For any surgical tech, managing your counts accurately and efficiently is a crucial responsibility. This task can feel overwhelming when you’re new to the OR, often leaving you unsure about the best time to initiate a count or just hoping your circulator will cue you in. With practice, however, you’ll develop the confidence to handle counts like a pro. Here’s a breakdown of some essential tips to help you keep control and avoid any missteps.
Stay in Sync with the Procedure Flow One of the most important aspects of managing your count is being in tune with the flow of the surgery. As you gain experience, you’ll start to recognize the cues that indicate when the procedure is nearing the closing stage. It’s not just about watching every move; it’s about anticipating the first closing stitch so you’re ready to start the final count. If you’re familiar with the procedure steps, you’ll be able to anticipate when each phase ends and prepare accordingly.
Listen to the Surgical Conversation The OR is full of conversation, and as a tech, tuning into it can give you valuable insight into what’s coming next. Whether it’s a discussion with an attending, fellow, or resident, the surgeon’s conversation often hints at the procedure’s progress. If they’re talking about unexpected findings, or even discussing prematurely ending the procedure, that’s a cue to prepare for an upcoming count. Knowing the surgical team's mindset gives you an edge in timing your counts accurately.
Organize Your Mayo Stand with Each Phase Avoid clutter by periodically clearing items off your mayo stand as you progress through the procedure. Leaving everything out “just in case” might seem convenient, but it can quickly become overwhelming. Each time you transition to a new part of the surgery, move unused instruments back to your back table. Not only will this keep your workspace organized, but it’ll also make counting quicker and easier, as you’ll be dealing with fewer items when the time comes.
Communicate Clearly with Your Circulator Your circulator can’t always see everything happening on the field, so take the initiative to communicate when you’re ready to start the count. By letting them know directly, you eliminate any ambiguity or unnecessary waiting time, ensuring a smoother transition as the procedure moves into the final stages. A quick, clear cue from you is all they need to prepare and assist with an accurate count.
Take Your Time and Don’t Rush the Count The count is one of the most critical tasks in the OR, so accuracy should always come before speed. If your table is in disarray or you feel rushed, pause and make sure everything is organized before you begin. This task is too important to allow pressure to create errors. While you don’t want to delay, it’s equally important not to let anyone rush you through the process. A steady, focused approach ensures both accuracy and patient safety.
Mastering counts takes practice, patience, and confidence. These strategies can help streamline your approach and build consistency, setting you up for success in this essential responsibility. After all, patient safety and peace of mind for the entire OR team depend on a successful count—so make it count!
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