OB Set

4 Bob Cock 6 Tissue Forceps (3 With Teeth {1 Long And 2

Short} Teeth, 3 Without Teeth{1 Short And 2
10 Allis
Long})
6 Ochsner
2 Skin Retractor (Army Navy)
6 Curve Clamps
1 Bladder Retractor
6 Straight Clamps
2 Blade Holder #3 And #4
2 Needle Holders (Big
1 Kidney Bowl, Square Small Pan
6 Towel Clips
1 Big Square Pan
 Minor Set – 9 Sets

4 Bob Cock 3 Tissue Forceps (2 with Teeth, 1 without Teeth)

4 Allis 2 Skin Retractor
8 Straight Mosquito Clamps 1 Blade Holder
8 Curve Mosquito Clamps 1 Kidney Basin (Small)
2 Needle Holder (Small) 2 pcs Deaver
6 Towel Clips
 Major Set – 3 Sets (2set On Kidney Basin Big – 1 Set on Square Pan Big)
6 Allis 2 Lagenbeck Retractor (Big)
4 Bob Cock (Big) 2 Blade Holder #3 And # 4
6 Ochsner 1 Malleable (Optional)
6 Curved Clamps 2 Deaver
6 Straight Clamps 1 Kidney Basin (Big)
2 Needle Holder (Big) 2 Richardson
6 Towel Clips 1 C. Separation Big Pan
7 Tissue Forceps ( 4 Long {2 With Teeth and
Without Teeth}, 3 Shorts {2 With Teeth And
Note:
Without Teeth}, 4 With Teeth, And 3 Without Teeth
2 Sets Major with Malleable
2 Skin Retractor
1 Set Major Without Malleable (Condemned)
 Reliever Set – 2 Sets
4 Bob Cock
6 Ochsner
6 Allis
6 Curve Clamps
6 Straight Clamps
2 Needle Holder (Big)
6 Towel Clips
1 Square (Big) / C. Separation Pan
6 Tissue Forceps
-(4 Long {3 Without Teeth + 1 With Teeth})
-(2 Short { 1 Without Teeth + 1 With Teeth})
2 Skin Retractor
2 Double Ended (Big)
2 Blade Holder #3 And #4
1 Square Pan (Small)
 MINI SETS – 2 SET
4 TOWEL CLIPS
6 CURVE MOSQUITO/KELLY (optional)
4 STRAIGHT MOSQUITO / KELLY (optional)
1 NEEDLE HOLDER (small)
2 TISSUE FORCEPS (1 with teeth, 1 without)
2 SKIN RETRACTOR
1 BLADE HOLDER #3
1 SQUARE PAN (small)
 APPENDECTOMY

Misc. fee 2 pcs D. needle

RR fee 12 inch pouches 4 x 2 – army navy
20 pcs. Cherries 13 inch pouches 4 x 2 – mixter
4 pcs. 5 blade 6 inch pouches 4 x 2 – stockinet
4 pcs BS 20 inch pouches 12 x 1.5 – minor set
2 pcs cotton 2 – 0 1 pc. Foley catheter (if not brought by
100 lbs. 02 patient)
PULSE OXIMETER 1 pc urine bag (if not brought by patient)
SUCTIONING - Solutions:
CAUTERIZATION o Liquid soap – 100 cc
F. C. INSERTION o Zonrox – 100 cc
2 pcs. KY Jelly o Lysol – 100 cc
8 pcs. Gloves ( if not brought by patient) o 5.0 7.5% - 200 cc
2 bottles of NSS o 5.0 ____ 10% - 200 cc
Specimen Bottle
o CIDEX - 100cc
5 pcs syringes (if not brought by patient)
o Distilled water - 20 cc
1 yard plaster ( if not brought by patient)
5 pcs alcohol prep pads o Lidocaine - 5 cc
o Hydrogen peroxide - 200 cc
 >THINGS TO PREPARE <
MINOR SET ( STRAIGHT – 2 TF – 2)
( CURVE – 4 KH – 1)
(BOB COCK – 2 NH – 2)
ARMY NAVY
MIXTER
SUCTION MACHINE
SUCTION TIP
CAUTERY MACHINE
CAUTERY TIP
PREP BOWL WITH 10% BETADINE
ANESTHESIA SET/LIDOCAINE/SYRINGE 1 CC AND 5 CC)
STOCKINET
AUTOCLAVED GLOVES/STERILE GLOVES
METZ
MAYO
SMALL ROUND NEEDLE (FOR SUTLIG [SUTURE LIGATION])
SPECIMEN BOTTLE
SUTURE: MONOPLUS O #1
SKIN STAPLER #1 ( IF NOT AVAILABLE USE COTTON 2-0 OR SILK 1-0 PLACE IN
CUTTING NEEDLE)
BS – 2 pcs or 3
4 x 4 – 1 PACK FOR POST OP DRESSING OR BAND AID
MICROPORE/PLASTER
COTTON 2 – 0
LOOSE NEEDLE ROUND FOR SUTLIG

