KNOWLEDGE OF SURGICAL COUNTING PRACTICES OF SCRUB PERSON, O.T TECHONLOGITS AND CIRCULATOR IN PROVINCIAL HOSPITALS LAHORE

Abstract

BACKGROUND: Retained Surgical Items (RSIs) remain a significant patient safety concern, particularly in resource-limited healthcare settings. Effective surgical counting protocols are essential in reducing these preventable events. OBJECTIVE: This study aimed to assess knowledge, adherence, and compliance with surgical counting protocols, as well as the challenges faced by scrub persons, O.T. technologists, and circulators working in provincial hospitals of Lahore. METHODOLOGY: A descriptive cross-sectional study design was used, and data were collected from 140 participants through a structured questionnaire. The tool assessed knowledge of counting techniques, operational practices, and system-related challenges within surgical counting procedures.

RESULTS: Participants demonstrated a basic understanding of standard surgical counting principles; however, substantial gaps were identified in knowledge of final counts and the use of adjunct technologies such as RFID systems. Additionally, several barriers to compliance were reported, including time constraints, frequent distractions, understating, and a lack of formal training. These systemic issues were more prominent in resource- constrained provincial hospital.

ANALYSIS: To summarize the data and give a clear picture of the sample characteristics, descriptive statistics like mean, frequency, and percentage are employed. Testing links and differences between variables is made easier with the use of inferential statistical tools such as correlation tests.

CONCLUSION: Although most surgical team members recognized the importance of accurate counting, systemic limitations specifically inadequate training, limited resources, and insufficient technological support significantly hindered effective implementation. The findings highlight the need for improved training, enhanced resources, and adoption of supportive technologies to strengthen RSI-prevention protocols and ensure patient safety.