1) Sterile procedure for opening

2) Instruments

3) Organization

4) Secondary Pack

Revised 7/12/01

Start with a Sterile Pack

Notice the edges, pull top edge away from you first, then, pull nearest edge toward you.

Arrangement of Pack Upon Opening-silk ties are taped for organization-Large instruments are “strung”-all tips are protected with tubing-plungers are out of syringes for proper sterilization-Cotton Tips applicators are tied together-plugs are in an eppendorf tube with a gauze stopper

Instruments Required for Pack2 Muscle Needles 2 Skin Needles

1 Adson-Brown Forceps 1 Rat Tooth Forceps

2 Dumont #7 Forceps 2 Graefe Forceps

45 2x2 gauze 1 - 18 gauge needle

2 adapter tips 1 8” Trochar

4 Curved Mosquito clamps 1 Iris Scissor

1 Nursing Suture Scissor 20 Cotton Tip Applicator

1 Needle driver – scissor combination instrument

1 Straight Mosquito with tubing on ends for occluding

2 - 1cc syringes (used to flush catheters)

1 - 3cc syringe (used to draw up stock Saline for entire procedure)

10 plugs for catheters, stored in an eppendorf tube with gauze plug

8 pieces of 3-0 silk ties, cut to approximately 10”, this includes ties for muscle suture and will allow two procedures with both A.V. Lines

Arrangement of Instruments for Surgery-silk suture on muscle needle had been pre-swaged before autoclaving and is now ready to use-Instruments are in order of procedure from left to right-skin needles are wrapped in piece of gauze

Surgical Station-Betadine, Alcohol, 2x2 gauze, White Tape,

Super Glue, Antibiotic Ointment

Secondary Pack-Purpose, to have the minimal amount of sterile equipment so that only the tips of the instruments need to be dry sterilized-Notice the silk suture for the muscle are already pre-swaged-there are ties, plugs, syringes, 2x2’s-most importantly, a sterile trochar