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CHONG HUA HOSPITALOPERATING ROOM GUIDE
Version 2 - 2014
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TABLE OF CONTENTS
Glove sizes………………………………………………………………………………………6Contents of OR sets
Caesarean Section Set……………………………………………………9Craniotomy Set……………………………………………………………10D&C Set……………………………………………………………………….11Hemorrhoidectomy Set……………………………………………….12Major Set ……………………………………………………………………13Minor Set…………………………………………………………………….14Simple Excision Set………………………………………………………15Thyroidectomy Set………………………………………………………16Tracheostomy Set………………………………………………………..17
Procedures and instrumentsAmputation (AKA/BKA), Closure of Stump…………………..18Appendectomy…………………………………………………………….19Application of External Fixator…………………………………….20APR (Anteroposterior Resection)…………………………………21Arthroscopy-Partial Menisectomy, ACL Recon……………..22AV Shunt or Fistula………………………………………………………23AV Shunt Removal……………………………………………………….24Bilateral Inguinal Herniotomy/Herniorraphy……………….25Bilateral Tubal Ligation………………………………………………..26Biliary Surgery……………………………………………………………..27
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TABLE OF CONTENTS
Burrholing……………………………………………………………………28Caesarean Section……………………………………………………….29Caldwel Luc with Polypectomy…………………………………….30Carotid Angiogram X-ray……………………………………………..31Carpal Tunnel Release/Release of Trigger Finger…………32Cauterization of Genital Node Biopsy………………………….33Cauterization of Warts…………………………………………………34Change of Subclavian Catheter…………………………………….35Cholecystectomy with IOC…………………………………………..36Circumcision………………………………………………………………..37Close Reduction………………………………..…………………………38Close Reduction Percutaneous Pinning………………………..39Colon Surgery………………………………………………………………40Colostomy/Gastrostomy/Closure of Colostomy…………..41Craniotomy………………………………………………………………….42Closed Tube Thoracostomy......……………………………………43Cystectomy, Ileal Conduit…………………………………………….44Cystomlithotomy…………………………………………………………45Cystoscopy/RGP/TURBT Stenting/Cystolithopaxy………..46Debridement……………………………………………………………….47D&C……………………………………………………………………………..48Disarticulation……………………………………………………………..49
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TABLE OF CONTENTS
Esophagectomy/Jejunostomy/Ex Lap/Gastric………………50Excision of Mass…………………………………………………………..51Fistulectomy………………………………………………………………..52Hemorrhoidectomy/Proctoscopy…………………………………53Hysteroscopy……………………………………………………………….54IJ Catheter Insertion…………………………………………………….55IM Nailing…………………………………………………………………….56I&D………………………………………………………………………………57IRC/Infrared Coagulation……………………………………………..58Laminectomy……………………………………………………………….59Marsupialization………………………………………………………….60MRM……………………………………………………………………………61Mastoidectomy……………………………………………………………62Microlaringectomy………………………………………………………63Myomectomy………………………………………………………………64Nasolaryngectomy……………………………………………………….65Neck Exploration………………………………………………………….66Nephrectomy/Radical Nephrectomy……………………………67Orchidopexy, Bilateral………………………………………………….68ORIF…………………………………………………………………………….69Parotidectomy……………………………………………………………..70Pelvic Laparotomy……………………………………………………….71
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TABLE OF CONTENTS
Pelvolithotomy/Nephrolithotomy……………………………….72Pericardial Window……………………………………………………..73Pericardectomy/Sternotomy/Thoracotomy…………………74Perineal Repair…………………………………………………………….75PNLB……………………………………………………………………………76Removal of Fixators……………………………………………………..77Removal of Implants……………………………………………………78Sigmoidectomy……………………………………………………………79Skin Grafting………………………………………………………………..80TAHBSO……………………………………………………………………….81Tenchoff Catheter Insertion, PEG………………………………..82Thyroidectomy…………………………………………………………….83Tonsillectomy, Bilateral……………………………………………….84Tracheostomy……………………………………………………………..85TLIF……………………………………………………………………………..86Tube Gastrostomy……………………………………………………….87Ureterolithotomy…………………………………………………………88Vaginal Myomectomy/Hysterectomy…………………………..89Varicocelectomy………………………………………………………….90VP Shunting/Revision…………………………………………………..91Wide Resection of Tumor…………………………………………….92NOTES………………………………………………………………………….94
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GLOVE SIZES
GENERAL SURGERYAbalos, Jr. 7Almendras 7Alo 7Ang, G. 7½Bullo 7½Busa 6½Carvajal 6Chan, K. 6½Chua, T. 7½Coronel, M. 7Cortes 6½Cong 7½Cruz, R. 6 ½ Dy, C. 6½Dy, A. 7Espina, S 7½Ferraren 7Garcia, D. 7½Go, L 6½Go, C. 7
Guardiario 7Juanillo 6½Kangleon 6½Lim, O. 7Lim, Z. 7Limquiaco D7Mabalatan 8Mercado 7Mijares 7Ong, L. 8Oclarence 7Po, E. 7½Pangan 6½Rafols 6½Rama, S. 6½Perez 7Siguan 7½Tablante 7Tan, Arnold 7Ting, I. 7½Trocio 7½
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Verallo, S. 6 ½Victoria 7GigatarasPanares 7Gines 7 ½
ORTHO / NEUROAkol 6 ½Briones 9Chan M 7Condor 7Flordeliz 8Ilano 7 ½ Jiao 7Mediano 6Morales 7Rama, J 7Roska 7Ruedas 6San Juan 7Vergara 8Vicuna 7Vizcayno 6 ½Uy, R 7 ½
UROLOGISTSLim, E. 7Catipay 7Tenazas 7Cabahug 7
0B-GYNAbalos 6 ½Abbu 6 ½ Casquejo 6 ½Chavez 6 ½Chiang 6Coronel D7Galbo 7Gonzalez 6 ½Guittierez 6Hemonasisimo 6 ½ Juano 6Libre 6Mercades 6Navora 6 ½Pangan 6Panares 6
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Quljano 6Sy, J. 6 ½Villegas 6 ½Zamora 6Sulay 7Tolentino 6Uyheng 6 ½Verano 6 ½ Vercide 6 ½Viray 6 ½Zuino 6Pelicano 6
COIRod 7 ½Roger 7Jeffrey 8
RESIDENTS
General SurgeryAA 7 ½
AB 7 ½AU 6BA 7BB 7 ½CC 7 ½DL 6DV 7FT 7JG 7 ½JY 7 ½JP 7 ½RJ 6 ½
OrthopedicsJB 7 ½TF
SURGICAL ASSISTJane 6Nestor 7
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CAESAREAN SECTION SET
Towel clips 10Mosquito Forceps Curved 4Mosquito Forceps Straight 4Kelly Forceps Curved 10Kelly Forceps Straight 8Allis Forceps Long 6Allis Forceps Short 2Needle Holder 2Regular Tissue Forceps with teeth 1Regular Tissue Forceps without teeth 1Adson Tissue Forceps with Teeth 1Adson Tissue Forceps without Teeth 1Army Navy Regular 2
MetzenbaumMayoSutureBandage
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CRANIOTOMY SET
Towel clips 6Mosquito Forceps Curved 24Mosquito Forceps Straight 24Kelly Forceps Curved 6Allis Forceps 1Needle Holder 1Tracheal Dilator 2
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D&C SET
Hysterometer 1Ovum 1Uterine Forceps 2Uterine Curettes Blunt 3Uterine Curettes Sharp 8Heavy Retractor 1Sponges bowl, small 1
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HEMORRHOIDECTOMY SET
Towel clips 4Mosquito Forceps Curved 6Kelly Forceps Curved 6Allis Tissue Forceps 2Hemorrhoidal Clamp 4Needle Holder 1Regular Tissue Forceps with teeth 1Regular Tissue Forceps without teeth 1Long Tissue Forceps with teeth 1
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MAJOR SET
