Free tool · No login · No patient data

How much is your OR
throwing away?

Every day, supplies get picked, opened, and never used — then dropped in the trash because they broke sterility. Most departments have never put a number on it. This puts a defensible number on it in about sixty seconds.

Run the estimate

Built by an orthopedic & neurosurgical coordinator at a Level II trauma center.

Picked-not-used supply waste estimator

Start with your service line. Every assumption below is editable — if you know your real numbers, use them. The estimate is only as good as what you put in, and we show you the arithmetic.

Sets the starting assumptions below. Change any of them.

Soft goods and disposables only — drapes, gowns, sutures, blades, sponges, tubing, custom packs. Exclude implants and instruments.

2% Conservative 8% Typical 13% High 20% 35%

Published studies of surgical supply waste generally land in the low-to-mid teens as a share of opened supply cost, with wide variation by specialty and by how stale the preference cards are. Start at your service line's default and adjust.

Not all waste is fixable. Some opens are clinically necessary — trauma, conversions, holding a set open for a surgeon who might need it. This is the portion a card cleanup and pick-list discipline can actually capture.

Why this number is usually bigger than people expect

Preference cards go stale quietly

A surgeon changes technique, switches to a different suture, stops using a retractor. The card doesn't change. Five years later the pick list still pulls all of it — every case, into the room, onto the field, into the trash.

Nobody owns the cleanup

Card maintenance sits between the surgeon, the coordinator, materials management, and the EHR team. Work that belongs to four people belongs to none of them. So it doesn't happen.

The waste is invisible by design

Opened-and-unused doesn't show up as a variance. It's already charged to the case. It only shows up as a slow, unexplained climb in supply cost per case — which gets blamed on vendor pricing.

Turnover pays for it twice

Over-picking bloats the case cart, slows the count, and buries the tech in packaging. Under-picking sends someone to the core mid-case. Both cost minutes you're already being measured on.

What's under the hood

This calculator does one thing: it multiplies your case volume by your disposable supply cost per case by the share of that supply which gets opened and never used, then applies a recovery factor because not all of it is capturable. There is no black box.

The defaults are starting points drawn from typical ranges by specialty, not from your facility. They are meant to be overwritten. If you replace all four inputs with your own numbers, the output is your number — and the arithmetic is shown so anyone in your finance office can check it in thirty seconds.

No patient information is collected, transmitted, or stored by this tool. All calculation happens in your browser. Nothing you type is sent anywhere unless you choose to request the report below.

Get the full report

We'll send a one-page breakdown you can put in front of an administrator: your numbers, the methodology, the assumptions stated plainly, and the specific questions to ask your materials management team to validate it.

  • Your estimate, formatted for a budget conversation
  • The five preference card checks that find the most waste fastest
  • A validation script — what to pull, and who to ask

We send the report and occasional notes on OR operations. No spam, unsubscribe anytime, and we never share your address.

Who's behind this

FirstCase is built by working OR staff — not by a software company guessing at the workflow. Our tools come out of problems we hit on shift: call schedules nobody trusts, preference cards nobody maintains, instrument sets nobody standardized, and new techs nobody had time to train properly.

FirstCase Systems

Operational software for surgical departments — on-call scheduling, instrument set standardization, and preference card auditing.

FirstCase Academy

Training and competency tools for surgical technologists, preceptors, and accredited programs.