Surge 1010 Supplies

Basin

Filled with sterile water for soaking used instruments

Comes in sterile wrap and is designed to be opened on a ring stand

Graduated Pitcher

Filled with 1000 ml of warm saline for irrigation within and around wounds

Irrigation fluid is measured and reported to the anesthesiologist to help determine EBL

Small Bowl

Used on back table for a variety of reasons, specimens, dyes, sponge, or dressing organization

Even if empty, good to keep in case if a need arises

Kidney Basin

Extra bowl used at surge tech discretion

Recessed edge is often useful to catch spillover saline

Medicine Cup

Holds medications on back table

Drugs are poured from a medicine bottle into the medicine cup by the CN

Asepto Bulb Syringe

Filled with 120cc of saline and used for irrigation

May also be used to retrieve a “washing” specimen

Bulb Syringe

Filled with 60ml of saline and used to irrigate delicate or shallow structures such as in the nose, ears, hand etc

May also be used to retrieve a “washing” specimen

Bovie Pad

Applied to patients skin over a muscular, non bony, hair free surface by CN

Pad is single use, non sterile

Bovie Pencil

Supply/Cutting/occluding

Used to cut and cauterize tissue

Allows for interchangeable bovie tips

Bovie Tip

Supply/Cutting/occluding

Counted Individually

Inserted into the Bovie Pencil to allow cut/coagulation of tissue

Tip is considered a sharp and must be counted at the end of the case, removed and disposed of in sharps container

Bovie scratch pad

Counted individually

Used to clean char from bovie tips

Has an adhesive back to secure it to drapes near the op field or mayo

Needles Mattress

Stores and organizes used needles during the case

Keeps the needles safe from puncturing personnel or drapes

Laparotomy Sponge

5 pack

Used for cases where large amounts of blood are expected or in cases with a large incision

May be moistened with saline and used to pack the non operative viscera

Radiopaque band

Tail Sponge

5 pack

Used most often during vaginal hysterectomies to pack bowel away from uterus

Attached to clamp to prevent loss and moistened with saline to keep them from sticking to the bowel

Radiopaque band

Raytec Sponge

10 pack

Used for cases with small incisions, minimal blood loss

Must be folded and loaded on a sponge stick if used below the fascia layer in a large incision

Cottonoid Sponge

10 pack

Soaked in hemostatic agent (thrombin for nuerosurgery and cocaine for nasal surgery) then topically applied to tissue to constrict blood vessels and help control bleeding

Used to help remove fluid from around delicate tissue by moistening with saline and placing onto neural tissue, suction can then be applied against it without damage to underlying delicate tissue.

Tonsil Sponge

5 pack

Cotton filled gauze used during tonsillectomy to pack the bed after tonsil removal

Loaded and passed on a schnidt (tonsil clamp)

Kniter/Peanut

5 pack

Used for blunt dissection in small areas

These tiny sponges are always attached to a clamp when placed on the mayo stand

Come out of foam, go right back into foam

Radiopaque

Kittner: small roll of cotton tape

Peanut: Small gauge sponge

Rubber Shod

Counted individual

Used on hemostatic clamps to grasp suture strands without damaging them

Come in different colors for easy identification

Syringe

Used to draw up and administer medications or fluid

A needle twists into the hub of the slip tip/leuer lock syringe

Measured in milliliters

Commonly used sizes in the O.R

-1ml, 3ml,10ml,30ml,60ml

Hypodermic Needle

The needle twists into the hub of the slip tip/leuer lock syringe

Needles are numbered according to size in diameter

Light Condom/Handle

Used by sterile team members to adjust operative lights during surgery

Handles will be attached to spotlights and will be the only sterile place on the light that can be touched by sterile personnel

Marking pen, labels and ruler

Used for writing on skin, labeling medications or an other writing need

It is thrown away at the end of the case and a new one is used for the next case

Suction Tip

Supply/suctioning

Tips are attached to suction tubing to aid in removing fluid/plume from a wound

Come in a variety of sizes and shaped to adapt to various cavities

Yankauer for deep cavities

Frazier for narrow cavities

Used on most cases for suctioning things such as fluid, blood, smoke, etc

The end with the adapter is passed off to the nurse to plug into a canister . The other end is attached to a suction tip

3-way stopcock

Connector between two types of tubing and a syringe for measuring fluid amounts

A moveable valve shuts off one port at a time

Sterile towel

Counted individually if packed in wound

Come in packs of 2 or 4 in either blue, green or white are folded in a specific way for efficient opening

Can be disposable or non disposable