Towel clips 10Mosquito Forceps Curved 6Mosquito Forceps Straight 2Kelly Forceps Curved 12Kelly Forceps Straight 10Allis Tissue Forceps 4Babcock Tissue Forceps 2Needle Holder 2Regular Tissue Forceps with teeth 2Regular Tissue Forceps without teeth 2Adson Tissue Forceps with Teeth 1Adson Tissue Forceps without Teeth 1Long Tissue Forceps without teeth 2Sponge Forceps (Ovum) 2Army Navy Retractor 2
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MINOR SET
Towel clips 6Mosquito Forceps Curved 12Mosquito Forceps Straight 12Kelly Forceps Curved 6Kelly Forceps Straight 6Allis Tissue Forceps 6Needle Holder 1Regular Tissue Forceps with teeth 1Regular Tissue Forceps without teeth 1Adson Tissue Forceps with Teeth 1Adson Tissue Forceps without Teeth 1Baby Army Navy Retractor 2
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SIMPLE EXCISION SET
Towel clips 6Mosquito Forceps Curved 12Mosquito Forceps Straight 12Kelly Forceps Curved 6Kelly Forceps Straight 6Allis Tissue Forceps 6Needle Holder 2Regular Tissue Forceps with teeth 1Regular Tissue Forceps without teeth 1Adson Tissue Forceps with Teeth 1Adson Tissue Forceps without Teeth 1Baby Army Navy Retractor 2
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THYROIDECTOMY SET
Towel clips 6Mosquito Forceps Curved 12Mosquito Forceps Straight 12Kelly Forceps Curved 6Allis Tissue Forceps 6Thyroid Clamp 2Mixter Forceps 2Needle Holder 2Regular Tissue Forceps with teeth 1Regular Tissue Forceps without teeth 1Adson Tissue Forceps with Teeth 1Adson Tissue Forceps without Teeth 1Baby Army Navy Retractor 2
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TRACHEOSTOMY SET
Towel clips 4Mosquito Forceps Curved 6Mosquito Forceps Straight 6Kelly Forceps Curved 4Allis Tissue Forceps 4Needle Holder 2Tracheal Dilator 1Regular Tissue Forceps with teeth 1Adson Tissue Forceps with Teeth 1Baby Army Navy Retractor 2
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AMPUTATION (AKA / BKA) OR CLOSURE OF STUMP
• CLP/ Ortho pack• MGP• Mayo tray (2)• Kidney Basin• Bowls 2 sets• Picking forceps• Major set
• Baby richardson• Regular richardson• Ronguer• Bone curette• Bone clamp• Kockers straight• Periosteal elevator• Bone file• Lowman• Alexander• Gigli saw • Gigli saw holder• Vice grip• BH#4• BH#3• Metzenbaum
• Needle book – SB• Cautery pencil
• ROS• NOS• Cherries• Pledgets• Sterile marker• Spinal set• Skin prep set• Yellow plastic (2)• OR light handle
Supplies:• Yankauer Suction (dispo)• Silk strands usually silk 2-0 (ask doctor ahead)• Blade 10 and 20• Elastic bandage 6” (2)• Wadding sheet 6” (2)• Asepto syringe• Leukoplast• Hypoplaster
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APPENDECTOMY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set
• Richardson• Baby Rich• Deavers w/ narrow• Malleables - SB• BabyArmy Navy SB
• Babcock• Debakey• Allis• Mixter FT• Tonsil - SB• Schnidts• Suction poole with guard
• BH#3 2pcs• Metz ( regular and Long)• Needle Book• Cautery pencil
• NOS• ROS• Cherries• Cotton pledget• Lap Pack - SB• Peanut -SB• Spinal Set• OR light handle
Supplies:• Blade 10 and 15• Mersilk 2.0/3.0• Connecting Tube• Cautery Pen / Pad
DR. E.PO- chromic 2.0 cut into half, 1/2 to a round needle and
1/2 to stick tie- silk 3.0 into intestinal
DR. S. RAMA- vicryl 2.0 cut into 4, 1-to round, 1-to intestinal, 2-free ties
DR T. CHUA-silk 3.0 into intestinal-always open mixter blunt- with his own instruments- vicryl 2.0 on round, vicryl 3.0 on round and vicryl 4.0 on cutting
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APPLICATION OF EXTERNAL FIXATOR
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set
• Hives – SB• Weitlaner – SB• Gelpi – SB
• Bone curette• Periosteal elevator• Kockers straight• Ronguer• Pliers• Vice Grip• Bone clamp• Drill• Pneumatic tourniquet• Alexander – SB• Bone holder – SB• Cobbs – SB
• Lowman – SB• Esmarch Rubber – SB• Frazier Tip – SB
• BH#3 (2)• Metz• Cautery pencil
• ROS• NOS• Cherries• Spinal Set• Skin prep set• Sterile plastic
Supplies:• Blade 11 and 15• Yankauer Suction (dispo)• Wadding sheet 4”/6” (2)• Elastic Bandage 4”/6”(2)
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APR (ANTEROPOSTERIOR RESECTION)
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set• Neuro sheet
• BB Richardson• Reg Richardson• Malleable• Deaver• Harrington• Balfour- SB
• Long mixter ft• Kockers straight• Kockers curve• Long bobcock• Allises• Schnidts• Tonsil• Debakey• Allens• Intestinal clamp
• Major vascular clamps- SB• Periosteal- SB• Suction poole
• BH #3, 4, 7• Sharps with long metz• 3 long sharp instruments• Needle book• Cautery pencil• Long Cautery tip- SB
• NOS• ROS• Cherries• Square pack• Lap Pack - SB• Peanut• Cotton Tape- SB• OR light handle
Supplies:• Blade 10 and 15• Silk 2.0 and silk 3.0 strands
DR. Z. LIM-Blade 3 and 7-Silk 3.0 in intestinal needle
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ARTHROSCOPY- PARTIAL MENISECTOMY, ACL RECONSTRUCTION
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set
• Hives• Kochers St• Bone Curette• EsMarch• Pneumatic tourniquet• Ronguer – SB
• Sterile Marker• Metz (2)• Suture Scissors• BH#3 (2)• Arthroscopy Sets 1, 2, 3• Doctor’s Instruments
• NOS• ROS• Cherries• Spinal Set
Supplies:• Blade 11 and 15• Connecting Tubes – 2pcs• Ethibond 2 = 2 pcs• Opsite 6.5 = 4 pcs• Baxter PNSS = 4 pcs• Vicryl 0 = 2 pcs• Vicryl 2-0 SH = 2pcs• Skin Stapler• Diposable Drape & Gowns
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AV SHUNT OR FISTULA
• MGP• Kidney Basin• Bowls• Picking forceps• Minor set
• Skin hooks• Hives• Vein Dilators• Doctor’s Instruments• Small Weitlaner - SB• Identiloop – SB
• BH#3 (2)• Metz• Needle book
• NOS• Cherries• Cotton pledget
Supplies:• Blade 15 and 11• Heparin• Silk 3.0 strands
• Prolene 7.0 double-ended• Silk 4.0 strands
Prepare:• Ask heparin mixture from AP• (2) 10cc syringe for flushing and for anesthesia• Table for pt’s arm• Get 2 full length Silk strands (set aside), then cut into half all remaining Silk strands and connect them tip to tip to mosquito straight as stick ties• Connect identiloop to mosquito straight then soak in PNSS with heparin
• Chair for the AP
DR. E. PO-Use Lagenbeck instead of Hives-Prepare his white table and brown chair-Blade 11 is a free blade
DR. ALO-Use his instruments on the arteries and veins only!-prepare the long plastic green or brown OR chair
DR. GUARDIARIO-No heparin-Make stick ties with double strands
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AV SHUNT REMOVAL
• MGP• Kidney Basin• Bowls• Picking forceps• Minor set
• Skin hooks• Hives• Metz• Suture scissors• BH#3• Needle book
• NOS• Cherries• Cotton pledget
Supplies:• Blade 15
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BILATERAL INGUINAL HERNIOTOMY/ HERNIORRHAPHY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set
