Nursing safety directly affects the social and economic benefits of the hospital, the consequences of nursing insecurity, the operating room as one of the high-risk departments in the hospital, how to avoid and prevent the occurrence of nursing insecurity is every operating room nursing workers worth thinking about, the correct implementation of the surgical items counting system, to prevent the surgical items left inside the patient can greatly reduce the rate of unsafe events in the operating room.

Surgical item counting
1. Inventory content: gauze (develop sign) gauze pad (tape) gauze brain tampon suture needle, joint parts of conventional instruments, orthopedic instruments screws, nuts. Endoscopic instruments, fittings, adhesive tape, sealing caps.

2, inventory timing: inventory timing is very important, two before and two after to remember. Before the start of surgery, before closing the body cavity, after closing the body cavity, after suturing the skin.

3、Principle of counting
Double itemized counting principle
Synchronized sing count principle
The principle of immediate recording of each item
In-situ counting principle

4、Counting precautions
Before the operation, the traveling nurse should check the environment of the operation room, and should not leave any articles of the last operation patient.
During the operation, five should five do three should not.
Unnecessary shift handover should be reduced, and the hand-washing nurse should promptly retrieve surgical items that are not in use.
The traveling nurse should be informed immediately.
When dropping or contaminated items from the surgical area, the traveling nurse should be informed immediately for proper disposal.
Before closing the body cavity, the surgeon, hand washing, and the visiting nurse should jointly count the body cavity before closing it.
Pre-operative suspected or intraoperative foreign body found in the surgical remains, the removal of items should be the surgeon, hand-washing nurses and visiting nurses to jointly count, detailed records in accordance with hospital regulations reported.

Five things to do.
First, use the dressings with the development marking;
The second is to unfold the dressing when counting, and check the completeness and development marking;
The original specification should be retained, and any special circumstances should be recorded in a timely manner;
When a dressing with a band is used, the band should be exposed outside the incision;
Five do incisions filled with dressings and take away from the operating room, three parties to confirm the name of the dressing, the number and record.

Three should not.
No instruments or dressings should be used for other purposes.
Surgical items without permission, no one should take into or out of the operating room.
The surgeon should not pick up the items on the table by himself or herself, and should not lose them.

After surgery, count the items, organize the operating room, and replace the garbage bags.