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OR INSTRUMENTATION
Basic overview, instrumentation will may vary facility to facility depending on your providers preferences
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Stringer, the instruments are arranged on the stringer in the order counted by your facility for the opening count
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Blade handles are loaded by the scrub. Blade handles are sterilized and not disposed.
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Suction Poole, has multiple large openings so that it does not become occluded by tissue or clots.
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Richardsons have a right angle and can hold back multiple layers of tissue.
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Scissors
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Criles, curved forceps which clamp blood vessels or tissue before cauterization or ligation. Large number in case cart (often 12).
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Kellys are very similar to Criles, but larger and with teeth along the distal jaw, whereas Criles are typically smaller and have teeth along the entire jaw. Will see more Criles than Kellys, often 12 Criles, but only 2 Kellys
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Kochers are heavier forceps used to grasp larger tissues or occlude large vessels.
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Needle holders, they grasp the needles for suturing, loaded by scrub for handoff to surgeon.
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23. Allis Adair ratcheted tissue grasping instruments
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Teeth of Allis Adair
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27. Sponge sticks, scrub will fold sponges, load and hand to surgeons.
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Forceps, variety of sizes and teeth, multiple names (Russian, Boney, Ferris Smith.
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31. Bladder Retractor, retracts and protects the bladder from perforation.
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Babcocks have an opening, are non perforating and are ractched. Used to grip and hold tissue.
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Stirrups are inserted here (for D&Cs, vaginal births occurring in the OR, such as for twins.
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37. Rock the clamp into position
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Stirrup secure
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