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After complain of open abdominal surgery. The OT nurse needs to do which of the following activity first before suturing. (give priority answer)
1. Disinfection of OT
2. Change the gown
3. Checking the sponge count & instruments counts before suturing.
4. Clean the instruments

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Correct Answer - Option 3 : Checking the sponge count & instruments counts before suturing.

Concept:

  • Open Abdominal Surgery is defined as intentionally leaving the fascial edges of the abdomen un-approximated (laparostomy).
  • The abdominal contents are exposed and protected with temporary coverage.
  • This is mainly a diagnostic procedure for abdominal sepsis, which later can be converted to surgical management(laparotomy). 

Explanation:

  • Sponge Count & Instrument Count is necessary for surgical procedures when the depth of location of the wound allow the sponge to be left undetected in the wound.
  • Scrub and Circulating nurses are responsible for counting in perioperative settings.
  • These are recommended practices to lessen the potential for injury to the patient as a result of retained foreign items

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