Needle counters are vital in today’s health delivery systems in the sense that they are meant to reduce errors during the performance of medical activities. It appears that knowing very well how a needle counter works can help improve patients’ safety and efficiency in performance. To utilize a needle counter, one has to start by knowing how the needle counter works, especially the counting and the display parts. Check the calibration of the unit before using it. Remember to look at the counter during the procedure and be able to account for needle manufactured at any stage, particularly for extensive operations. Toward the end of the procedure, the same computation should be done and the total – plus how many were used – should be checked to see whether all have been accounted for. Appropriate measures such as training and continuous usage of the needle counter will lead to better handling of the device which in turn will improve the level of patient care.