Hand Open Reduction & Internal Fixation and Percutaneous Pinning

GLOVES: 6.5 Micro Indicator/6.5 Micro
Anesthesia: by Choice
PREP: Hibclens
POSITION: SUPINE, Patient on Stretcher, Rolling Hand Table, Tourniquet with “10 x 10” around Tourniquet, Finger Tourniquet Available, Extremity Drape, Sitting Stools
MEDICATIONS: 0.9% NACL IRRIGATION 500 ML
1% LIDOCAINE if MAC and Local (Pre-Inject)
Otherwise 0.25 Marcaine or 0.5% Marcaine whichever is available at end of case.
INSTRUMENTS: Lead Hand or Tupper Universal Hand Holder, Hand Tray,
EQUIPMENT: Tourniquet, Mini-C arm (drape), Small Battery Driver, Pin Cutter, double ended k-wires. Stryker Hand Plating System (Do not open)
SUPPLIES:
HALF SHEET
Extremity Drape
Ray-Tech
LIGHT HANDLE COVER
15 BLADE (2)
10CC SYRINGE (1)
25 GAUGE HYPO (1)
BIPOLAR CORD
TOURNIQUET 18”
4” ESMARK (OPEN, STERILE)
SUTURES: Ask. Do Not Open. 4-0 Nylon, 3-0 Fiber Wire or 3.0 Fiber-Loop for Tendon if available, if not 3.0 Ethibond, 5.0 Chromatic, 4.0 Chromatic
DRESSINGS: ADAPTIC or Xeroform, WET 4X4, DRY 4X4, 4″ WEBRIL or 4″ Cast Padding , 3” or 4″ PLASTER, 3″/4″ ACE WRAP, SLING (IF BLOCKED)
NOTES: BIPOLAR 15, NO BOVIE, Micro-Instrument and GEM Clip Appliers and Microscope in case for vessel and nerve repairs (Do not open)