WorksheetsRSI Prevention Kick-Off
Total questions: 10
Worksheet time: 5mins
In 2019, how many unintentionally retained surgical items were reported to The Joint Commission?
88
144
203
347
According to TJC’s annual review of its 2022 sentinel event data, what percentage of URSI's resulted in severe patient harm?
76%
20%
62%
40%
What is the most commonly retained surgical instrument?
Malleable
Kocher
Deaver
Spongestick
Counting items and accounting for items during a procedure are the same process.
True
False
What is AORN's recommendation for counting surgical sponges?
Manually
Manually & using adjunct technology
Manually, using adjunct technology, document on white board & count sheet
Only count items that can fit within the cavity presently open
Caring for patients following RSI's increases the cost to health care systems by an estimated __________.
$40,146
$67,000
$70,767
$91,689
The Joint Commission states that an unintended retention of a foreign object in a patient after an invasive procedure, including surgery, is a sentinel event. The Joint Commission defines “after surgery” as any time after the completion of final skin closure even if the patient is still in the procedural area or the operating room.
True
False
What are your Hard Stop CUS words?
Concerned,
Uncomfortable,
Safety Issue
Confused,
Unannounced,
Salty
Concerned,
Uncomfortable,
Security
Concerned,
Upset,
Safety Issue
According to the TJC, the leading causes of reported RSI's from June 2018 to 2022 included:
Carelessness and distractions
Cell phones and multiple procedures
Communication issues and lack of adherence to facility policies
Multiple procedures and lack of adherence to facility policies
Who should you notify should an intraoperative team member refuse to comply with a hard stop?
The Joint Commission
There is no need to notify anyone
Mark Rubino
Charge RN,
Asst Manager,
Manager,
Educator
Director
