Debridement Hand/Arm

GLOVES: 6.5 Micro Indicator/6.5 Micro
Anesthesia: General
PREP: Hibiclens.
POSITION: SUPINE, Patient on Stretcher or his own hospital bed, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Extremity Drape, Sitting Stools,
MEDICATIONS: 0.9% NACL IRRIGATION 3L
0.25% BUPIVACAINE W/EPI 1:200,000
INSTRUMENTS: Lead Hand or Tupper Hand Retractor (do not open), Hand Kit (Curved Littler Scissors, Ragnel, Mosquitos), Debridement Set (Rongours, and Curettes)
EQUIPMENT: Tourniquet
SUPPLIES:
HALF SHEET
Suction
CULTURE TUBE and Swabs
CYSTO IRRIGATING SET with 3L 0.9% NaCL
Extremity Drape
Ray-Tech
Surgical Laps
LIGHT HANDLE COVER
15 BLADE (3)
10CC SYRINGE (1)
25 GAUGE HYPO (1)
Plastic BASIN LARGE SINGLE
BIPOLAR CORD
BOVIE with protected tip
TOURNIQUET 18”
4” ESMARK (OPEN, STERILE)
4” WEBRIL (UNDER TOURNIQUET)
¼ inch iodoform packing strip
SUTURES: 4-0 NYLON P-C 3 (Dot not Open)
DRESSINGS: ADAPTIC or Xeroform, WET 4X4, DRY 4X4, 4″ WEBRIL or 4″ cast padding, 4″ plaster roll, 3″/4″ ACE WRAP, SLING (IF BLOCKED), 2″ Coban, 4″ Kerlex, Finger Tube Gauze (For Fingers)
NOTES: BIPOLAR 15, BOVIE with protected tip