing.
4. Have circulating nurse find the piece.
4
2 and 4. The scrub nurse asks the circulating nurse to get help to locate the missing piece. The scrub nurse wants the circulating nurse to remain in the room as much as possible for nonsterile assistance during the procedure and not to spend time hunting for a missing piece of equipment when the nurse can delegate the task.
1. The scrub nurse is responsible for preparing the sterile field and the equipment before surgery; however, the nurse should not break scrub to find the missing piece because, by leaving the surgery, the client is likely to have an extended length of procedure. Even if the surgery is performed while the nurses are on call, the scrub nurse should send the circulating nurse for the missing piece.
3. The scrub nurse asks the circulating nurse to get help to initiate the process and then informs the surgeon about the missing equipment and is thereby able to tell the surgeon that help is on the way.
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