Gown – XL, XL Length

Gloves – 8 Indicator Glove, 7.5 Biogel Glove

Gown – L

Gloves – 5.5, 6.0 if 5.5 unavailable

Gown – XL

Gloves – 7.5 Indicator Glove, 7 Nonlatex Glove

None

Ancef 2 grams IV or Vancomycin 1g IV to be administered in pre-op prior to procedure

Infiltration Solution (PHARMACY TO PREPARE, IN PRE-OP ORDERS):

Supine

The bed must be able to rotate 90 degrees

One pillow under patient’s knees

Foam pad wrapped around patient’s heel

Arm boards with purple pads underneath arms and then wrap the arms in Kerlix

Blanketrol, Arctic Sun, or underbody warmer

IV fluid warmer

Sterile fluid warmer with 2L of Normal Saline

Bilateral SCDs in OR. ON and working BEFORE induction of anesthesia.

No

Face Set

Will need insulated desmarres retractor, freer, single hook, fine adson, tenotomy scissor

Face Pack

Iodine Solution 5% – approximately 100mL

Warmed Normal Saline (as mentioned in patient warming)

1L sterile water in basin for washing instruments

Iodine/Antibiotic Solution:

Medium Suction with Yankeur tip

15 x 3

Short Protected Colorado tip  x 1

Set at coagulate 15 fulgurate /  cut 15 pure

None

Marking pen x 6

Paper Ruler x 2 

Plastic Eyeshields x 2

Erythromycin Ointment for the eyeshields

BSS (Balance saline solution) or saline solution to wash eyes at the end of the case

IF AWAKE – will need Tetracaine eyedrops prior to placement of eye shields

None