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Laser Lead Todo List v3 (last revised 09/07/23 ZR)
Laser Lead Todo List v3  
 
The following is a non-exhaustive to-do list that should be completed ahead of any Laser Lead Extraction set to be done in Lab 14, the Hybrid OR.  
The following is a non-exhaustive to-do list that should be completed ahead of any Laser Lead Extraction set to be done in Lab 14, the Hybrid OR.  




*'''<big>PRE-PULL LIST from lab 4 or 5 pyxis onto scrub table for transport - to ease use on Auxiliary cart</big>'''
 
*'''<big>PRE-PULL LIST from lab 4 or 5 pyxis onto scrub table for transport</big>'''
*EP Pack, PPM Pack, instrument tray
*EP Pack, PPM Pack, instrument tray
*Hovermat, chucks, Sheet, Irrisept, Rad Pad
*Hovermat, chucks, Sheet, Irrisept, Rad Pad
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*96" ultrasound sleeve + gel
*96" ultrasound sleeve + gel
*2x locking 8f
*2x locking 8f
*2 packs of RIS tubing (2 per pack)
*4x ACT lines
*2 stopcocks
*6 medium tegaderms
*6 medium tegaderms
*orange xtra stiff amplatzer .032
*orange xtra stiff amplatzer .032
Line 39: Line 40:


*'''<big>TODO LIST</big>'''
*'''<big>TODO LIST</big>'''
*Get SCD (Machine from PACU? disposable sleeve from anesthesia tech)
*Call Anesthesia Tech and ensure TEE + appropriate probe are in lab 14, plug in display cable (displayport to DVI) from TEE to 4in1 on wall behind storage carts
*Call Anesthesia Tech and ensure TEE + appropriate probe are in lab 14, plug in display cable (displayport to DVI) from TEE to 4in1 on wall behind storage carts
*Load Staff + Physician Lead & Glasses onto scrub table for transport
*Load Staff + Physician Lead & Glasses onto scrub table for transport
*Load ACT machine, cuvettes, dry erase pen, lidocaine bottle opener onto scrub table for transport
*Dry erase pen, lidocaine bottle opener into hanging ziploc in LLE cart
*Pre-pull gear from EP 4 or 5 for case:
*Pre-pull gear from EP 4 or 5 for case:
*Put Temp Pacing Box on scrub table (JSN + cut quad cable + adaptor are already on aux cart)
*Put Temp Pacing Box on scrub table - make sure you have a JSN, adapter cable (can be nonsterile), and a male quad cable with 2 of the 4 pins stripped (must be sterile)
*Bring VGA cable from foot of bed in lab 4 or 5 for rep programmer, plug into 4in1 equipment boom
*Bring VGA cable from foot of bed in lab 4 or 5 for rep programmer, plug into 4in1 equipment boom
*Check OR14 for surgicount + its pole/holster
*Check OR14 for surgicount + its pole/holster
*Check OR 14 for Anesthesia lead shield, bring Nursing lead shiheld with pt info
*Check OR 14 for Anesthesia lead shield, bring Nursing lead shield with pt info
*Bring Main Laser Lead Cart and put in position
*Bring Main Laser Lead Cart and put in position
*Bring Aux Laser Lead Cart and put in position
*Bring Laser and put in position, plug into port on boom across room, calibrate
*Bring Laser and put in position, plug into port on boom across room, calibrate
*Set Anesthesia shield in place before moving Xray arm into position
*Set Anesthesia shield in place before moving Xray arm into position
*Set Xray arm in position before patient is in the room (30 deg - option 6)
*Set Xray arm in position before patient is in the room (10 deg rotation)
*Set Neptune in position
*Set Neptune in position
*Set Venue in position
*Set Venue in position
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*Xray controls + lead skirts to patient left table rail (if left sided extraction)
*Xray controls + lead skirts to patient left table rail (if left sided extraction)
*Select appropriate screen setup on xray controls: anesthesia vitals + McK + xray live + xray review)
*Select appropriate screen setup on xray controls: anesthesia vitals + McK + xray live + xray review)
*Lookup Laser Sheath sizes
*[https://www.usa.philips.com/healthcare/education-resources/lead-lookup Lookup Laser Sheath Sizes] (Tightrail size = GlideLight size minus 1)
*Blood slip (found in auxiliary cart)
*Blood slip
*Blood into room (make sure to bring down with 2x facesheets)
*Blood into room (make sure to bring down with 2x facesheets)
*Make sure anesthesia has bags for KVO/KAO
*Make sure anesthesia has bags for KVO/KAO