NOTE: - SUTURES NEEDED

MONOPLUS – 0
STAPLER OR SAFIL 4 – 0
SURGERY INDIVIDUAL INSTRUMENTS
1. Anuscope & plunger + 4 pcs Pennington 22. Mixter – medium (2 pcs./pack)
2. Aorta Clamps ( 2 straight + 2 curved
23. Mixter – long (2 pcs./ pack)
3. & 4. Army Navy (2 pcs/pack)
24. 2 Mixter & 2 randals; 1 scoop + stone
5. Big Mama extractor
6. Bobcock (6 pcs.) 25. & 26. Needle holders – small
7. Deavers – small (2 pcs.) 27. & 28 Needle holders – medium
8. Deavers – big (2 pcs.) 29. Needle holders – long
9. Deavers – wide (1 pc.) 30. Pean – curved small (2 pcs.)
10. & 11. Debakey – 2 pcs and 1 pc. 31. Pean – long curved (4 pcs.)
12. Double ended – small (2 pcs.) 32. Pean – long straight (4 pcs.)
13. Double ended – big (2 pcs.) 33. Pedicle clamps (3 pcs.)
14. & 15. Gall duct forceps ( 2 pcs./pack) 34. St. Mark’s Pelvis retractor
16. & 16A Intestinal clamps ( 2 pcs. Curved, 2 35. Probe
pcs. Straight + 8 pcs. Rubber tubing)
36. Rectal retractor
17. Jackson retractors (4 pcs.)
37. Richardson – Baby (2 pcs.)
18. Malleable
38. Richardson – Baby (1 medium + 1 big)
19. & 20. Mayo Adams
39. Satinsky (2 pcs.)
21. Mixter – small ( 2pcs./pack)
40. to 42. Self – retaining retractor
43. Senn retractor & handle (2 pcs./pack) 49. & 50. Towel clips (6 clips./pack)
46. Sternal retractor 51. Tracheal retractor (2 pcs.)
47. Thyroid clamp 52. Urethral sound (13 pcs.)
48. Thoracotomy Set 53. Valpor
4 lung grasping forceps 54. Weitlaner – small
1 rib approximator 55. Weitlaner – medium
1 rib spreader TOTAL – 55, 42, 17
 BKA/AKA
MINOR SET HYDROGEN PEROXIDE
PREP BOWL WITH BETADINE 10% WADDING SHEET
ANESTHESIA SET WITH 1 cc Syringe and 5 cc ELASTIC BANDAGE
Syringe with lidocaine ASEPTIC SYRINGE
BS OPTIONAL: FC
GLOVES URINE BAG
CAUTERY/CAUTERY TIP KY JELLY
SUCTION MACHINE/SUCTION TUBING WITH
TIP
SOCKINET SUTURES:
S. BLADE #10 MONOPLUS O
METZ CHROMIC 2 – O
MAYO SKIN STAPLER OR COTTON 2 –
CURRETTE O OR SILK 0
BONE FILE In a loose cutting needle
RONGUER
PERIOSTEAL For specimen:
GIGLY SAW 2 pcs PAIL
NSS for washing FORMALIN 3 Liters
 SKIN GRAFTING

