General
General Oncology
Urology
Robotics
Resource Guide
Welcome to our service!
Here are a few tips and tricks to make it easier
for you.
CSL
Kathy Deal
615-579-2907
Suzanne Harris
615-394-7253
Manager
Sonja Walsh
2-4160
General
Surgery
Colorectal Surgery
Dr. Muldoon
Dr. Geiger
Dr. Cone
TIPS
They do not use the disposable bed cover provided in the kit.
Check VPIMS eORboard under comments for case notes.
There is a colorectal protocol in place for all patients; please see the
following page.
Bean bag used in robotic and laparoscopic case positioning with the
notch at the patient head.
COLORECTAL DIRTY BUCKETS
RIGHT COLECTOMY/ILEOCOLIC
Hemostat x 2
3-0 PDS SH x 2
7 inch debakey x 2
Green towel x 3
Needledriver x 2
GIA 75 stapler
Curved mayo scissor
GIA 75 reload x 1
Needlebook, small
Lap sponge x 1
LEFT COLECTOMY/SIGMOID/LAR
Hemostat
2-0 Keith prolene needle
Vanderbilt
Anvil- 25 or 29
Curved mayo scissors
Green towel x 3
Needle driver
Purse string clamp
Allis clamp x 3
General Surgery
Dr. Holzman
Doesn’t like cell phone use in his rooms
Dr. Sharp
Mixes his own local during MAC cases
Injects his own Lymphazurin/Isosulfan blue after anesthesia induction
HERNIA MESH--- SEE NEXT PAGE PICS
Dr. Brandon Williams, Dr. English, Dr. Pierce, Dr. Spann
Use “Endo I” for difficult angles
Will often help with their patient positioning
Dr. Williams tracks his staple loads on his dictation sheet and has
additional timeout questions
Dr. Poulose
HERNIA MESH
Bard soft 30 x 30
Ethion PVP
Gora BioA
Endo “I”
Mesh - Dr. Sharp
Surgical
Oncology
WHIPPLE Procedure
Specialized sutures on GGUR PMS suture caddies.
Have multiple pathology sheets available; multiple
frozen sections possible.
Dr. Idrees may occasionally use the CUSA .
The following picture will aid in counting Whipple
Pans I and II.
There are 13 box locks from Pan II in this picture.
The two long Allis clamps remain in Pan II. The
other box locks equal 13 from Pan I .
Whipple Pan I
13 instruments from box locks
in Whipple pan II
CUSA Machine
CUSA Pack 1
CUSA Pack 2
CUSA Pack 3
CUSA Pan
Pelvic Exenteration
If radioactive seeds are used, they are sewn into
a mesh.
Radiological oncology will need a small sterile field
with supplies (from a list they provide.)
Mesh for Rad Onc
HIPEC
Start in and stay in lithotomy in case of rectal
involvement.
Dr. Idrees doesn’t use the warming blanket or
machine.
Dr. Idrees will notify the circulator if chemotherapy
is needed; necessary instructions for disposal are
on the DPC.
BK Ultrasound
Argon
Aquamantys
Sump Drain - Dr. Idrees
Open Cases – Dr. Idrees
Ask Core staff
UROLOGY
Penile Prosthesis
Spray bottle with ½ betadine, ½ saline in field; sterile
peel packed in TVC core.
Stainless steel implant tray; blue wrapped in TVC core.
Must dwell with antibiotics in pre-op prior to entrance
to OR.
Nephrectomy
Partial- special mini “time out” prior to clamping
renal artery
 Please reinforce importance of focus to all in
room
 Turn off music
 Place signs on doors to limit traffic
 No breaks/lunches/relief during this time
 See DPC for full details
HOLEP
(Holmium laser enucleation of prostate)
Our staff will frequently finish these cases but just in
case…..
Have a Dornoch suction canister in room.
You may need two LOTS of fluids used here.
(i.e. 15-30 3L bags)
Percutaneous Nephrolithotomy (PERC)
Frequently start lateral or supine then flip prone
mid-case. This depends on whether the patient has a
nephrostomy tube.
NO brown gel rolls from OZ (unable to use
with radiology.)
Endo Uro Cart
The majority of urology specific supplies are on
this cart.
Laser fibers - sizes 200, 365, 550
Guide wires
Sensor wire
Dbl lumen catheters
Uro-lock adaptor
Used to connect cysto- tubing to scope
EndoUrology Cart
See inside door of cart for POU scanning and
item location.
Middle section of cart
Right section of cart
Stents - Sizes
Guide Wires
Sensor Wires
Dbl Lumen Catheters
Uro-lock Adaptor
Used to connect cysto-tubing to scope
Blue Light procedures only.
Turn scope on after plug wires in.
Laser
Robot Core Implant Cart
Cystoscopy/Ureteroscopy
Cysto tubing
Level One Fluid Warmer
Pressure bag during ureteroscopy; gravity
otherwise
Level One Fluid Warmer
Interstim Insertion/Removal
Check with Kathy Deal. She communicates with the
Medtronic rep (Kathy Kelley) to be present for these
cases.
Robotics
RALP
Robotic Prostatectomy)/Hysterectomy
Position is steep Trendelenburg for majority of
cases.
Use blue egg crate with attached arm holders/straps
to secure and pad patient.
Use large donut to pad face under drape as robot
arm may rest close to it.
Put urine and specimens on ice. Research will
take specimens when ready.
Robot is positioned between the patient’s legs
while in lithotomy position.
There is a steel guide you can place on the floor
to direct the robot.
Equipment
GGUR has a storage room located in the back East corner of the
OR behind OR 36. Stored there are:
 Level One Fluid Warmer
 Ultrasound
 Laser machines (20,80,100 watts)
 Keys are in the accu dose “keys”
 Lateral positioning tools
 Aquamantys
 GYRUS- lives on 4S and is used for GYN cases as
requested
 STORZ towers- not needed in 36,37,38,39 (built into
the boom along with CO2 canisters; otherwise they
are located across from OR 30.
 Slush machines
 Caiman