CASE STUDIES 1. Read the following case study and answer the questions. A 49-year-old female is admitted to the health c

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Case Studies 1 Read The Following Case Study And Answer The Questions A 49 Year Old Female Is Admitted To The Health C 1 (180.55 KiB) Viewed 79 times

Case Studies 1 Read The Following Case Study And Answer The Questions A 49 Year Old Female Is Admitted To The Health C 2 (57.28 KiB) Viewed 79 times

CASE STUDIES 1. Read the following case study and answer the questions. A 49-year-old female is admitted to the health care facility and scheduled for an open laparotomy with possible hysterectomy. The patient is 5 feet, 3 inches tall, 180 pounds, with a BMI of 31.9. After spending a short time in the holding area, the 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 she will get these after the case is under way. After transferring 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 sponges onto the back table and waits for the scrub to count them with her. These are added to the count sheet. The scrub asks again for extra sutures. The circulator states that she will tell the nurse who is about to relieve her for a break. The relief nurse 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. After 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?
1. What steps should be taken by members of the team if the needle is not identified on the X-ray? e. Why do you think the surgeon finished closing even when the needle was not found? f. What do you believe will be the next steps if the needle is located on the x-ray taken in the PACU?