Hongo LLE

Laser Lead Todo List v3 (last revised 11/27/2019 ZR) 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 - to ease use on Auxiliary cart
• Call James for a blue clamshell style stock box for organization
• EP Pack, PPM Pack, instrument tray
• Hovermat, Bear Hugger
• 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
• Gowns, Gloves
• Chlorapreps
• OR Towel packs
• Raytex
• Wand sleeve cover
• 2x locking 8f
• 1 pack of RIS tubing (2 per pack)
• 2 stopcocks
• 6 medium tegaderms
• orange xtra stiff amplatzer .032
• Green package ethilon suture
• 2.0 pds, 3.0 monocryl, 4.0 monocryl
• 0-Ethibonds for can, leads

• Call Anesthesia Tech and ensure TEE + appropriate probe are in lab 14, plug in
• Check: Tyrex?
• 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
• 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)
• Bring VGA cable from foot of bed in lab 4 or 5 for rep programmer, plug into 4in1 equipment boom
• Bring surgicount + its pole/holster
• Bring 2x lead shields: Anesthesia, and Nursing with pt info
• 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
• 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 Neptune in position
• Set Venue in position
• Set screens at foot of bed (move to patient right after groin access complete)
• Set Defib + Bovie 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)
• Find Light/Camera handle covers (either back of 14, or OR sterile core)
• Lookup patient weight – Hovermat Y/N
• Lookup Laser Sheath sizes
• Blood slip (found in auxiliary cart)
• Blood into room (make sure to bring down with 2x facesheets)
• Make sure anesthesia has bags for KVO/KAO