microscope drape
Clear adhesive patient drape
Table cover
Beaver 6400 mini‐blade (#64)
Angled crescent knife
Weck‐Cel® eye spears
7‐0 to 10‐0 braided absorbable suture
Disposable cannula 25 gauge (2)
3 ml syringe
1 ml syringe (2)
Dental cotton rolls
Included at the sugeon’s discretion:BSS® (balanced salt solution) sterile irrigating solution, 15 ml (Alcon Laboratories, Inc., Fort Worth, TX)Proparacaine hydrochloride ophthalmic solutionVET BioSISt™ (Smiths‐Surgivet®, Dublin, OH)ACeLL Vet (ACeLL Inc., Columbia, MD)1.8% or 2.2% Viscoelastic (an‐vision Inc., West Jordan, UT)
Extraocular Surgery
Extraocular procedures are typically performed in sternal recumbency. The patient's head must be stabilized for the duration of the procedure using a surgical vacuum pillow, sandbags, or rolled up surgical towels. Some patients may require additional support (e.g., securing adhesive tape to the table) to maintain optimal positioning. Indications include temporary tarsorrhaphy, eyelid laceration repair, and nictitating membrane laceration. Instruments and supplies are detailed in Boxes 2.30–2.32, respectively.
Box 2.30 Instruments and Supplies for Temporary Tarsorrhaphy
5 French red rubber feeding tube
Needle holder
Scalpel handle
3‐0 or 4‐0 non‐absorbable sutures
Box 2.31 Instruments and Supplies for Eyelid Laceration Repair
Eyelid set
Eye utility pack
Sterile blue towels (4 pack)
#15 Bard–Parker blade or Beaver 6400 mini‐blade (#64)
Patient drape
Table drape
3‐ml syringe
4‐0 to 6‐0 braided absorbable suture
Sterile bowl and 0.9% saline for lavage
Box 2.32 Instruments and Supplies for Nictitating Membrane Laceration
Eyelid set
Eye utility pack
Sterile blue towels (4 pack)
#15 Bard–Parker blade or Beaver 6400 mini‐blade (#64)
Patient drape
Table drape
3‐ml syringe
Sterile bowl and 0.9% saline for lavage
5‐0 to 7‐0 absorbable suture
Enucleation
An enucleation procedure is performed in sternal recumbency. Instruments and supplies for enucleation surgery are listed in Box 2.33.
Oral Emergencies
Nursing Responsibilities
Refer to the American Veterinary Medical Association individual state guidelines to review the practices that veterinary technicians are authorized to perform during dental procedures to ensure compliance in the workplace. Nursing responsibilities include:
Anesthesia (includes preparation, preoxygenation, induction, monitoring, intubation/extubation, ± recovery)
Charting/medical records
Pre‐/post‐oral examination under doctor supervision
Moldings and impressions
Nerve blocks
Surgical suite set‐up (have requested instrumentation and equipment available)
Diagnostic imaging
Surgical assistance (provided if more than one nurse is assigned to the case)
Clean/disinfect surgical suite
Prepare patient for discharge (pharmaceuticals, discharge instructions, etc.)
Instrument reprocessing.
Box 2.33 Instruments and Supplies for Enucleation Procedure
Enucleation set
Eye utility pack
Retrobulbar block0.5% Bupivicaine2% Lidocaine22‐gauge × 1.5‐in needles (2)3‐ml syringe
#15 Bard–Parker blade
Patient drape
Sterile blue towels (4 pack)
Sterile bowl and 0.9% sterile saline for lavage
Dental cotton rolls (10 pack)
3‐0 or 4‐0 suture
Formalin container for globe
± Battery‐operated cautery
Safety Requirements
Surgical Environment
It is vital for clinics
