a. Take the sponge count with the scrub and a registered nurse (RN). The nurse will record it in the designated place (see paragraph 3-20 under duties of the scrub for sponge count procedures).

NOTE: An RN must always be present for the sponge count. The scrub or circulator duties may be assigned to an RN. If both the scrub and the circulator are operating room specialists, an RN must be brought in for the sponge count every time the sponge count is made.

b. Take the count of the sharps. Sharps include such items as needles and knife blades. The procedures for counting sharps are covered in paragraph 3-20. Make an effort to plan your work so that you have finished assisting the scrub by the time the patient is brought into the room. Once the patient is in the room, your time must be devoted to him and to the anesthetist.