CST Surgical Counts & Documentation

Question 1

When should the initial surgical count be performed?

Accepted Answer

After the patient is draped and before the first incision

Answer

The initial count is performed after the sterile field is established and before the first incision to create a baseline accounting of all items.

Question 2

Which categories of items are included in a standard surgical count?

Accepted Answer

Sponges, sharps, instruments, and miscellaneous items

Answer

Standard surgical counts include sponges, sharps (needles and blades), instruments, and miscellaneous items such as vessel loops and umbilical tapes.

Question 3

Who is responsible for performing surgical counts in the OR?

Accepted Answer

The scrub technician and the circulating nurse together

Answer

Surgical counts are a shared responsibility between the scrub technician and the circulating nurse, who perform the count simultaneously and concurrently.

Question 4

How must sponges be counted to ensure an accurate surgical count?

Accepted Answer

Individually, with each sponge separated and visually verified

Answer

Sponges must be counted individually and separated from each other so each one is visually confirmed, preventing hidden items from being overlooked.

Question 5

What action must be taken immediately if the final count before wound closure is incorrect?

Accepted Answer

Notify the surgeon immediately and search the field before closing

Answer

An incorrect count requires immediate notification of the surgeon and a thorough search of the surgical field, drapes, and surrounding area before wound closure to prevent retained items.

(CST) Certified Surgery Technician Practice Test

(CST) Certified Surgery Technician Practice Test

CST Surgical Counts & Documentation