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a. What systematic steps should be taken to find the missing nee b. What errors in standard practice do you notice in this case? What standard practices should have been followed?

a. What systematic steps should be taken to find the missing nee b. What errors in standard practice do you notice in this case? What standard practices should have been followed?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness
Section: Chapter Questions
Problem 5.1CS
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e. Why do you think the surgeon finished closing even when the ncedie was no fod d. What steps should he taken by menbens of the team if the needle de d un the s-ray? in the PACU? Cuper 20 Ca P
Transcribed Image Text:e. Why do you think the surgeon finished closing even when the ncedie was no fod d. What steps should he taken by menbens of the team if the needle de d un the s-ray? in the PACU? Cuper 20 Ca P
CASE STUDIES 1. Faad the folowing case study and answer the questions A 49-year old female is admitted to the health care facility and scheduled for an pen laparotomy with possible hysterectomy. The patient is 5 feet. 3 inches tall, 160 pounds, with a BMI of 31.9. After spending a short time in the holding area, he patient is brought into the OR by the circulating nurse. The scrub has begun setting up the case She notes the patient's stature and requests extra clamps and sutures. The circulator states that sha will get these after the case is under way. After transfening the patient to the operating table and preparing the required documents, the nurse is ready to take a count with the scrub. All items are counted and recorded on the count sheet by the circulator. The surgical procedure was started on time and is progressing well. The surgeon has decided to go ahead with the hysterectomy. The circulator has opened extra ponges onto the back table and waits for the scrub to count them with her. These are added to the count sheet The scnub asks again for extra sutures. The circulator states that she will tell the nuse who is about to relieve her for a break. The relief hurse has come into the room and opens five extra suture packs onto the back table. Before these can be counted, the scrub distributes several to the surgeon. Ater the uterus has been removed, the surgeon announces he is ready to close. The first circulator has come back into the room just as closure is about to start. According to policy, the circulator and scrub begin the count. One sponge and one suture needle are missing. The team finds the sponge in a basin, but the needle cannot be found. The surgeon continues to close the peritoneum. By the time skin closure has started, the needle has not been located. The patient is transported to the PACU and an x-ray is ordered there. a What systematic steps should be taken to find the missing needle? b. What errors in standard practice do you notice in this case? c. What standard practices should have been followed? 100 Chapter 20 Case Planning and Intraoperative Routine Cooynght O 2018, E
Transcribed Image Text:CASE STUDIES 1. Faad the folowing case study and answer the questions A 49-year old female is admitted to the health care facility and scheduled for an pen laparotomy with possible hysterectomy. The patient is 5 feet. 3 inches tall, 160 pounds, with a BMI of 31.9. After spending a short time in the holding area, he patient is brought into the OR by the circulating nurse. The scrub has begun setting up the case She notes the patient's stature and requests extra clamps and sutures. The circulator states that sha will get these after the case is under way. After transfening the patient to the operating table and preparing the required documents, the nurse is ready to take a count with the scrub. All items are counted and recorded on the count sheet by the circulator. The surgical procedure was started on time and is progressing well. The surgeon has decided to go ahead with the hysterectomy. The circulator has opened extra ponges onto the back table and waits for the scrub to count them with her. These are added to the count sheet The scnub asks again for extra sutures. The circulator states that she will tell the nuse who is about to relieve her for a break. The relief hurse has come into the room and opens five extra suture packs onto the back table. Before these can be counted, the scrub distributes several to the surgeon. Ater the uterus has been removed, the surgeon announces he is ready to close. The first circulator has come back into the room just as closure is about to start. According to policy, the circulator and scrub begin the count. One sponge and one suture needle are missing. The team finds the sponge in a basin, but the needle cannot be found. The surgeon continues to close the peritoneum. By the time skin closure has started, the needle has not been located. The patient is transported to the PACU and an x-ray is ordered there. a What systematic steps should be taken to find the missing needle? b. What errors in standard practice do you notice in this case? c. What standard practices should have been followed? 100 Chapter 20 Case Planning and Intraoperative Routine Cooynght O 2018, E
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