SEPTORHINOPLASTY FUNCTIONAL ENDOSCOPIC SINUS SURGERY

o CP Clearance o CP Clearance
o Anesthesia meds/needs o Blood
o Instruments o Anesthesia meds/needs
o Joseph knife o Instruments
o Septal scissors o Blakesly forceps
o Periosteal elevato,double sided o Duckbill forceps
o Calliper o 0 and 70 sinuscope
o Skin hook o Light source
o Iris scissors
o Grey cord (fiberoptic)
o Tenotomy curved
o Nasal cannula
o Adson forceps
o Suction tip
o Cotton pledget
o Bayonet forceps
o Nasal cannula
o Osteum seeker
o OR meds/needs
o OR meds/needs
o 3 - D5LR
o 4 – D5LRS
o 1 – IV catheter
o 3 – PNSS
o 1 – macroset
o 3 – gloves 6 ½ powdered
o 1 – IV catheter
o 3 – gloves 7 powdered o 1 – Macroset
o 1 – trimycin o 3 – gloves 6 ½ powdered
o 2 – blade 11 o 3 – gloves 7 powdered
o 2 – blade 12 o 1 – Merocel/nasal pack
o 4 – Lidocaine 2% polyamp (astra) o 1 – trimycin
o 2 - Epinephrine amp o 2 – blade 12
o 2 - nylon 5-0 round Neddle o 2 – tuberculin syringe
o 2 – CHROMIC 4-0, round needle o 1 – Lidocaine 2% carpule
o 2 - 10 cc syringe o 1 – Drixine nasal spray
o 2 – tuberculin syringe o 1 – cotton/ medicine glass
o 2 – specimen bottle / formalin
o XRAY/CT PLATES
o TV MONITOR/Camera
 RADICAL NECK DISSECTION
(LINGUAL CARCINOMA)
CHEILOPLASTY
o Vital signs prior to Or
o CP Clearance
o Consent
o Anesthesia meds/needs o CP clearance
o Instruments o Blood (5 units – FWB)
o Caliper o Anesthesia meds/ needs
o Blade holder (blade 11, 15) o ET tube
o Pre-op meds
o Tenotomy
o Inhalational Anesthesia
o Iris scissors
o Instruments
o Needle holder o Gigli
o Skin hook o Blade holder
o OR meds/needs o Alli forceps
o 3 – D5LRS/IMB o Metzembaum scissors
o Mayo scissors
o 3 – PNSS
o Hemostat
o 1 – IV catheter (G24/G22) o Army navy/ retractor
o 1 – Macroset/microset o Suction tip
o 3 – gloves 6 ½ powdered o Kelly forceps, straight and curve
o 3 – gloves 7 powdered o Vein retractor
o Major pack (3)
o 2 - Chromic 4-0 round needle 3.0
o OR meds/needs
o 2 - Silk 5-0 cutting needle
o 1 – tracheostomy tube
o 1 - Antibiotic ointment o 5 – D5LRS
o 2 - Lidocaine 2%polyamp o 3 – PNSS
o 1 - Epinephrine amp o 2 – IV catheter G18
o 2 – syringe 10cc o 2 – Macroset
o 2 – blood set
o 2 – needle g27
o 5 – gloves 6 ½ powdered
o 1 – tongue depressor
o 5 – gloves 7 powdered
o 1 – gentian violet o 4 – blade 10
o 4 – Lidocaine 2% polyamp
o 1 - Epinephrine amp
o 5 – syringe 10cc
o 5 - Chromic 3-0 round needle
o 5 - Chromic 3-0 cutting needle
o 5 – Silk 3-0 with cutting needle
o 5 – Silk 4-0 with cutting needle
o 5 – Silk 2-0 suture pack
 o 2 – Jackson Pratt
o 2 – NGT
o 2 – Antibiotic ointment
o 2 – Foley catheter F16
ORIF Tripod Fracture