• Tonsil• Debakey (small)• Identiloop or vessel loops-SB• Suction Poole• BH#3 (2)• Metz• Cautery pencil• Needle book
• ROS• NOS• Cherries
• Peanut• Cotton pledget• Cotton tape
Supplies:• Blade 10,15• Silk 2.0/3.0 strands• Ask which mesh to be used• Connecting Tube
DR. D. GARCIA’S instruments:- mixter ft- needle holder- addsons without teeth- metz- scissors- hook- retractor*prepare soaking pan for these instruments
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BILATERAL TUBAL LIGATION
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set
• Baby Richardson• Regular Richardson• Allis• Babcock• Mixter FT• Schnidts• Tonsil w/ Peanut – SB
• BH#3 (2)• Metz• Suture scissors• Cautery pencil• Needle book
• ROS• NOS• Cherries• Peanut• Spinal Set• OR light handle
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BILIARY SURGERY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set
• Deavers• Regular Richardsons• Regular Harrington• Baby Harrington• Malleables• Balfour - SB
• Kochers straight• Kochers curve• Allis• Mixters FT• Mixter blunt- SB• Babcock• Hysters• Major Vascular Clamp- SB• Metal trocar
• Tonsil-SB• Schnidts• DBK• Long Tissue Forceps FT-SB• Suction poole• Randalls
• Blade holder 3,4 & 7• Metz (long & short)• Suture scissors (long & short)• Potts scissors• Cautery pencil• Long cautery tip• Needle book
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack - SB• ½, ¼ lap pack - SB
Supplies:• Blade 10,15 and 20
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BURRHOLING
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Cranio set• Basic cranio set
• Hi-lan drill/ manual drill• Burrs• Kochers straight• Periosteal elevator• Allis
• Blade holder #3 (2)• Metz• Monopolar Cautery pencil• Bipolar Cautery pencil
• NOS• ROS• Cherries• Cottonoids• Cotton balls• Skin prep set• OR light handle• Sterilium
Supplies:• Asepto syringe or Syringe 30cc• Venflon G18• Bone wax• Skin Stapler• Clipper Reload
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CAESAREAN SECTION
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major Set/ CS set
• Regular Richardson• Deaver• Balfour – SB• Malleables - SB
• Allis long• Kochers curve• Kochers straight- SB• Schnidts- SB• Hysters- SB• Babcock-SB• Heaney needle holder-SB• Bulb Syringe
• Blade holder #3 & #4• Metz• Suture scissors
• Mayo scissors• Bandage scissors• Needle book• Cautery pencil
• NOS• ROS• Cherries• Lap pack• Square pack- SB• Spinal/Epidural Set• OR light handle• Extra drape for baby
Supplies:• Blade 10 and 20• Vicryl 0, 1.0 and 2.0 on round• Yankauer suction(disposable)
Prepare:• Warm wash
DR. GONZALES-moisten 1 towel for the baby
DR. PANGAN-18 allises
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CALDWEL LUC WITH POLYPECTOMY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Simple Set/ Major set
• Periosteal elev• Nasal speculum• Bayonet ft• Osteomer• Kernson punch forcep (for basic cranio)• Frazier tip- SB
• Doctor’s instruments
• ROS• NOS• Cherries
• Nasal pack• Nasal strips• Anesthesia mask
Supplies:• Connecting tube• Betadine wash• Teramycin ointment• Drixine nasal spray
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CAROTID ANGIOGRAMX-RAY
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Anesthesia machine• Suction machine• BP & stet• O2 & N20 gauge• Monkey wrench• Extension cord (2)• Upper scrub suit (2)• Document sheet• Sterile packing• Rinsing pack• Shoulder pad• Carotid angiogram set
• Blade holder #3• Metz
• Suture scissors
• NOS• ROS• Cherries
Supplies:• Twin site• Daflon 18
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CARPAL TUNNEL RELEASE/ RELEASE OF TRIGGER FINGER
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks – 2 sets• Hives-SB
• Blade holder#3• Metz• Suture scissors• Iris Scissors ST & CRV• Metz (small) - SB• Cautery pencil - SB
• NOS• Cherries• Pledget• Skin Prep Set
Supplies:• Blade 15
DR. MORALES- prepare pneumatic tourniquet- esmarch rubber
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CAUTERIZATION OF GENITAL NODE BIOPSY
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks – 2 sets• Hives-SB
• Big yellow plastic• Stirrups
• Blade holder#3• Metz• Suture scissors• Cautery pencil• Needle book
• NOS• Cherries• Pledget
• Specimen container• Leggings
Supplies:• Blade 15
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CAUTERIZATION OF WARTS
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks –SB• Hives-SB
• Blade holder#3• Metz• Suture scissors• Cautery pencil• Needle point cautery tip• Needle book- SB
• NOS• Cherries• Pledget• Specimen container• Eyesheet- SB
• 4 towels (multiple areas)
Supplies:• Band aid
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CHANGE OF SUBCLAVIAN CATHETER
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks• Hives
• Blade holder#3 (2)• Metz• Suture scissors• Needle book- SB• Doctor’s instruments
• NOS• Cherries• Cotton pledget
Supplies:• Blade 15& 11• Silk strands as stick ties
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CHOLECYSTECTOMY, IOC
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major set
• Deavers• Richardsons• Regular Harington• Baby Harrington• Malleables• Balfour – SB
• Kochers Straight• Kochers curve• Allis• Mixter ft• Mixter blunt-SB• Babcock• Hysters• Major Vascular Clamp – SB• Metal trocar – SB• Tonsil – SB
• Schnidts• Dedakey• Long tissue forceps ft- SB• Suction poole• Randalls
• Blade holder #3 & #7• Metz (long & short)• Suture scissors (long & short)• Potts Scissors – SB• Cautery pencil• Long cautery tip- SB• Needle book
• ROS• NOS• Cherries• Cotton pledget• Lap Pack – SB• ½, ¼ lap pack - SB
Supplies:• Blade 10 & 15• Syringe (30 cc)-2 pcs• DNG 18• Asepto syringe
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• Contrast media
CIRCUMCISION
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks• Hives
• Blade holder#3• Metz• Small metz- SB• Suture scissors• Cautery pencil• Needle book- SB
• NOS• Cherries• Cotton pledget• Eye sheet
Supplies:• Blade 15• Bactigras• Leukoplast
DR. DON GARCIA-always use pick-up without teeth-prepare soaking pan for his instruments-prepare Lidocaine in 3/5cc syringe with DNG 26
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CLOSE REDUCTION
• Bandage or Mayo scissors• Yellow plastic for C-arm• Lead shield for C-arm• Wooden stick for traction• Canister/ pillows/ rolls• Water in basin
Supplies:• Elastic bandage 4”/6” (2)• Wadding sheet 4”/6” (2)• Stockinet – Size tba by AP• POP 4”/6” (2)• Fiber glass 3”/4” (2)• KY jelly (6)
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CLOSE REDUCTION PERCUTANEOUS PINNING
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major set
• Hives• Skinhooks-SB
• Periosteal• Bone Curette• Kochers St• Pliers• Vice Grip• Pin Cutter• Frazier Tip – SB