MINOR SET OPTIONAL: FC with KY

PREP BOWL with BETADINE 10 % URINE BAG
ANESTHESIA SET WITH 1 cc Syringe and 5 cc COTTON BALLS
Syringe with lidocaine TUBERCULINE SYRINGE for epinephrine
BS CURETTE
GLOVES DERMATOME
CAUTERY/CAUTERY TIP DERMATOME BLADE
SUCTION MACHINE/SUCTION TUBING WITH RONGUER
TIP VASELINIZED GAUSE
SOCKINET MICROPORE
S. BLADE #10 ELASTIC BANDAGE
METZ * SKIN STAPLER
MAYO WADDING SHEET (optional)
IODINE CUP NSS for washing
TONGUE DEPRESSOR HYDROGEN PEROXIDE
KY – 2 pcs – for skin to be grafted ASEPTO SYRINGE
 THYROIDECTOMY SET – 2 SETS

1 pc Rectangular Stainless Tray 2 pcs Mixter

8 pcs Mosquito Straight 2 pcs Needle Holder
8 pcs Mosquito Curved 1 pc Blade Holder #3
6 pcs Allis Forceps 1 pc Weitlaner
6 pcs Towel Clips 1 pc Kidney Basin
1 pc Thyroid Clamp 4 pcs Army Navy
2 pcs Thumb Forceps 2 pcs Senn Retractor
1 pc Tissue Forceps 2 pcs Bobcock
 THYROIDECTOMY
Charging: 2 pcs DISP. NEEDLE
MISC FEE 1 FOLEY CATHETER
RR FEE ( optional increase if not)
20 pcs CHERRIES 1 URINE BAG (brought by
1 S. BLADE # 15 or 10 patient)
4 BS 2 pcs PEANUT
5 pads COTTON 2 – 0 ( add if 1 INTUBATION
necessary) 1 pc ET fr. 7.5 or depends
500 lbs O2 upon the patient
PULSE OXIMETER 1 pc SUCTION TIP
SUCTIONING 8 inches pouch 4 x 2 small debaky
CAUTERIZATION 6 inches pouch 4 x 2
FC INSERTION STOCKINET
2 pcs KY 2 – 5 inches pouch 12 x 3
8 pcs GLOVES (if not brought by fr. THYROIDECTOMY
patient) SUTURES:
2 mitz NSS SILK 3 – O or 4 – O #1 strands
SPECIMEN BOTTLE SILK3 – O with needle # 1
5 pcs SYRINGES ( if not brought CHROMIC 3 – O #1
by patient) VICRYL/SAFIL 4 – O #1
5 pcs ALCOHOL PREP PADS
1 yard PLASTER
¼ size CIGARETTE OR
PENROSE DRAIN
 THINGS TO PREPARE
THYROIDECTOMY SET BS 4 pcs
PREP BOWL with BETADINE 10 % PEANUT 2 pcs
ANESTHESIA SET PENROSE DRAIN ¼
SUCTION MACHINE ET fr. 705 ( depends upon the patient)
SUCTION TIP & SUCTION TUBING SUCTION TIP fr. 16
CAUTERY MACHINE
CAUTERY TIP SUTURES:
STOCKINET SILK 3 – O or 4 – O #1 strands
AUTOCLAVED GLOVES/STERILE GLOVES SILK3 – O with needle # 1
SMALL MIXTER (from BULLDOG SET) or CHROMIC 3 – O #1
MIXTER MEDIUM SIZE VICRYL/SAFIL 4 – O #1
DEBAKY SHORT
 DEBRIDEMENT with APPLICATION OF ANTIBIOTIC BEADS
MINOR SET PISTOL DRILL
PREP BOWL with BETADINE 10% CURRETTE
ANESTHESIA SET with 1 cc syringe and 5 cc PERIOSTEAL
syringe with lidocaine RONGUER
BS Fr. BONE INST.
GLOVES OSTEOTOME
CAUTERY/CAUTERY TIP CHISEL
SUCTION MACHINE/ SUCTION TUBING with HOHMAN – fr SMALL FRAMENT
TIP DRILL BITTS
STOCKINET MAYO ADAMS ( optional for ret.)
S. BLADE #10
METZ SUTURES:
MAYO * VICRIL 2 – O
KIDNEY BASIN for mixing antibiotic * DAFILON 3 – O – for skin
TONGUE DEPRESSOR VASELINIZED GAUSE
Optional: FC, URINE BAG MICROPORE
KY for FC WADDING SHEET
ASEPTO SYRINGE
 LAP – CHOLE
Materials & equipments needed
1. O2 21. SUCTION TIP (for GA pts. And
2. CO2 indigent)
3. SUCTION MACHINE #2 22. MAYO
4. CAUTERY (VALLEY LAB 23. METZ
5. BACK TABLE #2 24. IND. KELLY CURVED # 6
6. MAYO TABLE #1 25. OCHSNER CURVED #4
7. EXTENSION CORD #1 26. IND. TOWEL CLIPS #8
8. IV STAND #2 27. SENN RETRACTOR # 2
9. SOAKING PAN #1 B/G 28. OVUM DISPENSER #1
10. RINSING PAN #1 B/G AUTOCLAVED
11. MINI SET #1 29. BLADE WO11 #1 (if possible) ( if no
12. LINEN PACK #2 PER PATIENT anti-fog should be pressurized)
13. PREP BOWL #1 30. PNSS #2, MACRO SET #2 for irrigation
14. GLOVES # DEPENDS ON SIZES ( if possible should be pressurized)
15. ALCOHOL 31. IODINE CUP #1
16. BS CANNISTER 32. KY # 5 pcs.
17. COTTON BALLS 33. STOKINET #1
18. NSS AUTOCLAVE 34. MEDIUM STRIP # 2 OR increased
19. IO PREP 35. STRAIGHT CATHETER #1(post of
20. CIDEX # 2 gal draining of urine but to be removed prior to
transfer to ward)
36. HOT H2O (if anti-fog not preferred) 40. x 4 OS #10
37. SYRINGE 5 cc #1 41. MICROPORE
38. BUFIVACAINE ISOBARIC (should be 42. CAUTERY PAD
prescribed intra-of use) 43. CAUTERY ADAPTOR
39. CONDOM

