Perform closing and final surgical counts.

Performing closing and final surgical counts should include counting and verifying the count of instruments and supplies, as applicable, at the conclusion of surgery, according to Association of periOperative Registered Nurses (AORN) recommendations and facility-specific protocol.

Process/Skill Questions:

• Why are closing and final surgical counts essential at the conclusion of a surgery?
• What procedures are required if a closing or final surgical count reveals a missing supply item or instrument?
• If a surgical count reveals a discrepancy or produces inaccurate results, what are the potential consequences for the patient? For the surgical team?