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  • Assessment Book

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    Boy Mad
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    The document appears to be a surgical checklist that accounts for sponges, needles, instruments, and other items before, during, and after a procedure. It also has fields to confirm counts are correct and that any incidents are reported. The concluding paragraph verifies that standards of care were followed, the patient's needs were met according to the care plan, and there were no changes to the patient's condition since preoperative assessments.

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    The document appears to be a surgical checklist that accounts for sponges, needles, instruments, and other items before, during, and after a procedure. It also has fields to confirm counts are correct and that any incidents are reported. The concluding paragraph verifies that standards of care were followed, the patient's needs were met according to the care plan, and there were no changes to the patient's condition since preoperative assessments.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views9 pages

    Assessment Book

    Uploaded by

    Boy Mad
    The document appears to be a surgical checklist that accounts for sponges, needles, instruments, and other items before, during, and after a procedure. It also has fields to confirm counts are correct and that any incidents are reported. The concluding paragraph verifies that standards of care were followed, the patient's needs were met according to the care plan, and there were no changes to the patient's condition since preoperative assessments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 9

    SPONGE first second Circulator

    NEEDLES/SHARPS first second Scrub person


    INSTRUMENTS first second Relief
    Other type first second Circulator
    Scrub person
    yes no
    Comment

    COUNT CORRECT yes no


    INCIDENT REPORT filed
    Comment

    Integrity and sterility of packaging and indicators have been confirmed. The standards set by AORN
    for perioperative clinical practice were applied appropriately for this patient throughout the procedure
    and were within the scope of my practice. I have met the patient’s needs and charted the outcomes
    in accordance with those as proposed in the patient’s care plan. I verify that there have been no
    changes in the patient’s condition (other than those inherent in the surgical procedure) during the pre-
    ceding interval since my preoperative assessments.

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