What is the correct sequence when performing a sponge count before starting a case?

The correct approach of removing paper bands before separating sponges into separate piles ensures accuracy and consistency during the counting process. When sponges are bundled with bands, it may lead to confusion or miscounts if not managed properly. By removing these bands first, the healthcare professionals can clearly handle and visualize the sponges, making it easier to organize and tally them effectively.

Additionally, organizing the sponges into distinct piles before counting helps in maintaining a clear overview, preventing the risk of losing count amidst a large number of sponges. Correctly establishing the order in which the counts are performed is crucial for ensuring patient safety, particularly as sponge counts are key to avoiding retained surgical items.

Counting before anesthesia is administered is not appropriate as it needs to be done when all sponges are available and easily accessible. Counting without removing bands could also lead to inaccurate tallies, as the bands can mask the total number of sponges. Therefore, the procedure emphasizes the importance of clarity and organization in maintaining the integrity of the count.