Participates as member of the surgical team under direct supervision of an RN/Charge Nurse or Clinical Manager. Functions in the role of scrub/assist person and assisting physician and/or RN. Responsible for direct and indirect care of patients. Assists with maintenance, care of instruments, supplies and equipment according to the manufacturers’ instructions, standards of infection prevention, and institutional policies/procedures. Practices appropriate initiation and maintenance of sponge, needle and miscellaneous item counts and equipment according to policy. Decontaminates, cleans, and cares for operating room equipment utilizing clean/sterile technique used in a procedural setting. Identifies, gathers, and prepares instrument and equipment and specialty items for all procedures in a timely manner according to preference card. Acknowledges physiologic needs for the patient (size of equipment, maintenance of body temperature and patient safety). Demonstrates and maintains competency as an expert in 3 or more specialties/service lines (e.g., Thoracic, Ortho, Spine, ENT). May require on call duty. Performs other duties as assigned. The Technician III acts as a preceptor to other staff and students and takes a prominent role in orientation and cross training of staff and students. Assists in development of educational programs. Serves as resource for staff in specialty area. Assist appropriate clinical resource in developing service line & quality improvement tools.