• BH#3 (2)• Metz
• Suture Scissors
• ROS• NOS• Cherries• Skin prep set• Sterile plastic for C-ARM
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COLON SURGERY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major set
• Deavers• Regular Richardsons• Malleables• Balfour – SB
• Kochers straight• Kochers curve• Allis• Mixter ft• Mixter blunt-SB• Babcock• Hysters• Major Vascular Clamp – SB• Tonsil – SB• Schnidts• Debakey• Intestinal Clamps• Allens – SB• Suction poole
• Blade holder 3,4 & 7• Metz ( long & short)• Scissors (long & short)• Needle book
• Cautery pencil• Long Cautery tip
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack• Square pack- SB• ½, ¼ lap pack – SB• Spinal set- SB• OR light handle
Supplies:• Blade 15,10 & 20• Silk strands 0; 2.0; 3.0; 4.0• PNSS (2)- warm wash
DR Z. LIM- prolene 0- silk 2.0 on cutting needle- silk 3.0 0n intestinal needle- prepare Demartel
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COLOSTOMY or GASTROSTOMY or CLOSURE OF COLOSTOMY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major set
• Reg Richardson• Baby Richardson• Deavers• Malleables
• Babcock• Debakey• Allis• Mixter ft• Schnidts- SB• Suction poole• Intestinal Clamps
• Allens – SB
• Blade holder#3 (2)• Metz• Cautery pencil• Long Cautery tip- SB• Needle Book (with intestinal)
• ROS• NOS• Cherries• Cotton pledget• Lap Pack – SB• ½, ¼ lap pack – SB• OR light handle
Supplies:• Blade 15 & 10
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CRANIOTOMY
• Cranio pack• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Cranio set• Basic Cranio set
• Hi lan drill/ Manual drill• Burrs• Craniotomy blade• Kockers Straight
• Blade holder 3 (2)• Metz• Monopolar Cautery pencil• Bipolar Cautery
• NOS• ROS
• Cherries• Cottonoids• Cotton balls• Rubber band• Skin prep set
Supplies:• Blade 10 & 15• Asepto or Syringe 30cc• Venflon G18• Bone wax• Surgicel• Gelfoam• Clipper• Skin Stapler• Connecting tube
IF CRANIECTOMY:• Additional 4 towels• Additional lap sheet• 2nd Prep Set• Regular Richardson
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CTT
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks-SB• Hives-SB
• Long Ovum forceps curve
• Blade holder 3• Metz• Mayo scissors• Needle book (cutting needle)
• NOS• Cherries• Cotton pledget• Specimen container (5)• Sterile yellow plastic
Supplies:• Blade 15 & 11• Silk 2.0 Round ATR• 10cc syringe (2)• Chest tube 32 & 28• DNG 18• Dry sheet
• Kendal/ Argile or Leg bag
DR GUARDIARIO-prepare soaking pan-has his own suction
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CYSTECTOMY, ILEAL CONDUIT
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major set
• Regular Richardsons• Malleables• Deavers
• Kochers straight• Kochers curve• Allis• Mixter ft• Mixter blunt- SB• Tonsil-SB• Babcock• Hysters• Schnidts
• Debakey• Randalls• Suction poole• Yankauer (metal) – SB• Blade holder 3,4&7• Metz ( long & short)• Suture scissors (long & short)• Cautery pencil• Long cautery tip• Needle book
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack – SB• ½, ¼ lap pack – SB• Doctor’s Instrument
Supplies:Blade 10,15 & 20
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CYSTOLITHOTOMY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Major set
• Regular Richardson• Baby Richardson• Malleables –SB• Deaver Narrow – SB
• Kochers Curve• Kochers Straight- SB• Allis• Mixter FT• Mixter blunt- SB• Babcock• Hysters – SB• Tonsil- SB• Schnidts
• Debakey• Suction poole• Randalls• Yankauer (metal) – SB• Blade holder 3 & 7• Metz (long & short)• Cautery pencil• Long cautery tip• Needle book
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack – SB• ½, ¼ lap pack – SB• Doctor’s Instrument
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CYSTOSCOPY / RGP / TURBT STENTING / CYSTOLITHOLAPAXY / CYSTOLITHOTRIPSY
• D & C Set• Picking forceps• Towel clips• Cystocan • Russian Forceps• Debakey• Strainer• 30° Scope• Camera• Lightsource Chord
• NOS• Cherries• Specimen container (3)• Spinal set• OR gowns• Sterile plastic for c-arm• kelly pad/ yellow plastic• Stirrups
• Extra IV stand for cystocan• Doctor’s instruments
Supplies:• KY jelly (6)• 5 liters of sterile water for irrigation
Prepare:• Soaking pan• Small Carts (3)• Low OR chairs (2)
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DEBRIDEMENT
• MGP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Simple set
• Skin hooks- SB• Hives-SB
• Bone curette• Spoon• Ronguer - ortho• Kochers straight- ortho
• Blade holder#3• Metz• Cautery pencil- SB• Needle book- SB
• NOS• Cherries• Cotton pledget• Wooden tongue depressor• Skin prep set - ortho• Tray cover- for flammazine
Supplies:• Blade 10 or 15• Yankauer dispo suction- SB• Asepto syringe• Hydrogen peroxide• Bactigras• Pehahaft• Leukoplast
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D&C
• D&C set• Picking forceps• Sim’s Retractor• Hegars• CPB – SB• Randalls – SB• Extra tenaculum – SB
• NOS• Cherries• Cotton pledget• Specimen container (2)• Spinal Set• OR gown (2)• Big yellow plastic• Stirrups
Prepare:• (2) small carts• (2) low OR chairs• French 14 Straight Catheter
• KY Jelly
49
DISARTICULATION
• MGP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Simple set
• Skinhook• Hives
• Bone Curette• Ronguer• Periosteal Elevator• Bone File - SB• Kochers St
• Blade holder # 3• Metz• Cautery pencil-SB
• NOS• Cherries• Cotton pledget• Skin prep set
50
ESOPHAGECTOMY or JEJUNOSTOMY or EXPLORE LAP or GASTRIC SURGERY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardson• Deavers• Malleables• Balfour – SB
• Kochers straight• Kochers curve• Allis• Mixter FT• Mixter blunt –SB• Babcock• Hysters• Major Vascular Clamp• Tonsil w/ peanut – SB
• Schnidts• Debakey• Intestinal Clamps• Allens – SB• Suction poole• LTF FT – SB
• Blade holder 3,4 & 7• Metz long & short• Scissors long & short• Plastic needle holder• Needle book• Cautery pencil• Long cautery tip
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack• Square pack – SB• OR light handle
Supplies• Blade 15, 10 & 20• Asepto syringe
51
EXCISION OF MASS
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skinhook• Hives• Regular army navy (big masses)
• Blade holder 3• Metz• Suture Scissors• Iris scissors- SB• Plastic needle holder• Needle book- SB• Cautery pencil• Needle point- SB
• NOS• Cherries• Cotton pledget• Sterile marker• Specimen container
• Eye sheet- SB• 4 towels (multiple areas)
DR. C. GO- use tuberculin syringe for lidocaine
DR. JUANILLO- prepare silk stands on cutting or round needle for traction of mass
DR. M. CORONEL- always use adsons- prepare G26 for lidocaine- Vicryl 5.0 round
DR. VERALLO- prepare plastic instruments
DR. S. RAMA- prepare OR light handle- save supplies!
