Instrument sets must be standardized (that is, the same type and number of instruments in each set) and a list of trays should be used for each count. Improve the profession to ensure quality patient care. If there is no possibility of an item being retained, there is no need for a surgical count. Both counting nurses must agree that a count is not required and the surgeon and surgical team should be informed that no count will be completed for that procedure.
Errors in surgical counting can result in the inadvertent retention of a surgical article, which is considered an unacceptable error due to the serious negative impact it can have on the health and safety of the patient.