Equipment/Carts
Where is the VLOC suture kept? What is it and what is it used for?
HPB/Colorectal Cart - It is a barbed suture, commonly used for distal pancreatectomies.
How many pieces is the Thompson Farley?
Old: 52, New: 42
If a radioactive seed is found, following the emergency protocol, where is the radioactive seed transported to?
Radiopharmacy/Nuclear Medicine
What is a pheochromocytoma? What is the main symptom of these patients?
A pheochromocytoma is a tumor in the adrenal gland. It causes the gland to make too much epinephrine and norepinephrine. The main symptom is hypertension.
If your kidney recipient has received a kidney from a cadaver, where does the Transplant Tracking Form go?
TFN - Purple Folder
What is the RFA? Where can you find the RFA and probes? How many pads are required to put on the patient for use?
Radiofrequency Ablation Unit - 1st Floor Core - 4 pads are required.
What is the pump called used in HIPEC procedures?
Belmont Pump
True or False: The time on the Radioactive Seed Tracking form is the time the specimen was devitalized.
False. The time indicates when the surgeon verified the seed.
What is the "back up bed" for adrenal procedures?
Amsco 4085/3085 with bean bag, suction tubing, 1/3 green gel pad, and pillows x 4.
True or False: Organs removed for donation must be listed under the Specimen Section as EXPLANTED ORGAN TISSUE.
True.
What is the TEMS machine?
The TEMS (Transanal Endoscopic Microsurgery) is a combination pump/insufflator and suction machine that offers a minimally invasive solution for the excision of certain rectal polyps and early stage rectal cancers.
What is the Pringles Maneuver?
A technique to minimize blood loss during hepatic surgery.
1st Technique: Surgeon isolates porta hepatis with thoracic lahey, uses a 1/4' penrose and secures with Kelly and then uses a vascular clamp.
2nd Technique: Surgeon uses the Rummel hook, umbilical tape, a hemostat, and a 5' section of a Rob Nel catheter.
What are the C-Trak settings (isotope and range) for a sentinel node and radioactive seed?
Sentinel Node: Tc-99, x1
Radioactive Seed: User Isotope, x100
What staplers are used in a side to side anastomosis? End to end anastomosis?
TLC/NTLC75 and TX60B, CDH
What is a CRT? How many leads are used and where are they placed.
Cardiac Resynchronization Device - 3 leads placed in the right atrium, right ventricle and left ventricle.
What is the technical name of the "big liver clamp? Where is it kept?
Forceps Liver Masterson Schwartz - HPB/Colorectal Cart
Name the 5 required PPE during infusion of chemotherapy agents in a HIPEC procedure.
1. Impervious Gown
2. Disposable shoe covers
3. Eye protection
4. Chemo approved gloves (scrub) or nitrile gloves (circulating)
5. High Filtration Surgical or N95 Mask
If using a BLACK EndoGIA stapler load, what size port do will you need? Where can this port be found?
15mm port - found in the core or Thoracic Cart
What approximate percentage drop in PTH would mean the affected parathyroid gland has been successfully removed?
50%
In pacemakers, what are the two main approaches?
Transvenous (percutaneous and cut down) and Epicardial.
What is argon gas used for? Where is the argon cautery machine kept? Where is the handpiece kept?
Argon gas can be used as an alternative to cauterization or using a laser to stop internal bleeding. The argon cautery machine is kept in the positioning area on the 1st floor. The handpiece is kept on the HPB/Colorectal cart.
Name the anastomosis sites for a Whipples Procedure.
Stomach to Jejunum (Gastrojejunostomy), Common Bile Duct to Jejunum (Choledochojejunostomy), Pancreas to Jejunum (Pancreaticojejunostomy).
Where can you find replacement lightbulbs for your rigid sigmoidoscope?
HPB/Colorectal Cart
What parts of the rigid sigmoidoscope are to be sent to MDRD? What parts are wiped down and sent back to the core? What parts are disposable?
MDRD - Fiberoptic cable and light source, handle with light head
Core - Wall plug
Disposable - Bellow, obturator and cannula
If the superior vena cava is torn during a pacemaker procedure, what emergency item would you use to occlude the tear? Where can you find this item?
Bridge Occlusion Balloon - Pacemaker Cart