OB INDIVIDUAL INSTRUMENTS
1. Small allis straight – 6 pcs
2. Long allis straight – 6 pcs
3. Long allis straight 4 pcs
4. Long allis cuved – 4 pcs – pulled out
5 & 6. Bladder retractor
7. Heavy Kelly curved – 6 pcs/pack
8 & 9. Kelly curved – 6 pcs/pack
10 & 11. Mosquito curved – 6 pcs/pack
12. Mosquito straight – 6 pcs
13. NSD Set ( 2 straight clamps, 1 needle holder, 1 tissue forceps)
14. Oschner curved, medium – 8 pcs.
15. Oschner curved, long – 6 pcs.
16. Oschner straight – 6 pcs.
17 & 18. Pelvic Laparatomy retractors
19. Hysterectomy Set – 8 pcs.
TOTAL – 19 – 1 ( long allis curved – pulled out) = 18
 EENT INSTRUMENTS
1. TONSILLECTOMY SET
2 Jennings mouth gag (big & small)
2 Allis forceps
1 Tongue depressor
1 Polyonare
1 Pillar retractor

2. POLYPECTOMY SET
1 Carrison
2 Bayonette forceps
1 Nasal Speculum
 HERNIORRAPHY
MISC. FEE
RR FEE 1 pc MEDIUM STRIPS
20 pcs CHERRIES 2 pcs D. NEEDLES
4 pcs. 5 BLADE 12 inches pouches 4 x 2 –
2 packs COTTON 2 – O ARMY NAVY
400 lbs. O2 13 inches pouches 4 x 2 –
PULSE OXIMETER MIXTER
SUCTIONING 6 inches pouches 4 x 2 –
CAUTERIZATION STOCKINET
FC INSERTION 20 inches pouches 12 x 3.5 –
2 pcs KY JELLY MINOR SET
8 pcs GLOVES ( if not brought by 1 pc FOLEY CATHETER (if
patient) not brought by patient)
2 bottles NSS 1 pc URINE BAG ( if not
SPECIMEN BOTTLE brought by patient)
5 pcs SYRINGES ( if not brought SOLUTION
by patient) LIQUID SOAP – 100 cc
1 yrd. PLASTER ( if not brought by ZONROX – 100 cc
patient) LYSOL – 100 cc
5 pcs ALCOHOL PREP PADS I.O PREP 7.9 % - 200 cc
CIDEX – 100cc
DISTILLED WATER – 20 cc
LIDOCAINE – 5 cc
HYDROGEN PEROXIDE –
200cc
 THINGS TO PREPARE AND NEEDED
MINOR SET MESH ( if without mesh)
SUCTION MACHINE NSS
SUCTION TIP Cotton 2 – O (stand by)
CAUTERY MACHINE BS – 2 pcs or 3
CAUTERY TIP MIXTER
PREP BOWL with BETADINE 10 % ARMY NAVY
ANESTHESIA SET / LIDOCAINE / SYRINGE SPECIMEN BOTTLE – for hernia SAC
5cc/1 cc
AUTOCLAVED GLOVES/STERILE GLOVES SUTURES:
MEDIUM STIP SILK O # 1 put in round needle
Optional: FC & Urine Bag DAFILON 3 – O #1
KY SKIN STAPLER or SAFIL/VICRYL 4 – O #1
 ORTHO INSTRUMENTS