52
DR. E. PO- prepare Lagenbeck
FISTULECTOMY
• MGP• Kidney Basin• Bowls• Picking forceps• Hemorrhoidectomy Set
• Anal Speculum - SB• Anal retractor• Nasal speculum (pedia)
• Anal Probes
• Blade holder 3• Metz• Suture Scissors• Needle book- SB• Cautery pencil
• NOS
• Cherries• Cotton pledget• Specimen cup• Vaselinized OS• Spinal/Epidural Drape
Supplies:• Blade 15• Songiostan
Prepare:• Big yellow plastic• Stirrups• 2 low chairs• Low table for spinal• 3 trash cans
DR D. GARCIA-adsons without teeth-prepare soaking pan for his probes-chromic 4.0 on round-silk 0 strands
53
54
HEMORRHOIDECTOMY / PROCTOSCOPY
• MGP• Kidney Basin• Bowls (2)• Picking forceps• Hemorrhoidectomy Set• Proctoscopy set
• Anal Speculum - SB• Anal retractor• Long needle holder-SB
• Blade holder 3• Metz (long and short)• Suture scissors• Cautery pencil• Needle book- SB
• NOS• Cherries• Cotton pledget• Vaselinized OS• Specimen container• Spinal/ epidural drape
Supplies:• Blade 15 • Ky jelly (6)• clipper• Leukoplast
Prepare:• Stirrups• Big yellow plastic• 2 low tables, 2 low chairs• Extension wire• Alcoholize and prepare procto set• Inform technician for harmonic cases
DR LIMQUIACO-has plastic anal ret and spec
DR. M. CORONEL-uses jack knife-prepare gel padding
55
HYSTEROSCOPY
• MGP• Kidney Basin• Bowls (3)• Picking forceps• D&C set
• Sim’s Retractor
• Hegars• Towel clips• Allis• Randals- SB• fiber optic cord• lap gyn camera• Hysterescope• Hysteroscopy bridge• Hysteroscopy cannula
• NOS• Cherries• Spinal/Epidural Set
Supplies:• PNSS baxter• Ky jelly (6)
Prepare:• Stirrups• Big yellow plastic• Blood pump• 2 low tables• 2 low chairs• 2 high carts
56
IJ CATHETER INSERTION
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Blade holder 3• Metz• Suture scissors
• NOS• Cherries• Cotton pledget• Sterile plastic
Supplies:• Blade 11• Silk 2.0 Round ATR• Triple or double lumen catheter• Heparin• 10cc syringe (2)
• Tuberculin syringe
Prepare:• Flush all parts of catheter with heparinized water
DR. GUARDIARIO- 3cc with 1.5 heparin & 1.5 PNSS- 5cc with Lidocaine- 10cc with 10 mL PNSS
57
IM NAILING
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardson• Weitlaner• Gelpi
• Bennett• Homann – SB• Ronguer• Bone curette• Periosteal elevator• Alexander• Bone clamp• Bone holder• Cobbs – SB• Lowman• Kochers straight• Reamers• Drill, drill bits, battery• Es March Rubber• Screws, plates
• Doctor’s instruments
• Blade holder 3, 4• Metz• Suture scissors• Mayo scissors• Cautery pencil
• ROS• NOS• Cherries• Cotton pledget• Spinal/epidural drape• Skin prep set• Sterile plastic• OR light handle
Supplies:• Yankauer Suction (dispo)• Wadding sheet• Elastic bandage
Prepare:• Pneumatic tourniquet• Lead shield• Extra high cart for instruments and drill• Ortho pillows
58
INCISION AND DRAINAGE
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hooks- SB• Hives-SB• Bone curette
• Blade holder 3• Metz• Suture scissors• Cautery pencil- SB• Needle book- SB
• NOS• Cherries• Cotton pledget• Specimen container• Rubbers- SB• Skin prep set
Supplies:• Blade 15• Penrose drain 1/4• Culture and sensitivity tube - SB
59
IRC/ INFRARED COAGULATION(with UTZ staff & MD)
• Bowls• Picking forceps• Towel clips• Scissors- SB
• NOS• Cherries• Cotton pledgets• Sterile Drape on a Table• Gowns – 2• Towels• Spinal/ epidural set
Supplies:• Sterile gloves to cover UTZ head• Starburst• Ask doctor for needed supplies
LAMINECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set• Neuro- Laminectomy set
• Weitlaner- SB• Gelpi- SB• Nerve Root Retractor- SB• Laminectomy Spreader
• Bone Curette• Periosteal elevator• Kochers St• Ronguer• Cobbs• Penfield - SB• Kerrison 3/4/5- SB• Pituitary - SB• Mallet - SB• Osteotome – SB
• Blade holder 3, 7• Metz
60
• Cautery pencil• Long cautery tip• Bipolar cautery pencil
• ROS• NOS• Cherries• Cotton pledget• Specimen cup• Skin Prep Set• Sterile Plastics for C-ARM• Gel Pads
Supplies:• Blade 15& 10• Connecting Suction• Ioban 2• Dispo Drapes & gown• Skin Stapler• Bonewax• Asepto
Prepare:• Ortho pillows• Back up tables& high carts• Lead shields• Doctors Instruments
MARSUPIALIZATION
• MGP• Kidney Basin• Bowls (3)• Picking forceps (2)• Simple set
• Sims retractor
• Blade holder 3• Metz long & short• Scissors• Cautery pencil- SB
• NOS• Cherries• Cotton pledget (5)• Specimen cup• Spinal set• Leggings• OR light handle- SB
61
Supplies:• Blade 15• Culture tube- SB• Straight catheter• Shave or razor• Chromic 2.0 or 3.0 on round• Additional glove size 6& 6 ½
Prepare:• Stirrups• 2 low chairs• Big yellow plastic• Small table for spinal• 3 trash cans
62
MASTECTOMY, MODIFIED RADICAL
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Baby Richardsons• Regular Richardsons
• Allis• Towel clips – 15• Mixter fine tip• Mixter blunt- SB• Debakey• Tonsil- SB• Schnidts - SB
• Blade holder 3, 4• Metz (long & short)• Scissors (long & short)• Cautery Pencil• Long Cautery Tip – SB• Needle Book
• ROS• NOS• Cherries• Cotton pledget• Specimen container• Lap Pack – SB• Square pack - SB
• Sterile marker• Anesthesia mask
Supplies:• Blade 10, 20• Penrose drain/ JP drain• Leukoplast• Stapler• Cautery tip cleaner
DR SIGUAN- has his own hooks and instruments, prepare soaking pan- extra kindey basin for his hooks- uses straps to suspend pt’s arm- clean and serve cautery pencil all the time!- shut up!
