As the Placenta Was Delivered and the Uterus Prepared for Closure,the

As the placenta was delivered and the uterus prepared for closure,the scrub person gathered up all of her sponges and dropped them in the kick bucket while the circulating nurse frantically stuffed them into sponge bag pockets.Sharps,sponges,and instrument counts were correct on closure of the uterus and again on closure of the peritoneum.On final sharps and sponge counts before skin closure,a needle was missing.Select the appropriate order of corrective action for the team.

A) Count and verify suture packs,dump and count packs in sterile suture bag,check floor,check back table and Mayo stand,notify surgeon,and check linen and clean and red trash bags.Open clean trash bags tied up in the corner from sterile table setup.
B) Recalculate numbers on white board,check back table and Mayo stand,dump and check linen and trash,verify suture packs,notify team of possible missing needle;however,it probably is an error in transcription.
C) Notify team of needle discrepancy;recount needles on and off sterile field and white board;check sterile field,Mayo stand,and back table;check floor,under OR table,bottoms of shoes,pants' cuffs,and sterile sleeve cuffs;check sponge bags and kick bucket.
D) Recount needles on and off sterile field,check sterile field and Mayo stand and back table;check floor,wait to notify team until miscount verified;check red bag trash,compare empty suture packs,total number on white board.