Premium Essay

Surgical Counts

In: Science

Submitted By JS6290
Words 965
Pages 4
Informational Speech
Making it count in surgery

Purpose: To prevent retained items in Surgical Procedures

Thesis: My goal is to inform my audience the importance of counting the instruments and sterile supplies for Surgical Procedures.

Organizational Pattern: Topical

I. Introduction A. Attention Getter: Have you ever heard of someone having a sponge left inside them from surgery? When this happens, it’s because staff did not count correctly. A retained object can cause a patient pain, severe infection, additional surgical procedures and even death.

B. Relevance: According to Joint Commission statistics, Retained Surgical Items are the most reported sentinel events

C. Credibility: I’ve been an Operating Room nurse for 22 years. In that time I have been a was a charge nurse for 6 years, O.R. Clinical Instructor for 8 years and have spent the past year as head nurse.

D. Thesis: My goal is to tell you of the steps we take in surgery to prevent a Retained Surgical Item (RSI).

E. Preview: Let me explain what puts the patient at risk for this adverse event and what steps we take to prevent harm to our patients.

Transition: First you should know that unless the case is emergent, the Operating Room staff counts all of the items that will be used in a surgical procedure before that patient ever comes into the operating room.

II. Body

A. There are a few situations that we are aware of that predisposes a patient to an RSI.
1. The first risk is an emergency procedure. a. If the patient is bleeding or has been rushed to the operating room, the count is no longer the priority b. Saving the patient’s life becomes the critical care needed. c. There is chaos going on. Everyone is performing a lifesaving function. d. When the procedure is over...

Similar Documents

Free Essay


...counting FunWithNumbers fun = new FunWithNumbers(); boolean done = false; try { do { fun.displayMenu(); choice = input.nextInt(); switch(choice) { case 1: System.out.print("Please enter the number that you would like to perform the factorial on: "); userNumber = input.nextInt(); System.out.println("The factoral of " + userNumber + " yields the value: " + fun.findFactorial(userNumber)); break; case 2: System.out.print("Please enter the number of fluffy bunnies whose ears you would like to count: "); userNumber = input.nextInt(); System.out.println(userNumber + " bunnies would get you " + fun.bunnyCounter(userNumber) + " ears."); break; case 3: System.out.print("Please enter the number representing the position in the Fibonacci Sequence " +...

Words: 676 - Pages: 3

Free Essay


...issues; the governance of decisions that define expectations or verify one's performance-- as well as managing and guiding one's decisions and processes for completing a task, also comes into play; finally, the obligation to report, explain, and be answerable to resulting consequences when implementing those actions is quite significant. To put it simply, when taking accountability for something, you are acknowledging and assuming responsibility for your actions.If I go further in depth with this particular topic, we can see that this system of accountability can actually be created by breaking down the very word "accountability," into separate synonyms (words that have the same or similar meaning) and can be categorized as such. The word "count," in "accountability" implies the action of finding the number of elements of a finite set of objects. The traditional way of counting consists of continually increasing a (mental or spoken) counter by a unit for every element of the set, in some order, while marking (or displacing) those elements to avoid visiting the same element more than once, until no unmarked elements are left; if the counter was set to one after the first object, the value after visiting the final object gives the desired number of elements....

Words: 308 - Pages: 2

Free Essay


...Assignment Five Differentiated Assessment By Ashford University The Unit Goal that aligns with the Common Core State Standards Kindergarten students will count from 1 to 100 by ones with at least 70% accuracy ten out of ten times by the end of the first-grading period that is usually a quarter, October 10, 2014. Kindergarten students will count from 1-100 by tens with minimum of 70% accuracy ten out of ten times by the end of the first-grading period, October 10, 2014. How will mastery be measured? Students will demonstrate knowledge by creating snack time refreshments for the entire room, students, staff, visitors if any, all will be the same number of crackers or grapes; even if the diabetic girls cannot eat the prepared snack. As they hand they snack which are to have ten of the main “course” to the individuals, hand them the snack plate, counting by ten as they hand the plate to the recipient. First person, they’ll say ten; next recipient they’ll say twenty; and so forth until ten people have received snack, and the student has reached the 100 by tens goal. Specific Outcome At the end of this quarter, October 10, 2014, you will be able to: prepare snack for a classroom by equal distribution of the main food item, whether it be celery, crackers or grapes. Students’ will decide which snack will be served (motivation) (Puckett, K., 2013, p. 21). They will place ten-snack items on the snack plates for each in the classroom at snack time. ......