DR. Z. LIM- Silk 2.0 on cutting needle- Gentian blue (cotton pledgets)
63
MASTOIDECTOMY
• CLP• MGP• Mayo tray• Kidney Basin• Bowls• Picking Forceps• Thyroid set/ Major set• Mastoidectomy set
• Mosquitoes - SB• Bayonet - SB• Bone Curette• Frazier tip• Tonsil- SB• ENT drill• ENT microscope• ENT light source cord• Drill bits
• Blade holder#3 (2)• Metz• Suture scissors• Cautery pencil- SB• Needle book- SB
• ROS• NOS• Cherries• Cotton pledget• Peanut- SB• Microscope sterile handles• OR light handle- SB
Supplies:• Blade 15 and 11• Maccroset• PNSS 1L Baxter• Epinephrine• DNG-23• Penrose drain• Asepto syringe
DR. A. DY- prepare soaking pan for drill bits- 0.1 epinephrine in 10cc lidocaine- prep line for PNSS irrigation
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MICROLARYNGECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set• Laryngeal inst.
• Light source cord• frazier tip• Bayonet – SB• LTF w/o teeth – SB• Tongue Depressor (metal) –SB
• Blade holder 3• Metz• Suture Scissors• Needle book- SB
• Cautery pencil- SB
• ROS• NOS• Cherries• Cotton pledget• Specimen Cup
Supplies:• Connecting tube
65
MYOMECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Deavers• Malleables• Balfour - SB
• Kochers straight• Kochers Curve• Allis• Hysters• Babcock• Heany Clamps• Heany Needle Holder• Schnidts• LFT FT – SB• LTF w/ teeth – SB
66
• Blade holder 3, 4• Metz ( long & short)• Scissors (long & short)• Mayo scissors• Needle book• Cautery pencil• Long cautery tip
• ROS• NOS• Cherries• Cotton pledget• Lap Pack – SB• Square pack- SB• Spinal/epidural Set
Supplies:• Blade 10, 20• Vicryl 0• Visryl 2.0• Monocryl 4.0• Extra gloves size 6, 6 ½
Prepare:• Warm wash
67
NASOLARYNGECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Sinus set
• Nasal speculum
• Light source cord• Frazier tip• Bayonet – SB• LTF w/o teeth – SB
• Blade holder 3• Metz• Suture Scissors• Needle book- SB• Cautery pencil- SB
• ROS• NOS• Cherries• Nasal Strip• Specimen Cup
Supplies:• Blade 15• connecting tube
Prepare:• Doctor’s Instruments
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NECK EXPLORATION
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Baby Richardson• Regular Richardson
• Allis• Babcock- SB• Schnidts• Mixter FT• Debakey• Tonsil• Kochers curve- SB• Frazier tip
• Blade holder 3 (2)• Metz
• Scissors• Needle Book• Cautery Pencil
• ROS• NOS• Cherries• Cotton pledget• Peanut• Square pack – SB• Specimen container• Sterile Marker
• Anesthesia mask• OR light handle
Supplies:• Blade 10, 15• Penrose drain
Prepare:• Donuts or rolls for pt’s neck
69
NEPHRECTOMY/ RADICAL NEPHRECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Deavers• Reg Harrington• Baby Harrington-SB• Malleables
• Kochers Straight• Kochers Curve• Allis• Mixters FT• Mixter blunt- SB• Babcock• Hysters• Major Vascular Clamp• Tonsil- SB• Schnidts• Debakey• Duyen• Ronguer• Alexander
• Periosteal• Bone file• Rib cutter• Randalls- SB• Yankauer (metal)
• Blade holder 3,4 & 7• Metz (long & short)• Scissors (long & short)• Cautery pencil• Long Cautery Tip• Identiloop
• ROS• NOS• Cherries• Cotton pledget• Peanut• Specimen container• Lap Pack – SB• Square pack – SB• Skin Prep Set• Anesthesia mask• OR light handle
Supplies:• Blade 10, 15 & 20
Prepare:• Doctor’s Instruments• Soaking pan• Side bars
70
ORCHIDOPEXY, BILATERAL
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Baby Richardsons• Regular Richardsons• Baby Army Navy - SB
• Babcock• Debakey• Allis• Mixter FT• Mixters blunt – SB• Tonsil- SB• Schnidts– SB
• Blade holder 3 (2)• Metz
• Suture scissors• Needle Book• Cautery pencil
• NOS• ROS• Cherries• Cotton pledget• Peanut• Specimen Container• Spinal/Epidural Set• OR light handle
Supplies:• Blade 10, 15
71
ORIF• MGP• CLP• Kidney Basin• Bowls• Picking forceps (2)• Mayo tray (2)• Major set
• Baby Richardson• Regular Richardson• Gelpi• Weitlaner
• Bennet• Kochers straight• Ronguer• Periosteal elevator• Alexander• Bone currette• Bone holder• Bone clamp• Pliers• Pin cutter
• Screw driver- SB• Vice grip- SB• Bone set- SB• Homann- SB• Lowman- SB• Mallet- SB• Cobbs – SB• Es March Rubber – SB• Drill (industrial or stryker), bits, battery• Pins, screws
• Osteotome• Blade holder 4,3• Metz• Suture scissors• Mayo scissors• Needle book• Cautery pencil• Bulldog NH
• ROS• NOS• Cherries• Spinal/epidural
drape• Skin prep set• Sterile plastic• Extra drapes/ tray cover• OR light handle
Supplies:• Yankauer Suction (dispo)• Asepto syringe• Wadding sheet• Elastic bandage• Stapler
Prepare:• Pneumatic tourniquet• Doctor’s instruments (small frag, large frag)• Extra high carts• 2 low tables• OR pillows
72
PAROTIDECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Lagenbeck• Skin hooks
• Frazier tip• Tonsil
• Blade holder 3• Metz• Suture scissors• Cautery pencil• Needle book
• ROS• NOS
• Cherries• Cotton pledget• Peanut• Square pack- SB• Anesthesia mask• OR light handle
Supplies:• Blade 15• 50 cc syringe• Silk 3.0 strands
Prepare:• Stick ties• Silk 3.0 in cutting needle
73
PELVIC LAPAROTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Deavers• Malleables• Balfour - SB
• Kockers St• Kochers Crv• Schnidts• Mixter ft• Mixter blunt- SB• Allis long• Hysters• Babcock• Heany Clamps• Heany Needle Holder• Debakey• LFT FT – SB• LTF w/ teeth - SB
• Blade holder 3, 4• Metz (long & short)
74
• Scissors (long & short)• Mayo Scissors• Cautery Pencil• Long Cautery Tip• Needle Book
• ROS• NOS• Cherries• Cotton pledget• Specimen container• Sterile plastic• Lap Pack (2)• Square pack- SB• Spinal/epidural Set• OR light handle
Supplies:• PNSS 1L (3)• Blade 10, 20• Vicryl 0 (3)• Vicryl 2.0 (1)• Monocryl 4.0 (1)• Silk 2.0/ 0• FBC to UDB• Extra gloves 6& 6 ½
Prepare:• Warm wash• Moisten all sutures and Lap packs• Sponge sticks• 10cc for F.S.
