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INCISION AND DRAINAGE HAND or FINGER

CATEGORY

HAND

CASE NO.

711 INCISION AND DRAINAGE HAND OR FINGER

 

OPERATIVE TIME

30-45 MINUTES

USUAL LOCATION(S)

PRES MAIN - EMERGENCY CASE

FREQUENCY

10/YEAR

ASSISTANT

NO

ICD9 CODE:

681.00 FINGER INFECTION, 682.4 HAND INFECTION

CPT CODE(S):

 

 

ANESTHESIA NOTES

General, ETT or LMA on stretcher, antibiotics - ASK

PATIENT POSITION | SETUP

On stretcher (move OR table out), tube gauze 2" wide x cut 10" long under tourniquet, 1000 drape

TABLE POSITION

after intubation, turn table 90°

ROOM SETUP

Arm table, [2] pump-up chairs

 

EQUIPMENT

□Arm table

□tourniquet box set to 250 or 275 mmHg

□tourniquet single cuff 24"

□2" stockinette under tourniquet

□Orthoglass splint cart

SPECIALS

none

PREP

CHG prep set

DRAPING

Basic pack, mayo cover, [1] 3/4 sheet, [2] half sheets,

large impervious stockinette. Do Not Open Extremity Pack

CAUTERY

Regular Bovie cautery, 20/20 pure

SUCTION

yes with Frazier tip suction catheter, blue bulb syringe

 

SOLUTIONS | IRRIGATION

Kefzol irrigation, water. NO Pulse Lavage

NEEDLES | SYRINGES

1 ½" 25g needle, 10cc syringe, 20cc syringe, 14g angiocath,

[2] 16g angiocaths

LOCAL ANESTHETIC

0.5% Marcaine

MEDICATIONS

□Kefzol

□Bacitracin ointment 2 oz

 

SETS TO OPEN

Hand Plastic set

INSTRUMENTS USED (ON MAYO STAND)

     FORCEPS

Dissecting Adson, Smooth gold Adson

     SCISSORS

curved Stevens, straight Stevens

     NEEDLE HOLDERS

Webster

     RETRACTORS

Senn, Ragnell, Weitlaner, double skin hooks

     KNIFE | BLADES

[2] No. 15

     OTHER

Lead hand

 

STERILE SUPPLIES

□4" Esmarch bandage

□marking pen

□culturette for C+S gm stain

□1/4" penrose

□ 5fr pediatric feeding tube

SPONGES

Raytec 4x4

NON-STERILE SUPPLIES

 

 

 

No

Type

SN

status

SUTURES 

[ 2 ]

4-0 Nylon PC3

 

 

 

 

 

 

 

 

 

DRAINS

1/4" penrose, 16g angiocaths

DRESSINGS

□Bacitracin oint

□3x3 Adaptic

□[2] 4x4sponges

□[3] Kerlix rolls

□[2] 4" Ace wraps

□3" Orthoglass splint (cart with sharp scissors and spray bottle)

 

POSTOPERATIVE

Pillow or blanket for under arm, admit to floor

NOTES

 

 

COMMENTS

 

DIAGRAM

 

DESCRIPTION

 

SEE ALSO, SAME AS

 

DATE MODIFIED

November 7, 2007




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