What is a recommended practice during sponge count procedures?

• A. Count all sponges at the end of the case
• B. Count sponges silently
• C. Simultaneous counting by two people, including an RN circulator
• D. Use a single person for counting

Answer: (C)

The practice of simultaneous counting by two individuals, particularly including an RN circulator, is a recommended procedure during sponge counts. This method enhances the accuracy and reliability of the count, significantly reducing the likelihood of leaving sponges inside a patient, which is a serious concern in perioperative settings. Having two people involved in counting fosters a collaborative approach, allowing for verification of each other's counts and ensuring that any discrepancies can be promptly addressed.

Utilizing two individuals also helps to mitigate distractions and errors that might occur if only one person is counting, especially in a busy operating room environment. The involvement of an RN circulator, who is typically responsible for maintaining the sterile field and managing the logistics of the surgical procedure, adds an extra layer of accountability and thoroughness to the counting process. This dual-counting method is widely regarded as a critical safety measure in surgical practice, aligning with standard protocols aimed at patient safety and quality care.