1 to 3. Bone Curette (2 pcs/pack) 16 & 17. Monkey Wrench

4. Bone Cutter 18 & 20. Perioste
5. Bone File al Elevator
6. Bone Holder (2pcs) 21. Pin Cutter
7. Bone Instruments ( 2 osteotome, 2 chisel, 1 22. Pistol Drill
mallet) 23. Pliers
8. Bone Instruments ( 1 mallet, 3 bishop, 6 chisel, 6 24. Rake Retractor – 2 pronged (2 pcs.)
osteotome) 25. Rake Retractor – 4 pronged (4 pcs.)
9. Cobbs (4 pcs.) 26. Raspatory
10. Cobra 27. Reamers
11. Duckbill Rongeur – big (2 pcs.) 28. Rib Cutter
12. Lamina Spreader 29. Rib Raspatory
13. Lane Bone Holder (2 pcs.) 30. Rongeurs – small (1 pc.)
14. Lemon Retractor 31. Rongeurs – small ( 2 pcs.)
15. Mallet
32. Rongeurs – big (1 pc.) & Duckbill (1 pc.)
33. Small Fragments Set (13 pcs.) – 1 Hohman, 2 Hexhead screw driver,1 screw holder, 1 bending iron, 1 lane
bone holder, 1 bone tap & handle, 2 bone tap, 1 depth gauge, 1 drill guide for plates, 1 bone holding forceps, 1
bone clamp.
34. T-wrench & key
35. Wire Cutter
36. Wire Passer
 ABDOMINAL LAPARATOMY SET – 2 Sets

1 pc Rectangular Stainless Tray 6 pcs Towel Clips

1 pc Kidney Basin 6 pcs Kelly Curved
2 pcs Deaver 6 pcs Kelly Straight
2 pcs Army Navy 6 pcs Allis
2 pcs Long Thumb Forceps 6 pcs Ochsner Straight
2 pcs Long Tissue Forceps 4 pcs Bobcock
1 pc Small Tissue Forceps 2 pcs Needle Holders
1 pc Small Thumb Forceps 1 pc Mallable
2 pcs Debakey 2 pcs Richardson
2 pcs Blade Holders #3 & #4
 OPEN CHOLECYSTECTOMY

CHARGING: 3 pcs. DISP. NEEDLE

MISC FEE 6 inches pouch 4 x 2 stockinet
RR FEE 25 inches pouch 14 x 3.9 major set
PULSE OXIMETER 2 packs COTTON 2 - O
SUCTIONING 2 pcs KY
CAUTERIZATION 18 inches pouch 4 x 2 MIXTER
FC INSERTION WITH A1H2
FOLEY CATHETER ( If not 15 inches pouch 4 x2 PEAN
brought by patient) 2 pcs PEANUT
URINE BAG ( If not brought SPECIMEN BOTTLE
by patient) 1 pc FACE MASK
2pcs CHERRIES
1 S. BLADE ( 2 pcs if with 10
c) # 10 or 20
4 bottle of NSS
2 yards MICROPORE/PLASTER (
If not brought by patient)
8 pairs GLOVES
5 pcs SYRINGE
4 BS
2 VP
5 pcs ALCOHOL PREP PADS
500 lbs O2 CONSUMPTION