Words: 1198 - Pages: 5

Premium Essay

Surgical Scrubbing

...Surgical scrubbing is an important factor in order to prevent infections on patients who are undergoing surgery. All hospitals should follow specific protocols on how to perform a surgical scrub in order to prevent surgical site infections. The purpose of this study was to see which circulating nurse had the least amount of bacteria on their hands after the initial scrub depending on what they used to scrub their hands. This study was conducted on 60 circulating nurses. There was one control group and two test groups. The control group used 3 ml of chlorhexidine gluconate 4% only, one group used the same product but with a nail pick, and the last group used the same product but with a nail brush. The samples from their hands were obtained at 2 different times: immediately before the scrub and 1 hour after the surgical scrub. The control group who did not use the pick or the brush were the ones that had the least amount of bacteria on their hands. To follow were the nurses that used the pick then the brush. The findings did indicate that there is no significant difference on performing the scrub alone. However, it did indicate that the scrub alone, without the pick or the brush, was the most effective in reducing bacteria for a surgical scrub. Reference Alcan, Aliye O. & Korkmaz, Fatma D. (2012). Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts. American Journal of Infection...

Words: 258 - Pages: 2

Free Essay

Instructional Strategies Effective Use of Time

...There is about four parts to the test. If a child isn’t ready they receive a second chance a little later during the school year. If they fail twice, then the teacher has to fill out a form and is then sent to the board of education to determine if the child needs to be referred. After a couple of months of school as the children play in their centers I go around asking them basic questions in reference to what their doing. For example if a child is already counting from one to ten, then if the child is playing with blocks I’ll say “wow how many blocks do you have and the child will be encouraged to count and I may add more to see if the child can count pass ten and eventually to twenty. If there’s a specific child who’s not yet counting then I find creative ways to increase his/her counting ability. I’ll have the child help me with lunch in which they can help pass and count out the napkins using one to one correspondence. Or, have them pass a couple of markers to their friend usually starting off with 1 to three. I use this system when I’m addressing any type of content area and I rotate students twice throughout the day. In reference to collaborative and...

Words: 839 - Pages: 4

Free Essay

Ecet 340 Week 6 Homework 6

...ECET 340 Week 6 HomeWork 6 Purchase here Product Description 1. What are the four main functions of the HC12 Timer unit? 2. Two input capture events occur at counts 0x1037 and 0xFF20 of the free-running counter. How many counts (in decimal) have transpired between these two events? 3. What is the maximum time possible before the free-running counter overflows when the e MHz? 4. Two input capture events occur at 0x1037 and 0x002A. If the prescaler bits PR[2:1:0] are set to 101 and the e clock is 24 MHz, how much time as transpired between the two events? 5. Calculate the count that should appear in the timer capture register TC0 if a 125 kHz rectangular wave is inputted on timer pin PT0 while TCTL4 is preset for falling edge detection. Assume a 24 MHz e-clock, TMSK2 was programmed with the value $02, and the count of the 1st edge event has already been subtracted off from TC0. 6. Write down the name of the HC12 timer register that should be polled through software to determine whether or not an active input edge has been captured on one of the port T pins. 7. What is the duty cycle of a signal produced by the PWM when and ? a. 28.0% b. 29.8% c. 50.0% d. 72.0% 8. What values are required for period and duty cycle to generate a 6.0 kHz, 95% duty cycle waveform using the PWM function? Assume e-clock frequency is 24 MHz. 9. What is the slowest clock signal that can be generated from the PWM......

Words: 1661 - Pages: 7

Premium Essay

Time Monitoring

... I realized that I spent a great deal of time at the grocery store, when I could get home earlier and study sooner. This would allow me to get more rest. I believe that my job takes up a great deal of my day. It is very exhausting working in a severe special education program. I believe that when I get home, instead of the grocery store every night, I can wait until the weekend comes in and do errands. I will start picking certain days in which I will post on every week. I will also designate when I will respond back to my classmates, and submit what is due. If there are certain days, I assign myself to fit in my schedule I believe I can be very successful within this program. My time monitoring sheet has taught me that every minute counts and if you use those minutes correctly they can make your day less stressful. I work better with a visual reminder of what I need to do and the time monitoring helps a great deal to keep working in the right direction. As a mom with a 12-year-old and a 16 month old, meals have to be prepared and homework completed. However, if I re-allocate my time, I could be there for my kids and get my homework done with additional time to get ready for the next...

