It was reported that a sponge fell off inside of a patient during oral care and was not able to be retrieved.The facility reported that the nurse completed oral care with swab and hydrogen peroxide rinse packet.Upon rinsing the sponge in the peroxide, the nurse reported the sponge was completely intact prior to oral care.The patient was noted to be intubated, sedated, and paralyzed due to significant trauma injuries and respiratory status.Patient was paralyzed and did not attempt to "chew" on swab.Upon removal of swab from the patient's mouth the swab was found to have lost a large section of the sponge on the bottom of the stick.Oral inspection and scope inspection were completed with no sign of a sponge.The following day the patient required a bronchoscope and again no swab was found upon inspection.There was no reported serious injury or follow up medical care required related to the reported incident.The patient is reportedly doing fine.The sample is not available, however pictures have been made available for evaluation.No additional information is available.There was no report of any adverse patient consequence and no effect on the patient's stability as a result of the incident.Due to the reported incident and in an abundance of caution, this medwatch is being filed.If additional relevant information becomes available a supplemental medwatch will be filed.
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