Certified Surgical Technologist (CST) Practice Exam

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

1. Notify surgeon

2. X Ray patient

3. Repeat count

4. Complete incident report

The correct answer is: Notify surgeon

When an incorrect sponge count occurs during a surgical procedure, the first step taken is to notify the surgeon. This is crucial because the surgeon needs to be made aware of the discrepancy to make informed decisions about the next course of action. The surgeon’s involvement is essential for patient safety and to determine the immediate response needed, which may include further investigation before proceeding with additional steps such as conducting an X-ray or repeating the count. This initial notification helps ensure that all surgical team members are aligned and aware of the situation, allowing them to assess potential risks to the patient and decide on the appropriate actions to mitigate those risks effectively. Keeping the communication open and clear among the surgical team is vital in managing any complications that may arise from an incorrect sponge count.