o CP Clearance/Pedia clearance CALDWELL-LUC

o Blood o CP clearance/Pedia clearance
o Anesthesia meds/needs
o Blood
o Instruments
o Blade holder
o Anesthesia meds/needs
o Angle wider o Instruments
o Allis forceps o Army navy / retractor
o Metzembaum scissors o Blade holder (blade 10)
o Mayo scissors
o Periosteal elevator
o Periosteal elevator
o Towel clip o Mallet
o Micromotor and hand piece o Gouge/ chisel
o Bone curette o Kerrison forceps
o Needle holder
o Hemostat
o Hemostat
o Suction tip
o Antral curette
o Army navy/ retractor o Bone ronguer
o Skin retractor
o Zenn retractor o OR meds/needs
o OR meds/needs
o 2 – D5LR
o 2 – D5LR
o 1 – IV catheter o 1 – IV catheter
o 1 – Macroset o 1 – Macroset
o 3 – gloves 6 ½ powdered o 3 – gloves 6 ½ powdered
o 3 – gloves 7 powdered o 3 – gloves 7 powdered
o 2 – Blade 10
o 2 – Blade 15
o 2 – blade 10
o 1 – Lidocaine 2% o 1 – Lidocaine 2%
o 1 – Epinephrine amp o 1 – Epinephrine amp
o 2 – syringe 10cc o 2 – Syringe 10cc
o 2 – Chromic 3-0 round needle
o 2 – Chromic 3-0 round needle
o 2 – Chromic 4-0 round needle
o 2 – Silk 4-0 cutting needle o 2 – Foley catheter, 30 cc balloon
o 3 – Silk 4-0 suture pack
o 2 – Nylon 5-0 with cutting needle (10mm needle)
o 2- Foley Catheter F16 (15-30mL balloon)
 o 2 – Chromic 3-0 round needle
o 2 – Silk 4-0 cutting needle
o 1 – Gelfoam
o 1 – Antibiotic treatment
o 1 – bone wax

MASTOIDECTOMY
RADICAL NECK DISSECTION
o CP clearance/Pedia clearance
o CP clearance
o Blood
o Blood (4 units – FWB)
o Anesthesia meds/needs o Anesthesia meds/ needs
o Instruments o Instruments
o Blade holder (blade 10,11,15) o Blade holder
o Hemostat o Allis forceps
o Metzembaum scissors
o Suction tip
o Mayo scissors
o Periosteal elevator o Hemostat
o Ear retractor o Army navy/ retractor
o Micro motor with handle o Suction tip
o Kelly forceps, straight and curve
o Burrs (diamond and cutting)
o Vein retractor
o Suction tip (size2 and 4) o OR meds/needs
o Hartmann forceps o 5 – D5LRS
o Belucci scissors o 3 – PNSS
o Operating microscope o 2 – IV catheter
o 2 – Macroset
o Ear picks
o 2 – blood set
o Needle holder o 5 – gloves 6 ½ powdered
o OR meds/needs o 5 – gloves 7 powdered
o 2 - D5LRS o 2 – blade 10
o 1 – Lidocaine 2% polyamp
o 1 – IV cath
o 1 - Epinephrine amp
o 1 – Macroset o 2 – syringe 10cc
o 3 – gloves 6 ½ powdered o 2 - Chromic 3-0 round needle
o 3 – gloves 7 powdered o 2 - Chromic 3-0 cutting needle
o 2 – Blade 10,11,15 o 4 – Silk 4-0 with cutting needle
o 5 – Silk 1-0 suture pack
o 1 – Lidocaine 2%
o 1 – Hemovac
o 1 – Epinephrine amp o 2 – NGT
o 2 – syringe 10cc o 2 – Antibiotic ointment
 o 2 – Foley catheter F16 o 1- syringe 20cc
o 2- chromic 3-O round needle
o 2- silk 4-0 cutting needle (ethicon)
o 3- silk 4-0 suture pack
o 1- cigarette drain
o 1- arch bar/wire (G 26/28)
o Xray/CT plates
o Micromotor and hand piece
o Titanium plates
ORIF
Fracture, Mandible
TONSILLECTOMY
o CP Clearance
o Blood o CP Clearance
o Anesthesia meds/needs o Blood
o Instruments: o Anesthesia meds/needs
o Blade holder o Instruments
o Angle wider o McIvor mouth gag
o Allis forceps o Tongue depressor
o Metzembaum scissors
o Tonsil grasper
o Mayo scissors
o Blade holder
o Periosteal elevator
o Blade no.12
o Towel clip
o Bone curette o Hurd dissector
o Needle holder o Tonsil snare with wire
o Hemostat o Kelly forceps, long and curve
o Suction tip o Needle holder, long
o Army/navy retractor o Suction tip
o OR meds/needs o OR meds/needs
o 4- D5LRS o 4- D5LRS
o 1- IV cath o 1- IV cath
o 1- Macroset o 1- Macroset
o 5- Gloves 6 ½ o 4- Gloves 6 ½
o 5- gloves 7 o 4- gloves 7
o 2- blade no.10 o 2- blade no.12
o 4- Lidocaine 2% polyamp o 2- chromic 3-0 round needle
o 2- Epinephrine/amp o 1- drixine
o 2- Syringe 10cc o 1- ice pack
 o 2- specimen bottle/formalin o 2- Syringe 10cc
o Headlight o 2- chromic 3-O round needle
o 2- silk 4-0 cutting needle
o 4- silk 1-0 suture pack
o 3- silk 2-0 suture pack
o 1- foley catheter, fr. 16
o 1- urine bag
o 3- trimycine ointment
o 1- hemovac
o 3- NGT fr. 16

