Facial Excisional Biopsy
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- Dr. Brown:
- Gown – XL, XL Length
- Gloves – 8 Indicator glove, 7.5 Nonlatex gloves
- Dr. Chandler:
- Gown – L
- Gloves – 5.5, 6.0 if 5.5 unavailable
- Sean Kirby PA-C:
- Gown – XL
- Gloves – 7.5 Indicator Glove, 7 Nonlatex glove
- Pre-operative Medications
- Night before:
- Scopolamine patch placed behind ear
- Shower with Hibiclens for couple days before surgery 4% topical chlorhexidine soap.
- In pre-op holding ~1 hour before surgery:
- Tylenol 975mg PO x1
- Gabapentin 600mg PO x1
- Celebrex 400mg PO x1
- Night before:
- Intra-operative Medications
- Ancef 2 grams IV (ok if allergic to Penicillins). Vancomycin 1g IV (if allergic to Ancef).
- Infiltration Solution (PHARMACY TO PREPARE, IN PRE-OP ORDERS)
- NS or LR 500 mL
- Ropivicaine (Naropin) 300mg
- Clonidine 0.3mg
- Dexamethasone 4mg
- Post-operative Medications (Prescribed pre-op)
- Tylenol 650mg PO q6 hours scheduled
- Methocarbamol 1500mg PO q6 hours scheduled
- Gabapentin 300mg PO PO q6 hours scheduled (if not too expensive)
- Cephalexin 500mg PO q6 hours scheduled for 4 doses starting after surgery
- Celebrex 200mg PO BID scheduled (if not too expensive)
- Pericolace 1 tab PO BID scheduled
- Phenergan 25mg PO q8 hours PRN nausea
- Oxycodone 5mg tabs, 1-3 tabs PO q4 hours PRN pain
- Ibuprofen 600mg PO q6 hours scheduled, starting 48 hours after surgery
- Refresh tears
- Refresh PM ointment
- Anesthesia
- Anesthesia choice
- Patient Position
- Supine, turn bed 90 degrees
- Bed Attachments
- Arm boards, Ulnar nerve pads, Kerlex OR Tuck Arms
- Patient Warming
- Blanketrol, Arctic Sun, or underbody warmer
- IV fluid warmer
- DVT Prophylaxis
- Bilateral SCDs in OR. ON and working BEFORE induction of anesthesia.
- Foley Catheter
- No
- Instrument Sets
- Face
- Surgical Packs
- Face
- Surgical Prep
- 5% Betadine for face
- Irrigation Solutions
- Warmed Normal Saline
- Sterile water in basin for washing instruments
- Standard irrigation solution (PHARMACY TO PREPARE, IN PRE-OP ORDER SET)
- NS 1L
- Ancef 2g
- Gentamicin 160mg
- Betadine Paint (10% Povidone-Iodine) 100mL
- Blades
- 11 x 2
- 10 x 2
- Bovie
- Colorado tip
- 20/20 pure and fulgurate
- Suture Available
- 4-0 Monocryl Large cutting x2
- 5-0 Monocryl Large Cutting x2
- 5-0 Fast Gut Large cutting x2
- 6-0 Fast Gut Large cutting x2
- 5-0 Nylon Large Cutting x2
- 6-0 Nylon Large Cutting x2
- Drains
- None
- Additional Supplies
- Marking pen x 4
- Paper Ruler
- Dressing
- Bacitractin
- BSS eye irrigation or any Eye saline solution
- Refresh PM eye ointment or Erythromycin ophthalmic
- Xeroform
- Kerlex or 1 inch Cling wrap
- 4″ Coban x2
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