75
PELVOLITHOTOMY/NEPHROLITHOTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Malleables• Deavers• Baby Harrington- SB• Regular Harrington- SB
• Kochers Straight• Kochers Curve• Allis• Mixters FT• Mixter blunt- SB• Babcock• Hysters• Major Vascular Clamp – SB
• Tonsil- SB• Schnidts• Debakey• Duyen• Ronguer• Alexander• Periosteal• Bone file• Rib cutter
• Russian – SB• Randalls – SB• Identiloop• Yankauer (metal)
• Blade holder 4,3, 7• Metz ( long & short)• Scissors (long & short)
• Cautery pencil• Long Cautery
Tip
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack – SB• Square pack – SB• Skin Prep Set• Anesthesia mask• OR light handle
Supplies:• Blade 10, 15, 20
Prepare:• Doctor’s Instrument• Soaking pan• Side bars
76
PERICARDIAL WINDOW
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardson• Baby Richardson• Hives – SB• Weitlaner – SB• Gelpi - SB
• Allis• Schnidts• Babcock• Mixters ft• Mixter blunt- SB• Kochers straight• Kochers curve- SB• Major Vascular Clamp – SB• Tonsil- SB• Debakey
• Ovum Foreceps Crv - SB
• Blade holder 3 (2), 7• Metz• Suture scissors• Cautery pencil• Needle book
• NOS• ROS• Cherries• Cotton pledget• Specimen Cup• Lap Pack – SB• Square pack – SB• Skin Prep Set
Supplies:• Blade 10, 15 (2)
Prepare:• Doctor’s Instrument
77
PERICARDIECTOMY/ STERNOTOMY/ THORACOTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set• Thoracotomy set
• Regular richardsons• Deavers• Malleables• Regular Harrington- SB• Baby Harrington- SB• Weitlaner- SB• Gelpi- SB
• Kochers Straight• Kochers Curve • Allis• Schnidts• Debakey• Mixters fine tip• Mixter blunt blunt- SB• Babcock• Hysters• Major Vascular Clamp – SB
78
• Tonsil- SB• Osteotomes –SB• Wire cutter –SB• Mallet –SB
• Ronguer- SB• Alexander- SB• Bone File – SB• Duyen – SB
• Blade holder 3, 4, 7• Metz (long & short)• Scissors (long & short)• Needle book• Cautery pencil• Long cautery tip
• ROS• NOS• Cherries• Cotton pledget• Lap Pack – SB• Square pack – SB• Sterile plastic• Skin Prep Set• Anesthesia mask
Supplies:• Blade 15, 10, 20
Prepare:• Doctor’s Instruments
PERINEAL REPAIR
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set• D&C set
• Sim’s Retractor• Vaginal Speculum
• Hegars• Allis
• Blade holder 3• Metz• Suture Scissors• Cautery pencil- SB• Needle book- SB
• NOS• Cherries• Cotton pledget
79
• Spinal/Epidural Set
Prepare:• Big yellow plastic• Stirrups• Low table for spinal• 2 low OR chairs
80
PNLB
• Sterile drapes on table• Bowls• Blade holder 3• Sterile Marker• Sterile Plastic for C-arm
Supplies:• Blade 11• 16 slides
Prepare:• Lead shield for C-arm
81
REMOVAL OF FIXATORS
• MGP• Kidney Basin• Bowls• Picking forceps• Simple set
• Periosteal• Bone clamps• Pliers• Vice grips• Hand power drill
• Blade holder 3• Metz• Suture scissors• Needle book
• NOS• Cherries• Cotton pledget• Specimen container
REMOVAL OF IMPLANTS
• MGP• CLP/ Ortho pack• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Gelpi• Weitlaner• Regular Richardson• Baby Richardson
• Screw driver• Osteotome• Mallet• Ronger• Kockers straight
• Blade holder 4,3• Metz• Suture scissors
82
• Needle book• Cautery pencil
• ROS• NOS• Cherries• Cotton pledget• Skin prep set
Supplies:• Wadding sheet• Elastic bandage
83
SIGMOIDECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Deavers• Malleables• Balfour - SB
• Kochers Straight• Kochers Curve• Allis• Schnidts• Mixters ft• Mixter blunt- SB• Babcock• Hysters• Major Vascular Clamp• Tonsil- SB• Debakey
• Intestinal Clamps• Allens- SB• Suction poole• LTF FT- SB
• Blade holder 3, 4, 7• Metz (long& short)• Scissors (long& short)• Needle book• Cautery pencil• Long cautery tip• ROS• NOS• Cherries• Cotton pledget• Lap Pack –SB• Square pack- SB
Supplies:• Blade 10, 15, 20• Asepto syringe• Silk 0, 2.0, 3.0
84
SKIN GRAFTING
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Baby Richardsons• Baby Army Navy
• Schnidts• Dermatome• Dermatome blade• Mesh (plastic)• Clip applicator
• ROS• NOS• Cherries• Cotton pledget• Skin prep set
Supplies:• Clip cartridge
Prepare:• Cart for dermatome• Low table for prep set
DR. AKOL- uses schnidts all the time
85
TAHBSO• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Deavers• Malleables• Balfour - SB
• Kockers St• Kochers Crv• Schnidts• Mixter ft• Allis long• Hysters• Babcock• Heany Clamps• Heany Needle Holder• LTF w/ teeth - SB
• Blade holder 3,
4• Metz (long & short)• Mayo Scissors• Plastic needle holder• Cautery Pencil• Long Cautery Tip• Needle Book
• ROS• NOS• Cherries• Cotton pledget• Specimen container• Sterile plastic• Lap Pack (2)• Square pack- SB• Spinal/epidural Set• OR light handle
Supplies:• PNSS 1L (3)• Blade 10, 20• Vicryl 0 (3)
• Vicryl 2.0 (1)• Monocryl 4.0 (1)• Silk 2.0• FBC to UDB• Yankauer (dispo)• Extra gloves 6& 6 ½• Medipore
Prepare:• Warm wash• Moisten all sutures and Lap packs
DR. CORONEL- moisten all sutures- prepare 18 allises of same length
DR. NAVORA- plain 3.0/ 4.0 on mosquito server
TENCHOFF CATHETER INSERTION, PEG • MGP
86
• Kidney Basin• Bowls• Picking forceps• Simple set
• Skin hook• Hives• Regular army navy• Deaver
• Debakey• Mixter ft
• Blade holder 3• Metz• Suture scissors• Long needle holder• Needle book
• NOS• Cherries• Cotton pledget• Specimen container• Anesthesia mask
Supplies:• Catheter guide• Silk 2.0/ 3.0 strands
Prepare:• Stick ties
87
THYROIDECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Thyroid set
• Baby Richardson• Regular Richardson• Baby Army Navy – SB
• Babcock• Debakey• Allis• Schnidts• Mixters FT• Mixters blunt – SB• Tonsil w/ peanut• Frazier Tip - SB
• Blade holder 3 (2)• Metz• Suture scissors• Cautery pencil• Needle book with cutting needles
• NOS• ROS
• Cherries• Cotton pledget• Specimen container• Square pack (2)• Peanut• Anesthesia mask• OR light handle
Supplies:• Blade 10, 15• Silk 2.0/ 3.0• Penrose drain• Leukoplast• Connecting Tube - SB
Prepare:• Roll for pt’s nape• Donuts• Stick ties• Silk 2.0 on cutting needle
DR. T. CHUA- has his own instruments- open mixter blunt- avoid jostling him!
