A method for tracking medical devices and tools in a medical environment is disclosed. The method includes registering a plurality of radio frequency identification (RFID) tags with a plurality of medical tools, generating an item list comprising a set of medical tools, wirelessly sensing the RFID tags associated with an assembled set of medical tools, assembled in preparation of a medical procedure based upon the generated item list, deciding, if the RFID tags associated with the assembled medical tools is sensed, that the medical device or tool is present in the assembled set of the medical tools, generating a checked-in list of medical tools based upon the deciding, accounting medical tools assembled for check-out by wirelessly sensing the RFID tags associated with the medical tools assembled for check-out, and displaying a list of medical tools associated with the checked-in list and not included in the accounting.