In the operating room, who is responsible for counting sponges and needles as the procedure progresses?

The responsibility of counting sponges, needles, and other instruments during surgical procedures primarily falls to the surgical technologist and the circulator. This critical task is essential for maintaining patient safety and preventing retained surgical items, which can lead to severe complications.

The surgical technologist is directly involved in the surgical field and manages instruments, sponges, and supplies. They are trained to perform counts and are familiar with the items used during the operation. The circulator, who is typically outside the sterile field, coordinates the overall environment in the operating room and assists with the counting process by ensuring that the records are updated and accurate.

Together, these two roles establish a system of checks and balances that helps ensure all items used during surgery are accounted for before the procedure concludes. This collaboration minimizes the risk of oversight and supports the surgical team's ability to focus on the procedure itself without being distracted by the counting process.