AORN AORN Surgical Counts

Question 1

When must the initial surgical count be performed?

Accepted Answer

Before the procedure begins, before the incision is made

Answer

The initial count must occur before the procedure begins so a baseline is established prior to any items entering the surgical field.

Question 2

Which items are included in the standard surgical count according to AORN guidelines?

Accepted Answer

Sponges, sharps, and instruments

Answer

AORN guidelines require counting sponges, sharps (needles, blades), and instruments to prevent retained surgical items.

Question 3

Who is responsible for performing and reconciling surgical counts in the OR?

Accepted Answer

The scrub person and the circulating nurse together

Answer

AORN standards require that counts be performed jointly by the scrub person and the circulating nurse, with both verbally confirming each item.

Question 4

What action should be taken if a closing count does not reconcile?

Accepted Answer

Inform the surgeon immediately and search the field, patient, and environment before closure

Answer

An unresolved count discrepancy requires immediate notification of the surgeon and a systematic search before closure to prevent a retained foreign body.

Question 5

How should items used in the sterile field be tracked to facilitate accurate counting?

Accepted Answer

Items should be kept together in the sterile field and not removed unless accounted for

Answer

Maintaining items within the sterile field and accounting for every item that leaves prevents discrepancies and retained foreign bodies.

(AORN) Association of PeriOperative Registered Nurses Practice Test

(AORN) Association of PeriOperative Registered Nurses Practice Test

AORN AORN Surgical Counts