Words: 283 - Pages: 2

Premium Essay

Princess Bride Summary

...The novel starts off with Billy, a writer who is a sports fanatic, game freak, and an army discharge. As the narrator of the book, he talks about his struggles in grade school and about a specific teacher, called Miss (Antonia) Roginski. This man had struggled in her class with tests and readings. He always thought of her as a mother figure, even though she thought he was a late bloomer. He is nearly completing his book and decides to send her a copy for an opinion on it. He fears, and was saddened, that she would not remember him. He later finds out that she does, when the back of the post card wrote, “idiot”. Another flashback begins, and he talks about how he was not able to tune into a football game. His mother repeated answers that they don’t broadcast the games on Friday, just Saturdays. Frustrated and delirious, he ends up catching pneumonia and becomes sick in bed for over a month, which means no games or football. His father introduced him to “The Princess Bride” while he was still just a “lump in bed going through a strength gathering time period”. His father actually was an immigrant from Florin, and is “near illiterate” in the English language. But for the first time in his life, he got hooked on the book. Each night, his father read to him, chapter by chapter, always trying to sound the word properly. He read the book twice to him over a month’s time. The narrator could’ve read it himself if he wanted to, but he wanted his father’s voice. Through...

Words: 529 - Pages: 3

Premium Essay

Academic Performance of Working Students

...second as an important detail of your life. You should not waste every moment in it. So choosing the course which you think fits your capabilities is very important. Studying a specific course in college is not only about paying the fees rather the most important things here are the time and effort spent. Money, time and effort are the most precious things in one’s life and once it is used or spent, it’s hard to gain again or worst you may never have it at all. So the time these are wasted for nothing, for sure the blame for this mistake will be felt truly. When looking at the profile of those students who are working and at the same time is studying, you would notice that they never dare wasting their time. For them, every second counts. Make an observation and you will find out that almost all of the working students are working too hard to finish their studies. For them, wasting their effort, time and money is such a big mistake. OBJECTIVES OF THE STUDY The objective of studying this matter is to know the profile of the working students and the implication on the class standing. Specifically, they need to answer these following questions: 1. What was the working students are going through while they are studying and at the same time working? 2. What are the statuses of the working...

Words: 363 - Pages: 2

Premium Essay

Weber Social Theory

...clothes or something completely different than what they normally sale. The last area is that of control. Companies have the final say so in their business. For example, I used to work at Best Buy and on black Friday we use to give tickets out because only a certain amount of people are allowed in the store at a time. Another way they control their employees is by making all of us wear their blue Best Buy shirt and khaki’s. Another area where Weber’s ideas can be found is in the school and how it’s run. The efficiency of a school could be measured by their standardized tests and the overall standards of curriculum that must be taught. Calculability can be found throughout the school by counting how many students you have to determining the count for who wants what for lunch. Predictability comes in to play because when you think of school you think of an institution of learning where your kids should feel safe. The final area of control comes in dealing with if the school has a dress...

Words: 370 - Pages: 2

Free Essay

Letter in the Life of a Solider

... The morning had come and as planned we have set sails and are now crossing the channel. Land has been spotted by my lookout form upon the mast and I have been informed that it is Ponthieu, north of Normandy. This is the territory of the Count Guy. He is known to be a fierce man. I pray that this is not fact. The count is in fact a firce man. As soon we ported and I stepped from my ship I was seized by Count Guy’s soldiers as the Count sits horseback directing operations. I have now been taken prisoner but while the Count is a fierce man he did insure that I was treated with respect and allowed to ride in front with my hawk as we journeyed to his capital city of Beaurain. When we arrived to Beaurain, Count Guy spoke to me from upon his thrown. messengers arrived today. One by the name of Turold and another whos name has slipped my mind. They had been sent by the counts overloard, Duke William of Normandy to demand my release. The count has obeyed his orders and is taking me to meet Duke Williams. Once we arrived the Count pointed at me as to identify me. Duke William and I road to his palace...

Words: 832 - Pages: 4

Free Essay

Timers and Counters

...Timers and Counters Exercise 2.2 1. Define the following timer bits: timer enable, timer timing, and timer done. ANSWER: Timer enable bit: The enable bit is true when the rung input logic is true, and the enable bit is false when the rung input logic is false. When the EN bit is true the timer accumulator is incrementing at the rate set by the timer time base. Timer timing bit: indicates when timing action is occurring and can be used to control timed events in automation applications. Timer done bit: the end of the timing process by changing states from false to true or from true to false depending on the type of timer instruction used. 2. Compare and contrast the true and false states of the timer timing bit for the on-delay timer, the off-delay timer, and the retentive timer. ANSWER: In the true states for all three have the accumulator value is less than the preset value, but for off-delay timer the timer rung is false unlike the retentive timer and on-delay that the timer rung is true. In the false states for all three have the accumulator is equal to or greater than the preset value. Like the true state retentive timer and on-delay timer both have the same condition and that are false if the timer rung is false, but the on-delay timer has other condition that are false if the timer done bit is true. The off-delay has a condition that are false if the timer done is false. 3. What is the difference between a retentive timer and a non-retentive timer? ...