THINGS TO PREPARE
Major set RANDALS (optional) - ( individual instr.)
Prep bowl with betadine 10% BS 4 pcs
Suction machine VP 2 pcs
Suction tip WIDE DEAVER ( individual instr.)
Cautery machine NSS
Cautery tip short/long FC
Spinal anesthesia set / 1 cc syringe/5cc URINE BAG
syringe/lidocaine KY
Stockinet SPECIMEN BOTTLE
Autoclaved gloves/gloves
PEAN ( individual instr.) SUTURES:
MIXTER (long) - ( individual instr.) SILK 3 – O
NEEDLE HOLDER (long) - ( individual instr.) CHROMIC 2 – O
DEBAKY (long 2 pcs) - ( individual instr.) MONOPLUS O
PEANUT 2 pcs SKIN STAPLER or VICRYL 4 – O
 PAROTIDECTOMY

THINGS TO PREPARE
- MINOR SET - STOCKINET
- PREP BOWL with BETADINE 10% - AUTOCLAVED GLOVES/STERILE
- SUCTION MACHINE GLOVES
- SUCTION TIP FOR EENT - INDIVIDUAL:
- SUCTION TUBING DEBAKEY (short or long
- CAUTERY MACHINE MOSQUITO CURVED (6 pcs)
- CAUTERY TIP SENN RETRACTOR
BULLDOG SET 5 pcs (optional) - PEANUT 1 - RR FEE
pc - 20 pcs, CHERRIES
- CHERRY (for ear covering) 1 pc - 3 pcs. S. BLADE #15
- SHAVER (if not shaved in the ward) - 4 BS
- 5 packs COTTON 2 – O
THINGS TO BRING BY THE PATIENT: - 500 lbs – O2
- 1 FOLEY CATHETER - PULSE OXIMETER
- URINE BAG - SUCTIONING
- 2 pcs. DISP. NEEDLE / SYRINGE - CAUTERIZATION
- 1 pc FACE MASK - FC INSERTION
- 1 pc ET TUBE FR 7 or 3.5 - 2 pcs. KY
- 1 pc SUCTION TIP FR. 16 - 8 pcs. GLOVES (if not brought by the patient)
- 2 bottles NSS
SUTURES: - 5 pcs. SYRINGES ( if not brought by the patient)
SILK 3-O #3 - ¼ size PENROSE DRAIN
SAFIL 4 – O #2 - 1 yard PLASTER
CHROMIC 3 – O #1 CHARGING - 5 pcs. ALCOHOL PREP. PADS
- MISC. FEE

PINNING
MINOR SET ( 2 ST, 4 ALLIS, PCH – 1, SR – 2, 4 STETIOMATON PINS or KIRSCHIOPERS WIRE
CV, TI – 2, SC – 1) (k-wire)
PREP BOWL with betadine 10% PERIOSTEEL
ANESTHESIA SET with 1 cc syringe, 5 cc syringe, VASELINIZED GAUZE
lidocaine ELASTIC BANDAGE
BS S-METCH
GLOVES Stand by: BONE LIOST & SMALL FRAGMENTS
CAUTERY/ CAUTERY TIP SUTURES:
SUCTION MACHINE/SUCTION TUBING with IF LOWER EXT. – VICRYL 2 – O, SKIN
TIP STAPLER or SILK 2
STOCKINET If ON FOREARM – CHROMIC if not DAFILON
S. BLADE #10 _____
METZ
MAYO IF WITH SCREWS
FC ADD: SCREW DRIVER, PLIERS OR VISE
URINE BAG GRIP, SCREWS
KY FOR FC
ASEPTO SYRINGE IF WITH WIRE SUTURES
PISTOL DRILL WIRE SUTURES
RONGUER WIRE PASSER
CURRETTE WIRE CUTTER/PIN CUTTER
PIN CUTTER PLIERS/VISE GRIP
WIRE CUTTER
 FISTULECTOMY

IF WITH PH – NO MISC FEE

MISC FEE
RR FEE
20 pcs CHERRIES
1 pc. S. BLADE
PULSE OXIMETER
SUCTIONING
CAUTERIZATION
FC INSERTION
2 pcs KY JELLY
8 pcs GLOVES (if not brought by pt.)
5 pcs SYRINGES (if not brought by pt.)
1 yard PLASTER (if not brought by pt.)
5 pcs ALCOHOL PREP PADS
6 inches POUCHES 4 x 2 – stokinet
15 inches POUCHES 14 x 3.5 – mini set
8 inches POUCHES 6 x 2 prep bowl small or iodine cup
6 inches POUCHES 3 x 1 PROBE
6 inches POUCHES 3 x 1 CURRETTE
2 bottles NSS BOTTLE
10 inches POUCHES 4 x 2 – PERGUSON
100 lbs O2 if administered
PROCTOSIGMOIDOSCOPY (if ordered by doctor)
1 pc Foley Catheter ( if not brought by the patient)
1 pc URINE BAG (if not brought by patient
VASELINIZED GAUZE

