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CHONG HUA HOSPITALOPERATING ROOM GUIDE

Version 2 - 2014

1

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

6

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

7

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

8

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

9

CRANIOTOMY SET

Towel clips 6Mosquito Forceps Curved 24Mosquito Forceps Straight 24Kelly Forceps Curved 6Allis Forceps 1Needle Holder 1Tracheal Dilator 2

10

D&C SET

Hysterometer 1Ovum 1Uterine Forceps 2Uterine Curettes Blunt 3Uterine Curettes Sharp 8Heavy Retractor 1Sponges bowl, small 1

11

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

12

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

13

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

14

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

15

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

16

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

19

APPLICATION OF EXTERNAL FIXATOR


• 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

22

ARTHROSCOPY- PARTIAL MENISECTOMY, ACL RECONSTRUCTION


• 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

23

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

24

AV SHUNT REMOVAL

• MGP• Kidney Basin• Bowls• Picking forceps• Minor set

• Skin hooks• Hives• Metz• Suture scissors• BH#3• Needle book


Supplies:• Blade 15

25

BILATERAL INGUINAL HERNIOTOMY/ HERNIORRHAPHY


• 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

26

BILATERAL TUBAL LIGATION


• 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

27

BILIARY SURGERY


• 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

28

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

29

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

31

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

32

CARPAL TUNNEL RELEASE/ RELEASE OF TRIGGER FINGER


• 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


DR. MORALES- prepare pneumatic tourniquet- esmarch rubber

33

CAUTERIZATION OF GENITAL NODE BIOPSY


• 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


34

CAUTERIZATION OF WARTS


• 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

35

CHANGE OF SUBCLAVIAN CATHETER


• Skin hooks• Hives

• Blade holder#3 (2)• Metz• Suture scissors• Needle book- SB• Doctor’s instruments


Supplies:• Blade 15& 11• Silk strands as stick ties

36

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

37

• Contrast media

CIRCUMCISION


• 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

38

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)

39

CLOSE REDUCTION PERCUTANEOUS PINNING


• 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

40

COLON SURGERY


• 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

41

COLOSTOMY or GASTROSTOMY or CLOSURE OF COLOSTOMY


• 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

42

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

43

CTT


• 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

44

CYSTECTOMY, ILEAL CONDUIT


• 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

45

CYSTOLITHOTOMY


• 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

46

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)

47

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

48

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


• 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

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


• 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


• 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


• 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


• 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

64

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


• 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

68

NECK EXPLORATION


• 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


• 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


• Baby Richardsons• Regular Richardsons• Baby Army Navy - SB

• Babcock• Debakey• Allis• Mixter FT• Mixters blunt – SB• Tonsil- SB• Schnidts– SB


• 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


• 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



• 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


• 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


• 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


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


• 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



• 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


• 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


• 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


• 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


• 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


• 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


• Baby Richardson• Regular Richardson• Baby Army Navy - SB

• Babcock• Debakey• Allis• Mixter FT• Mixters blunt – SB• Tonsil w/ peanut – SB• Schnidts- SB


• 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

99

or bible

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