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