AST Surgical Technologist Practice Exam

What is the first step taken for an incorrect sponge count?

1. Count again

2. Notify the nurse

3. Notify surgeon

4. Document the error

The correct answer is: Notify surgeon

When an incorrect sponge count occurs during a surgical procedure, the immediate priority is to ensure patient safety and to maintain open communication within the surgical team. Notifying the surgeon is critical because they are responsible for the surgical field and patient management; any discrepancy in the sponge count could indicate that a sponge has been inadvertently left inside the patient or that there may be a misunderstanding regarding the count procedures. When the surgeon is informed, they can decide the best course of action, which may include conducting a thorough search for any missing sponges or taking additional steps to ensure the patient's safety. It also allows the team to address the situation properly without assuming that a simple recount will resolve the issue, as this could lead to further complications if the sponge is not located. Other actions, such as counting again or notifying a nurse, would typically follow after the surgeon has been informed and assessed the situation. Documentation is important, but it generally occurs after the immediate situation has been addressed and resolved.