Words: 575 - Pages: 3

Premium Essay


...Agony of Diesel Engine Oil Particle Counts * Print Jim Fitch, Noria Corporation  Tags: particle counting, oil analysis If cleaner motor oil extends engine service life, why aren’t labs reporting particle counts? Anyone who has worked in an oil analysis lab knows the challenges of counting and sizing particles in soot-laden diesel engine oil. Historically, most labs have chosen not to attempt particle counts with black oils. However, there is increasing user interest to have such numbers included in oil analysis reports, and some labs have already begun to comply using various instruments and methodologies. The increasing interest in contaminant monitoring of crankcase oils is driven in part by the many studies that have reported the positive effects gained from improved filtration on engine service life. One such study by General Motors documented that upgraded filter performance reduced engine wear by 50 percent. Statistics like this are hard to trivialize. In condition monitoring, any property that is important to machine reliability and life extension should be a property that is measured, assuming it is technically and economically feasible. Of course, this is the point of considerable consternation by the oil labs when it comes to crankcase oils. How does one perform practical particle counts on opaque fluids, achieving precision and cost efficiency at the same time? Before we examine the specific challenges of particle count methodologies, let’s......

Words: 1408 - Pages: 6

Premium Essay

Book Review

..."Out, Out" Robert Frost THE BUZZ-SAW snarled and rattled in the yard  And made dust and dropped stove-length sticks of wood, Sweet-scented stuff when the breeze drew across it. And from there those that lifted eyes could count Five mountain ranges one behind the other Under the sunset far into Vermont. And the saw snarled and rattled, snarled and rattled, As it ran light, or had to bear a load. And nothing happened: day was all but done. Call it a day, I wish they might have said To please the boy by giving him the half hour That a boy counts so much when saved from work. His sister stood beside them in her apron To tell them “Supper.” At the word, the saw, As if to prove saws knew what supper meant, Leaped out at the boy’s hand, or seemed to leap— He must have given the hand. However it was, Neither refused the meeting. But the hand! The boy’s first outcry was a rueful laugh, As he swung toward them holding up the hand Half in appeal, but half as if to keep The life from spilling. Then the boy saw all— Since he was old enough to know, big boy Doing a man’s work, though a child at heart— He saw all spoiled. “Don’t let him cut my hand off— The doctor, when he comes. Don’t let him, sister!” So. But the hand was gone already. The doctor put him in the dark of ether. He lay and puffed his lips out with his breath. And then—the watcher at his pulse took fright. No one believed. They listened at his heart. Little—less—nothing!—and that ended it. No...

Words: 397 - Pages: 2

Free Essay

Royal Printing and Packaging Company

...WORKING DILUTION PROBLEMS It is a common practice to determine microbial counts for both liquid and solid specimens--suspensions of E. coli in nutrient broth all the way to soil samples and hamburger meat. Most specimens have high enough numbers of microorganisms that the specimen has to be serially diluted to quantitate effectively. The following is a step-by-step procedure to working dilution problems, and includes some practice problems at the end. The purpose can be determination of bacterial, fungal, or viral counts (indirectly). This protocol is specific for bacterial counts (colony-forming units, CFUs), but can be modified for fungi (CFUs) and viruses (plaque-forming units, PFUs for viral counts). A set of serial dilutions is made, a sample of each is placed into a liquefied agar medium, and the medium poured into a petri dish. The agar solidifies, with the bacterial cells locked inside of the agar. Colonies grow within the agar, as well as on top of the agar and below the agar (between the agar and the lower dish). The procedure described above produces a set of pour plates from many dilutions, but spread plates (sample spread on top of solidified agar) can be used also. The agar plate allows accurate counting of the microorganisms, resulting from the equal distribution across the agar plate. This cannot be done with a fluid solution since 1) one cannot identify purity of the specimen, and 2) there is no way to enumerate the cells in a liquid. Bacterial colonies......

Words: 835 - Pages: 4