Identify at least three contributing factors that may have affected the initial surgical count process
You are waiting for a patient booked for a routine laparoscopic cholecystectomy late in the afternoon. As you commence your surgical count with the circulating nurse, the surgeon arrives and tells you about his requirements. After this interruption, you complete the count and the surgery commences. Subsequently, in response to uncontrolled bleeding, the surgeon converts to an open procedure. Your circulating nurse has opened additional instruments and accountable items and you remain focused for some time on the surgical count and check of instruments. After 3 hours of surgery, the closure commences and you discover a discrepancy in the count.
What will be an ideal response?
Answer:
Appropriate responses include:
Time of day—fatigue
Surgeon interrupted the initial count—distraction
Incorrect documentation—human error
Staff complacency about a ‘routine procedure'
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Answer the following statement true (T) or false (F)
The nurse provides vigilant monitoring of a patient receiving epidural analgesia to prevent the occurrence of which of the following?
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The parents of an 8-year-old are attempting to help their child comprehend new infor-mation. Which intervention suggested by the nurse shows an understanding of the cogni-tive development theory for this age group?
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