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Counting Sheet

This document is a surgical sponge, needle, and instrument counting sheet used at Saint Michael's College College of Nursing in Iligan City. It lists various types of sponges, needles, instruments, and others that must be counted before, during, and after surgery to ensure none are accidentally left in the patient. The sheet also records the patient's name, age, sex, circulator nurse and any remarks.

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Darling Tocaldo Donio-Timba
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© Attribution Non-Commercial (BY-NC)
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1K views

Counting Sheet

This document is a surgical sponge, needle, and instrument counting sheet used at Saint Michael's College College of Nursing in Iligan City. It lists various types of sponges, needles, instruments, and others that must be counted before, during, and after surgery to ensure none are accidentally left in the patient. The sheet also records the patient's name, age, sex, circulator nurse and any remarks.

Uploaded by

Darling Tocaldo Donio-Timba
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SAINT MICHAEL S COLLEGE COLLEGE OF NURSING ILIGAN CITY OPERATING ROOM SPONGE, NEEDLE AND INSTRUMENT COUNTING SHEET

st ND RD 1 COUNT 2 COUNT 3 COUNT SPONGES: 4X4 OS Cherry Balls Cottonoids Peanut pusher Vaginal Pack Visceral pack NEEDLES: ATR taper ATR Cutting Free needle taper Free needle cutting INSTRUMENTS: Allis Army Navy retractor Bandage Scissors Bobcock Deaver retractor Heany forcep Kelly curved Kelly straight Kocher curved Kocher straight Long thumb forcep Malleable retractor Metzenbaum curved Metzenbaum straight Mosquito curved Mosquito straight Needle holder Ovum forcep Richardson retractor Rubbuer suction Scalpel holder #3 Scalpel holder #4 Suture scissors Tissue forcep w/ teeth Tissue forcep w/o teeth Towel clips OTHERS: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Pt s Name: CIRCULATING NURSE:

REMARKS

Age:

Sex: CI:

Date:

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