SOLUTION
o Liquid soap – 100 cc
o Zonrox – 100 cc
o Lysol – 100 cc
o CIDEX - 100cc
o 1.0 PREP 7.5% - 200cc
o 1.0 PREP 10% - 200 cc
o Distilled water - 20 cc
o Lidocaine - 5 cc
o Hydrogen peroxide - 200 cc

THINGS NEEDED & TO PREPARE

MINI SET PREP BOWL & BETADINE 10%

SUCTION MACHINE NSS STERILE
SUCTION TIP ASEPTO SYRINGE
CAUTERY MACHINE CURRETTE – (optional)
CAUTERY TIP FC – (optional)
STOCKINET URINE BAG – (optional)
AUTOCLAVED GLOVES/STERILE GLOVES KY
PROBE PERGUSON – (optional)
IV CATHETER g 18 VASELINIZED GAUZE
HYDROGEN PEROXIDE

CAESARIAN SECTION (C/S)

 MISC FEE
RR FEE
PULSE OXIMETER
SUCTIONING
CAUTERIZATION
FC INSERTION
1 pc FOLEY CATHETER – (if not brought by patients)
1 pc URINE BAG – (if not brought by patients)
20 pcs CHERRIES
1 pc S. BLADE
1 pc COTTON 2 – O
2 pcs KY JELLY
8 pcs GLOVES – (if not brought by patients)
1 yard PLASTER – (if not brought by patients)
4 bottles NSS
5 pcs SYRINGES – (if not brought by patients)
6 pcs BS
5 pcs ALCOHOL PREP PADS
300 lbs O2 CONSUMATION
2 pcs D. NEEDLE
6 inches POUCHES 4 x 2 – STOCKINET
22 inches POUCHES 14 x 7.5 – OB SET

Optional
IF G.A / GETA
INTUBATION
4 pc E.T TUBE 7.5
4 pc SUCTION TIP
4 pc SPECIMEN BOTTLE ( IF WITH BOTTLE)
13 inch POUCHES 4 x 2 – INDIVIDUAL ALLIS

FIRST TRY
BIRTH CERTICATE

REMINDER:
PHILHEALTH & PAY – PLEASE ENSURE SUCTION POLE CONNECTOR, CORD CLAMP, B – CERTS
FORM

THINGS TO PREPARE

OB SET (ST – 2, TF – 2, SKIN RET – 1, CURVE – 6, KH – 1, BLADDER RET – 1, ALLIS – 10, NH – 2, BC

# 1 ( IF WITHOUT BOTTLE)
PREP BOWL with 10% BETADINE
ANESTHESIA SET/ LIDOCAINE/ SYRINGE 1 cc & 5 cc
CAUTERY MACHINE
CAUTERY TIP
SUCTION MACHINE
SUCTION TIP/SUCTION TUBING
STOCKINET
CORD CLAMP
AUTOCLAVED GLOVES/STERILE GLOVES
EXTRA ALLIS (individual) – optional
BS – 4 – 6 pcs
MICROPORE
METZ
MAYO

SUTURES: CHROMIC 1 – 0 # 2 , PLATU 2 – O #1, CHROMIC 2 – O #1, SAFIL 4 – O #1 , MONOPLUS O

#1 ( EXTRA CHROMIC 1 – O #1 IF WITHOUT BTL)

COTTON 2 – O FOR BTL

PC fr 16
URINE BAG
KY

FOR BABY:
- CRIB - BIRTH CERTIFICATE
- DROP LIGHT - O2 TANK
- O2 TUBING - AMBU BAG
- SUCTION MACHINE - ET (STAND BY(
- SUCTION TIP fr 8 (STAND BY) - PEDIA TUCKLE BOX
- BOTTLE (NSS) FOR SUCTIONING
- FOOT TAG