TOTAL LARYNGECTOMY

o CP Clearance PRE-AURICULAR SINUS TRACT EXCISION

o Blood (4units)
o CP Clearance (Pediatrics)
o Anesthesia meds/needs
o Anesthesia meds/needs
o Instruments:
o Instruments:
o Blade holder
o Blade holder
o Allis forceps
o Blade no. 15
o Metzembaum scissors
o Allis forceps
o Needle holder
o Lacrimal probe
o Hemostat
o Tenotomy scissors
o Kelly forceps, curve
o Hemostat
o Malleable
o Zen retractor
o Army/ navy retractor
o Suction tip
o OR meds/needs
o 4- D5LRS
o Adson
o 4- PNSS o Skin hook
o 2- IV cath G18 o Needle holder
o 1- Macroset o OR meds/needs:
o 1- blood set o 3- D5 IMB
o 6- Gloves 6 ½ powdered o 2- IV cath
o 6- gloves 7 powdered o 1- Microset
o 2- blade no.10 o 2- gloves 6 ½ powdered
o 4- Lidocaine 2% polyamp
o 3- gloves 7 powdered
o 2- Epinephrine/amp
 o 2- blade no. 15 o 3- D5LRS
o 1- Lidocaine 2% o 2- Macroset
o 1- Gentian violet o 2- Abbocath G18
o 1- Tuberculine syringe o 5- Gloves 6 ½ powdered
o 6- gloves 7 powdered
o 2- Nylon 5-0 with cutting needle
o 2- Chromic 3-0
o 4- silk 3-0 suture pack
o 4- silk 2-0 cutting needle
o 2- blade no. 10
o 4- Lidocaine 2% polyamp
o 2- Epinephrine amp
o 2- 10cc syringe
o 2- silk 2-0 suture pack
THYROIDECTOMY
o 1- cigarette drain
PAROTIDECTOMY
o CP Clearance/ Pedia Clearance
o Blood
o CP Clearance
o Anesthesia meds and needs
o Anesthesia meds/needs
o Instruments:
o Instruments:
o Army navy
o Army navy
o Needle holder
o Needle holder
o Blade holder
o Blade holder
o Blade no. 10
o Blade no. 10
o Hemostat
o Hemostat
o Tissue forceps
o Tissue forceps
o Metzembaum scissor
o Metzembaum scissors
o Mixter
o Rixter
o Kelly forceps
o Kelly forceps
o Peanuts
o OR meds and needs:
o Adson forceps
o 3- D5LRS
o Allis forceps
o 2- Macroset
o Skin hooks
o 2- Abbocath G18
o Asepto syringe
o 5- gloves 6 ½ powdered
o OR meds/needs:
 o 6- gloves 7 powdered
o 2- chromic 3-0
o 2- blade no. 10
o 1 – lidocaine polyamp
o 2- epinephrine amp
o 2- 10cc syringe
o 2- suture pack silk 2-0
o 1- cigarette drain
o 3- gloves 7 powdered
o 2- chromic 3-0 round needle
o 2- silk 5-0 cutting needle
o 1- antibiotic ointment
o 2- lidocaine 2% polyamp
o 1- epinephrine amp
o 2- 10 cc syringe
o 2- needle G27
o 1- tongue depressor
o 1- gentian violet

PALATOPLASTY

o Pedia-CP Clearance
o Anesthesia meds/needs
o Instruments:
o Caliper
o Blade holder
o Blade no. 11 and no. 15
o Tenotomy
o Iris scissors
o Needle holder
o Skin hook
o OR meds/needs
o 3- D5LRS/IMB
o 1- PNSS
o 1- IV cath G24/22
o 1- Macroset/microset
o 3- gloves 6 ½ powdered