During the 4-Hour Vascular Procedure, the Circulating Nurse, Karen, and the Surgical

During the 4-hour vascular procedure, the circulating nurse, Karen, and the surgical technologist, Judy, have each had a coffee break and a lunch break. Judy has returned from lunch to find four medicine cups with clear fluid, each unlabeled. The outgoing relief scrub person, during her hand-off report to Judy, points to each cup and states; "The first one is contrast dye, the second cup is heparin, the third is heparinized saline and the fourth is papaverine; it's easy, they're in alphabetical order." Judy discarded all four medications and Karen replaced them into appropriately labeled medicine cups. After the procedure, Karen completed an unusual occurrence report. What recommendations should she include in her corrective action plan that the relief scrub person should have done? Select all that apply from the listed options.

A) Ensure concurrent medication verification, both verbally and visually; include medication name, strength, dose, and expiration date.
B) Verify all medications concurrently with the entering and exiting personnel at shift change or break relief.
C) Remove any unlabeled medication or solution from the field.
D) Keep all medication containers used during the procedure in the OR until the conclusion of the procedure.
E) None of the aobve