Question

Which of the following procedures should be followed when performing counts in an emergency situation?

a) Count twice and document once
b) Document counts at the end of the procedure
c) Use a separate count sheet
d) Notify the surgeon immediately

Answer 1

In emergency situations, it is important to follow strict counting procedures and immediately notify the surgeon if discrepancies arise. Documentation of counts should be done at the end of the procedure, and communication with the team throughout is crucial.

Step-by-step explanation:

When performing counts in an emergency situation, it is crucial to adhere to certain procedures to ensure patient safety and maintain surgical standards. One should notify the surgeon immediately if there is a discrepancy. While not all situations call for separate count sheets or double counting, the standard practice is for the nurse to review items aloud with the team, including confirmation of the performed procedure, completion of needle, sponge, and instrument counts (or stating if they are not applicable), ensuring that specimens, if any, are correctly labeled with the patient's name, and mentioning any equipment issues that need to be addressed. Documenting counts at the end of the procedure is also important, but this does not preclude the necessity to communicate critical information immediately during the procedure.