DR. S. RAMA- (6) silk strands on cutting for anchor
88
TONSILLECTOMY, BILATERAL
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Mouth gag• Tongue depressor• Frazier tip• ENT light source cord• Tonsil-SB• Debakey- SB
• Sharps-SB• Cautery pencil• Long cautery tip
Harmonic cases:• Harmonic ace• Harmonic scalpel
• ROS• NOS• Cherries• Peanut• Cotton pledget• Wooden tongue depressor• Specimen container• Sterile plastic
Supplies:• Bactidol• Asepto syringe
DR. R. CRUZ-has his own instruments
89
TRACHEOSTOMY
• MGP• Kidney Basin• Bowls• Picking forceps• Tracheostomy Set
• Skinhook (2)• Hives (2)• Tracheal Dilator- SB• Weitlaner- SB
• Debakey• Mixter FT- SB• Tonsil w/ peanut – SB• Frazier Tip – SB
• Blade holder 15• Metz• Suture Scissors• Needle book• Cautery pencil- SB
• NOS• Cherries• Cotton pledget• Specimen container• Anesthesia mask
Supplies:• Blade 15• 10 cc syringe(2)• KY jelly• Connecting tube• Suction catheter
90
TRANSLUMBAR INTERBODY FUSION
• MGP• CLP/ Ortho pack• Kidney Basin• Bowls• Picking forceps (2)• Mayo tray• Major set
• Gelpi• Weitlaner• Regular Richardson• Baby Richardson
• Pen field• Periosteal• Bone curette• Kochers straight• Cobbs• Ronguer curve• Ronguer straight• Kemison• Pin cutter• Pituitary curve• Pituitary straight
• LTF with teeth• Frazier tip• Mallet• New laminectomy set• Craniotomy drill• Laminectomy spreader• Dr’s preference and sets of instruments
• Blade holder 3, 7• Metz• Suture scissor• Cautery pencil• Bipolar cautery pencil
• ROS• NOS• Cherries• Prep set• Anesthesia mask• OR light handle
Supplies:• Blade 10, 15• Ioban• Asepto syringe• Connecting tube
91
TUBE GASTROSTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Baby Richardson• Regular Richardson• Deaver-SB• Malleables- SB
• Babcock• Schnidts• Kochers curve• Kochers straight• Debakey (long)• Mixter ft- SB• Mixter blunt- SB• Tonsil-SB• Allis- SB• Suction poole with guard
• Blade holder 3, 4 & 7
• Metz long& short• Scissors• Needle book• Cautery pencil• Long Cautery tip- SB
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap pack• Square pack• Specimen cup• Gas up staples• Anesthesia mask• OR light handle
Supplies:• Blade 10, 15• Connecting tube• Mushroom tube G30• Silk 2.0 ATR on round (2)• Prolene 0 (2)• Silk 3.0 strands• Stapler
92
URETEROLITHOTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Regular Richardsons• Deavers• Malleables• Regular Harrington- SB• Baby Harrington- SB
• Kochers straight• Kochers curve• Allis• Schnidts• Mixters ft• Mixter blunt- SB• Babcock• Hysters• Major Vascular Clamp – SB• Tonsil• Debakey
• Identiloop• Russian – SB• Randalls – SB• Yankauer (metal)
• Blade holder 3, 4, 7• Metz (long & short)• Scissors (long & short)• Cautery pencil• Long Cautery Tip• Needle book
• ROS• NOS• Cherries• Cotton pledget• Peanut• Lap Pack – SB• Square pack – SB• Skin Prep Set• Anesthesia mask• OR light handle
Prepare:• Doctor’s Instrument• Soaking pan
93
VAGINAL MYOMECTOMY/VAGINAL HYSTERECTOMY
• MGP• CLP/ Cranio pack• Kidney Basin• Bowls• Picking forceps• Mayo tray (2)• Major set
• Regular Richardson• Right angle retractor• Heavy retractor• Sim’s retractor• Deavers
• Kochers straight• Kochers curve• Allis• Hysters• Babcock• Heany Clamps• Heany Needle Holder• Schnidts• Tenaculum – SB• Hegar’s – SB• Mixter Ft – SB• LFT FT – SB
• LTF w/ teeth – SB
• Blade holder 3,4• Metz• Suture scissors• Mayo scissors• Cautery pencil
• Long cautery tip• Needle book
• ROS• NOS• Cherries• Cotton pledget• Lap Pack – SB• Extra tray cover• Spinal/epidural Set
Supplies:• Blade 10, 20• Vicryl 0• Yankauer dispo
Prepare:• Big yellow plastic• Stirrups• 2 low chairs
94
VARICOCOELECTOMY
• MGP• CLP• Kidney Basin• Bowls• Picking forceps• Mayo tray• Major set
• Baby Richardson• Regular Richardson• Baby Army Navy - SB
• Babcock• Debakey• Allis• Mixter FT• Mixters blunt – SB• Tonsil w/ peanut – SB• Schnidts- SB
• Blade holder 3 (2)• Metz
• Suture scissors• Needle Book• Cautery pencil
• NOS• ROS• Cherries• Cotton pledget• Specimen Cup• Spinal/Epidural Set• OR light handle
Supplies:• Blade 10, 15
95
VP SHUNTING/ REVISION
• MGP• CLP/ Cranio pack• Lap sheet• Kidney Basin• Bowls• Picking forceps• Mayo tray• Cranio set• Basic cranio
• Kochers straight• Shunt passer
• Blade holder 3 (2)• Metz• Suture scissors• Cautery pencil• Bipolar cautery• Needle book
• ROS• NOS• Cherries• Cottonoids• Cotton balls
• Rubber bands• 4 towels• Prep set (2)• Anesthesia mask• OR light handle• Sterilium• Alcohol
Supplies:• Asepto syringe• Connecting tube• VP shunt• Silk 2.0 strands• Silk 3.0, silk 4.0 ATR• Prolene 2.0• Vicryl 2.0
Prepare:• Stick ties
DR. VERGARA- prepare alcohol on basin- keep tables far away from each other- sides of the tables are considered unsterile- keep distance!
96
WIDE RESECTION OF TUMOR
• MGP• CLP• Kidney Basin• Bowls• Picking forceps (2)• Mayo tray (2)• Major set
• Baby Richardson• Regular Richardson• Deaver- SB
• Schnidts• Mixter FT• Kochers straight• Kochers curve• Liga clip (blue& white)• Periosteal-SB• Cobbs-SB• Ronguer- SB• Suction poole-SB
• Blade holder 3& 4• Metz• Scissors• Mayo scissors• Needle book
• Cautery pencil
• ROS• NOS• Cherries• Cotton pledget• Square pack• Lap pack• Specimen cups• Prep set• Anesthesia mask• OR light handle
Supplies:• Blade 10 & 20• PNSS 1L (3)• Silk strands 0, 2.0, 3.0• Hydrogen peroxide• Connecting tube/ yankauer disposable• Asepto syringe
Prepare:• Silk strand on round for stay suture• Silk strand on round for ligation• Stick ties• Ortho pillows
97
Prepare the following for every case:
PillowChairs
IV stand2 arm boards
Bed Drapes w/ lifterHamper with plastic and cover
2 kick buckets w/ 2 small plasticsYellow plastic for basin holder
98
Notes
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