Who must be notified if the surgical technologist has a miscount during the final count before closing?

In the context of a surgical procedure, accurate counts of surgical instruments, sponges, and other materials are critical for patient safety. If a miscount occurs during the final count before closing the surgical site, the primary responsibility falls on the surgical team to address the issue immediately. The surgeon is directly involved in the operation and is ultimately responsible for patient care and safety.

Notifying the surgeon allows for an immediate assessment of the potential consequences of the miscount. The surgeon can take appropriate actions, such as conducting a thorough inspection of the surgical site or potentially extending the procedure if necessary to ensure that no items are left inside the patient. Since the surgeon holds the highest level of responsibility in the operating room, their awareness and involvement in resolving the miscount is critical for the safety and well-being of the patient.

The other options may also be relevant in certain contexts; however, the immediate priority in addressing a miscount involves direct communication with the surgeon to ensure patient safety is maintained.