When should a surgical technologist perform a final count of instruments and sponges?

The final count of instruments and sponges performed by a surgical technologist is critical to ensuring patient safety and preventing retained surgical items. This count should occur at multiple points: at the beginning of the procedure to establish a baseline, at the end to confirm that everything is accounted for, and additionally at any point during the surgery whenever sponges or instruments are added or removed. This practice is crucial because it helps address any discrepancies immediately, reducing the risk of items being left inside the patient, which can lead to serious complications.

Effective communication among surgical team members during these counts is also essential. This allows everyone to be aware of what has been introduced into the surgical field, thereby creating a reliable system of checks to ensure that all items are accounted for before the procedure concludes. Thus, conducting these counts throughout the surgery reinforces vigilance, promotes accountability, and prioritizes patient safety.