An additional necessary process that must be

reductions in adverse events.
An additional necessary process that must be maintained are routine sponge, sharp, and
instrument counts. The reason this is necessary is because the staff members have to potential to
accidentally leave an item inside the patient. This is done by mistake sometimes through a
miscount or unintentionally missing a step altogether. AORN recommends following a routine
model when counting sponges, sharps, and surgical instruments. This way there is a clear
expectation and path to ensure that the patient’s safety has been maintained. Like the time-out
process, if there is a missing item, the team member is responsible to alert the surgeon of a miss
count so that a thorough investigation of the cavity and surgical suite can happen until the
missing item is found, (Association of periOperative Registered Nurses, 2006). By following the
process of routine counts in the OR, there will be an increase in patient and staff morale because
the patient will be kept safe without the need for additional surgeries to retrieved retained foreign
items.
Employee Engagement
Employee engagement is directly related to good patient outcomes. One necessary
process to improve employee engagement scores is to help build a stronger community within
the unit themselves by increasing the number of CNOR staff members. By becoming certified in
their profession, the nurse is demonstrating their knowledge base which has been shown to
positively improve outcomes of surgical patients. This is also a step taken for advancement into
leadership such as charge nurses or manager. “Research shows that nurses who earn the CNOR
credential have greater confidence in their clinical practice, having validated their specialized
knowledge in perioperative nursing,” (Competency & Credentialing Institute, 2019).

PRINCIPLES OF ORGANIZATIONAL PERFORMANCE MANAGEMENT 6
B1. Additional Indicator
An additional indicator that could be monitored would be the patient receiving and
understanding their discharge instructions. The reason behind this is because if a patient does
not understand what to do, not do, or expect than there would be an increased chance of potential
complications. Monitoring this information will help promote quality of care and safety for the
patient. One reason this was chosen was because of what happened to me after my
hysterectomy. My husband was sent to get the car while I was given discharge instructions after
being given pain medication. I remembered nothing from them. The following week I was at
Wal-Mart and one of the nurses asked where my husband was. I told her I was by myself. She
asked if I got dropped off and needed a ride home. I said no thanks, because I drove myself. She
then said I shouldn’t be driving for another week and that it was in my discharge instructions put
in the side pocket of my bag. When I got home, sure enough there were my discharge
instructions which I did not follow. My outcome was good, but sometimes there are negative