about? again communication. a lot of times doctors are rushing and don t take time to do it. sponges and equipment left behind in patients belly. measure number of sponges at beginning of surgery and number at end they should be equal. if you re missing a sponge you better start looking for something. time out, very important the before the surgeon gets started everybody take a time out. okay. i have mrs. jones i m doing gallbladder surgery. everybody agree? nurse will agree. technician will agree. anesthesiologist will agree. these are basic things. the joint commission on accreditation have been stressing these two. i think we ll see a marked increase of wrong side surgeries and mistakes but right now we haven t seen the effect of new policies that have been instituted. i m really glad, you re telling patients what to do because i found myself having surgery on friday on my wrist and the doctor auto graphed the right wrist, and was supposed to do left one so deeply i can t get it