1. Establish and implement an inventory system for surgical items, which should be conducted for all surgeries.

2. Establish the operation standard for preventing surgical foreign objects from being left behind and the contingency plan when the number of objects is unclear or the integrity is uncertain.

3. Before and after counting surgical items, the roving nurse shall keep the operating theatre tidy and the floor free of debris.

4. Dressings used on the table must be accompanied by X-ray developer strips, which must be completely unfolded and not overlapped when counting, and the developer strips should be checked for their existence and completeness, and should not be cut or arbitrarily appropriated during the operation.

5. Timing of surgical inventory: before the start of surgery, before closing the cavity, before closing the body cavity, and after closing the body cavity.

6. The content of surgical item count: all kinds of instruments, dressings and other objects that can be easily left in the body (including the appendages of the instruments) are opened on the table in the surgical bag, and their integrity is confirmed, and the quantity is accurately recorded in the "Surgical Instruments and Dressings Registration Form" and signed.

7. Principle of counting surgical items: surgical items must be completely spread out when the dressing, by the instrument nurse and visiting nurse in the same order, while making a sound sing count.

8. When all items are counted before the start of surgery, the visiting nurse should repeat the names and quantities of the items recorded on the "Surgical Instruments and Dressings Register" and reconfirm with the hand-washing nurse to prevent recording errors.

9. The instrument nurse should check the completeness of all kinds of instrument dressings before and after using them.

10. Timely count and record the additional items used in surgery.

11. Before leaving the operating room after surgery, the surgical nurse should count the number of surgical items and check the integrity of the items again, and leave only after it is accurate.

12. If items are still left in the patient's body after surgery due to the condition of the patient, the hand-washing nurse and the visiting nurse must confirm with the surgeon the name, quantity, and location of the items, and accurately record and sign.