counting the needle, sponge, and instrument important components of preventing retained sponges and instements. counting policy emphasizes that sponges, sharps, and other items should be counted preoperatively in the operating room to make baseline subsequent counts.open procedure like cardiothoracic surgery, laparoscopic procedure extending with an incision that causes the needle to be left behind. because especially in cardiothoracic surgery where sharp items intentionally left in the chest or the sternum included in the count inside the patient with the intention of removing the needles in the future.
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