MAKE IT COUNT ESCAPE ROOM

MAKE IT COUNT ESCAPE ROOM

CHOP main operating room

start

how to play

• On the next page, you will see a map of the Operating Room

• Click on each consecutive OR to complete a task

• Once you complete all tasks, you will reach the OR Lounge!

• You will need to write numbers down. Have paper/pen or your phone nearby to do this.

Click on this file folder to access policies related to the prevention of retained surgical items

operating room map

OR 2

OR 4

OR Lounge

OR 1

OR 3

Complete each room in order. After each room, you will collect a number. At the end, you will enter the numbers and gain access to the OR Lounge

OR 1

Answer the questions correctly and get the first number you need to enter the OR Lounge.

PLAY!

question 1/4

RATIONALE

According to the CHOP Policy: Prevention of Retained Surgical Items, instrument counts may be waived if any of the following are applicable: -Patient weighs 10 kg or less -The incision is 3 inches or less -Procedure includes intra-operative imaging before wound closure that is read by the Attending Surgeon -Spine procedures that include intra-operative imaging prior to or following wound closure that is read by the Attending Surgeon while the patient is still in the Operating Room

Question 2/4

RATIONALE

Procedure: Performing and Documenting Intra-Operative Counts and Reconciling Discrepancies for Prevention of Retained Surgical Items (CHOP Policy Manager: Perioperative Complex Manual)

place the locations in order when performing a count

RATIONALE

Drag each item into the correct spot

Cottonoids

Peanut/Kittner

Raytech Sponge

White Towels

Blue Towels

Cotton Balls

Laparotomy Sponge

Tonsil Sponge

Not RFID-detectable

RFID-detectable

Solution

RATIONALE

Products that are stocked in the Main OR and detectable by the Medtronic Situate Detection System include: -Laparotomy sponges -Surgical gauze (Raytech sponges) -White OR towels -Tonsil sponges

First number

Congratulations! Here is the first number of the code for the OR Lounge (write this down to use at the end!):

return to the map

OR 2

Are you a fan of word searches? We hope so! Your mission is to find all the hidden words related to the prevention of surgical items.

PLAY!

this sticker should be placed on the endotracheal tube as a visual indicator to prevent retained items

RATIONALE

Procedure: Providing External Visual Alert for the Presence of a Throat Pack

an adjunct technology used during sponge counts

RATIONALE

Policy: Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

if an intraoperative x-ray is taken for a missing item, the x-ray must be read by the attending __________ prior to the patient leaving the room

RATIONALE

When a count discrepancy occurs, the required action steps are:

• Report the discrepancy to the Surgical Team
• Manually inspect the operative site
• Visually inspect the area surrounding the field
• Notify the OR Charge Nurse
• If the missing item is not located, suspend the procedure when the patient's condition is not considered to be "life-threatening"
• Obtain intra-operative X-Ray before the skin is closed. The order needs to specify that the purpose of X-Ray is to look for potential retained foreign object, and that the film must be ready by an Attending Radiologist immediately

Procedure: Performing and Documenting Intra-Operative Counts and Reconciling Discrepancies for Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

SECOND number

Congratulations! Here is the second number of the code for the OR Lounge (write this down for the end!):

return to the map

OR 3

There is a vascular emergency coming to OR 3. Let's test your knowledge on commonly used items in these cases.

PLAY!

Question 1/3

RATIONALE

Sharps, radiopaque sponges, and miscellaneous items will be counted on all procedures when present, establishing a baseline for subsequent counts.

Miscellaneous items include (but are not limited to):

• All non-disposable vascular clips (micrin, bulldog)

• Aneurysm clips
• Scalp clips (ACRA clips)
• Lone Star hooks
• Cautery scratch pads
• Scleral shells
• Umbilical tape
• Vessel loops
• Rubber bands
• Vascular clip cartridges (clip houses)
• Suture booties (shods)
• Spheres

Job Aid: Intra-Operative Counting for Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

Question 3/3

RATIONALE

Job Aid: Intra-Operative Counting for Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

THIRD number

Congratulations! Here is the third number of the code for the OR Lounge (write it down for the end!):

return to the map

or 4

You're almost to the OR Lounge! One more section to go.

PLAY!

Question 1/3

RATIONALE

An RFID scan (with mat or wand) is completed on any case where RFID items were used on the sterile field. The scan is performed immediately following the final count and before the skin is completely closed. During a count discrepancy, an RFID scan can be completed if the item in question is RFID-detectable.

Policy: Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

Question 2/3

RATIONALE

Procedure: Performing and Documenting Intra-Operative Counts and Reconciling Discrepancies for Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

question 3/3

RATIONALE

Procedure: Performing and Documenting Intra-Operative Counts and Reconciling Discrepancies for Prevention of Retained Surgical Items (Children's Hospital of Philadelphia)

FOURTH number

Congratulations! Here is the fourth number of the code for the Meeting Room:

return to the map

What is the password?

Obtained digits

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

BACK

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

RETURN

exit

Cottonoids, Peanut/Kittner, Cotton Ball, Blue Towels

White Towels, Raytech Sponge, Tonsil Sponge & Laparotomy Sponge

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

RETURN

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

BACK

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

BACK

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

RETURN

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

BACK

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

BACK

exit

EXIT

Are you sure you want to exit? If you exit, you will lose your progress

BACK

exit