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Humeral Shaft ORIF Case Card

Surgeon: Procedure: ORIF Humerus
Gloves: 9W/ 8.5 W Position: ask surgeon; prone / lateral / supine
Prep: alcohol then chloraprep
Drapes: Shoulder Pack
Meds: 1% lido c 1:100,000 epi pre procedure
                        INSTRUMENTS                     STERILE SUPPLIES
Basic Ortho Shoulder Pack
Shoulder Retractor Set #15 Blade x 2
Stryker 4200 chloraprep
Synthes small fragment set (HA) mayo cover
Broad 4.5mm locking plates 20cc syringe
Synthes large fragment instruments 25g needle
Synthes large fragment screws Sterile 18" tourniquet
1/2 sheet
ioban
needle tip bovie
1015 drape(U-drape)
C-arm drape
SUTURES
EQUIPMENT
 #2 orthocord (HA) IV pole
4-0 Biosyn C-13 xtra mayo stand
0 vicryl pop-offs C-arm
Free taper needles ESU 30/30
DRESSINGS
SCDs
Mastisol             1/2" Steristrips    
4x4  ABD x 2 Foam Tape
Ultra Sling
 

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