What should be done with an extra Raytec sponge found during the initial pre-operative count?

When an extra Raytec sponge is discovered during the initial pre-operative count, the best course of action is to remove the entire package and the sponges from the room. This practice is crucial to maintain a sterile environment and ensure patient safety. The presence of an additional sponge could indicate a potential for retained foreign bodies post-operatively, which can lead to significant complications for patients.

Removing the package keeps the surgical field clear and helps maintain accurate counts moving forward. This management reinforces protocols for accountability and safety within the operating room environment.

The other responses may not effectively address the situation. For instance, including the extra sponge in the count does not resolve the issue of it being unaccounted for initially. Discarding one sponge or the entire package into a kick bucket could still lead to hazardous situations or complications, as it does not provide a thorough accounting or resolution of the issue.