What should be done if a surgical instrument is discovered to be unsatisfactory for use?

If a surgical instrument is discovered to be unsatisfactory for use, marking it for repair and using a substitute is the appropriate action to take. This choice reflects a commitment to patient safety and quality care. Using an unsatisfactory instrument poses risks, such as potential injury, infection, or complications during the procedure. By marking the instrument for repair, the surgical team ensures it is addressed appropriately and not used again until it meets acceptable standards.

In the interim, utilizing a substitute instrument allows the procedure to continue safely and effectively without compromising the patient's well-being. This approach emphasizes the importance of maintaining high standards in surgical practice and ensuring that all instruments used are fully functional and reliable.

Other options suggest actions that could potentially compromise patient safety. Autoclaving an unsatisfactory instrument again may not rectify the issues that render it unsatisfactory in the first place. Disposing of it immediately could be considered, but it does not address the need for continuity in the procedure with the correct tools. Continuing with the procedure using an unreliable instrument is not an acceptable choice, as it could lead to significant harm to the patient.