Latest revision as of 22:45, 21 November 2024

Laser Lead Todo List v3

The following is a non-exhaustive to-do list that should be completed ahead of any Laser Lead Extraction set to be done in Lab 14, the Hybrid OR.


  • PRE-PULL LIST from lab 4 or 5 pyxis onto scrub table for transport
  • EP Pack, PPM Pack, instrument tray
  • Hovermat, chucks, Sheet, Irrisept, Rad Pad
  • Defib adaptor piece, XL split Defib pads (Silver and White, not Silver and Yellow - P-224-T1, not P-224-Z1)
  • Ground pads, EKG dots, Sp02, BP cuff, Bair Hugger
  • Foley
  • Gowns, Gloves
  • Chlorapreps
  • Raytex
  • Cardiac Split Drape
  • long ioban
  • 96" ultrasound sleeve + gel
  • 2x locking 8f
  • 4x ACT lines
  • 6 medium tegaderms
  • orange xtra stiff amplatzer .032
  • Green package ethilon suture
  • 2.0 pds, 3.0 monocryl, 4.0 monocryl
  • sorbact/telfa/medium teg, elastikon for pressure dressing
  • equipment for reimplant - sutures, sheaths, micropuncture
  • Tyrex? Bovie vs. Plasmablade?
  • Bring Table xray shields (OR14 usually has 1 set, should have both sides covered)
  • Bring surge protector for foot of bed
  • ECMO bare bones togo bag - first draft 2/7/22 ZR
  • ecmo instrument Tray
  • Straight Amplatz/7cm floppy tip X2
  • Dilators (V, A)
  • Cannulae (V, A)
  • Bulb Syringe
  • 0-proline/stopcock/micropuncture for woggle
  • 0-ethibond for cannula to skin


  • TODO LIST
  • Get SCD (Machine from PACU? disposable sleeve from anesthesia tech)
  • Call Anesthesia Tech and ensure TEE + appropriate probe are in lab 14, plug in display cable (displayport to DVI) from TEE to 4in1 on wall behind storage carts
  • Load Staff + Physician Lead & Glasses onto scrub table for transport
  • Dry erase pen, lidocaine bottle opener into hanging ziploc in LLE cart
  • Pre-pull gear from EP 4 or 5 for case:
  • Put Temp Pacing Box on scrub table - make sure you have a JSN, adapter cable (can be nonsterile), and a male quad cable with 2 of the 4 pins stripped (must be sterile)
  • Bring VGA cable from foot of bed in lab 4 or 5 for rep programmer, plug into 4in1 equipment boom
  • Check OR14 for surgicount + its pole/holster
  • Check OR 14 for Anesthesia lead shield, bring Nursing lead shield with pt info
  • Bring Main Laser Lead Cart and put in position
  • Bring Laser and put in position, plug into port on boom across room, calibrate
  • Set Anesthesia shield in place before moving Xray arm into position
  • Set Xray arm in position before patient is in the room (10 deg rotation)
  • Set Neptune in position
  • Set Venue in position
  • Set screens at foot of bed (move to patient right after groin access complete)
  • Set Defib + Bovie (or plasma) on foot of bed, plug in below table, bovie to 30/30
  • Xray controls + lead skirts to patient left table rail (if left sided extraction)
  • Select appropriate screen setup on xray controls: anesthesia vitals + McK + xray live + xray review)
  • Lookup Laser Sheath Sizes (Tightrail size = GlideLight size minus 1)
  • Blood slip
  • Blood into room (make sure to bring down with 2x facesheets)
  • Make sure anesthesia has bags for KVO/KAO