STANDARD PRINCIPLES OF ASEPSIS MANUAL“This is achieved by performing a manual and visual search of the operative/procedural field, as thoroughly as possible and in a way that is compatible with the safety and welfare of the patient".įurther, please note Standard statement 2 and specifically Criteria 2.9 which states: In the principle of that standard it is noted in reference to prevention of inadvertently retained items that: Please review the ACORN standard, Accountable items. 1) Should we be writing the packs only which can be visualised with an asterix and explanation on the count sheet where the remaining pack is? or, 2) Should we document all the packs in the sterile field even though the scrub/scout cannot see all the packs? uterine count LUSCS) and a pack has been deliberately been retained in the patient, how is this legally documented on the count sheet? Currently, when a pack is put in-situ it is written on our whiteboard x1 pack in-situ time, but if there is a pack in-situ and a count is required it is still documented as the amount of packs in the sterile field even though the pack in-situ is not able to be visualised. Also clarification of disposal of swabs on completion of count and end of surgery. I need some clarification on accountable items. For that reason and also due to the introduction of electronic medical record systems, ACORN no longer promotes its template on the ACORN website. Where specific national or state legislation and guideline exist they will take precedence. ACORN is aware that some jurisdictions have their own recommendations regarding mandatory fields within a Count Sheet. STANDARD PRINCIPLES OF ASEPSIS SERIESAs you would appreciate the ACORN Standards are designed to provide an overarching framework as a series of recommendations and rationales regarding various aspects of perioperative nursing. This response refers to the Accountable items standard contained in the current edition of the ACORN Standards for Perioperative Nursing in Australia. Is ACORN able to provide guidance re: surgical count documentation (eg what it should include as a minimum), or an example template? We are looking to review our count policy and documentation as staff feel it is inadequate and doesn't reflect the Accountable items standard.
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