What is the first step the CST must take in the event of a sponge miscount?

The first step a Certified Surgical Technologist (CST) must take in the event of a sponge miscount is to perform a re-count. This action is critical because it helps confirm whether the initial count was inaccurate or if the sponge was misplaced within the sterile field. Accurate counting of sponges is essential for preventing retained surgical items, which can lead to serious complications for the patient post-operatively.

Re-counting ensures that all surgical team members are aware of the situation and can address any discrepancies before proceeding further. This step acts as a safeguard for patient safety and reinforces the importance of meticulous standards in surgical practice.

Only after verifying the count can the CST move on to further steps, such as notifying the surgeon or searching the operating room. Immediate reporting or searching for missing sponges should occur after confirming that a miscount indeed exists, rather than as an initial reaction. Documenting the miscount is also an important part of the process but occurs after the immediate action of re-counting to ensure patient safety.