Name: Date: The perioperative RNFA or non-RN first assistant has completed facility or health care organization-required education and Competency Statement: competency verification activities related to prevention of retained surgical items.1 Guideline for prevention of retained surgical items. In: Denver, CO: AORN, Inc; 2016:369-414. Guidelines for Perioperative Practice. Outcome Statement: The patient is free from unintended retained objects.2 Petersen C, ed. Retained foreign object. In: 3rd ed. Denver, CO: AORN, Inc; 2011:146-149. Perioperative Nursing Data Set. Verification Method [Select applicable code from legend at bottom of page] Not Met DEM/ S/SBT/ RWM/ Competency Statements/Performance Criteria (Explain why) DO/DA KAT CS V P&P O Describes the occurrence of a retained surgical item (RSI) as a preventable occurrence, sentinel or event, and “never” risk for every operative or invasive procedure. Recognizes that all perioperative team members should engage in safe practices that support prevention of RSIs. Uses only radiopaque surgical items (eg, soft goods) in the wound. Maintains awareness of the location of items in the surgical wound during the course of the procedure. Communicates placement of surgical items in the wound to the perioperative team for notation in a visible location (eg, the count board). Acknowledges awareness of the start of the count process. Notifies the team if any supplies will be needed on the sterile field before the start of the closing count. Removes unneeded counted items from the surgical field at the initiation of the count process. Performs or assists with performing a methodical wound exploration before closing the wound, using both visualization and touch when feasible.
Name: Date: Competency Statement: The perioperative RNFA or non-RN first assistant has completed facility or health care organization-required education and competency verification activities related to prevention of retained surgical items.1 Guideline for prevention of retained surgical items. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2016:369-414. Outcome Statement: The patient is free from unintended retained objects.2 Petersen C, ed. Retained foreign object. In: Perioperative Nursing Data Set. 3rd ed. Denver, CO: AORN, Inc; 2011:146-149. Competency Statements/Performance Criteria Verification Method [Select applicable code from legend at bottom of page] Not Met (Explain why) DEM/ DO/DA KAT S/SBT/ CS V RWM/ P&P O Describes the occurrence of a retained surgical item (RSI) as a preventable occurrence, sentinel or “never” event, and risk for every operative or invasive procedure. Recognizes that all perioperative team members should engage in safe practices that support prevention of RSIs. Uses only radiopaque surgical items (eg, soft goods) in the wound. Maintains awareness of the location of items in the surgical wound during the course of the procedure. Communicates placement of surgical items in the wound to the perioperative team for notation in a visible location (eg, the count board). Acknowledges awareness of the start of the count process. Notifies the team if any supplies will be needed on the sterile field before the start of the closing count. Removes unneeded counted items from the surgical field at the initiation of the count process. Performs or assists with performing a methodical wound exploration before closing the wound, using both visualization and touch when feasible.
competency_firstassistant_retainedsurgicalitems.docx