The circumcision tray should have most of what is needed. Ensure supplies are available in the procedure room:

  1. Sucrose (Sweet ease) and pacifier. Sucrose to be given immediately upon entering room and PRN.
  2. Infant padding, blankets, and towels
  3. Alcohol Wipes ( x 4)
  4. Lidocaine 1% (WITHOUT EPINEPHRINE). Will need 1ml
  5. Syringe: 1 ml sterile syringe (like a Tuberculin syringe)
  6. One 27 gauge or similar sub-Q needle
  7. A larger bore needle for drawing lidocaine.
  8. Povidone iodine swab sticks or Betadine or other skin-sterilizing preparation
  9. Fenestrated drape – Sterile drape with small opening in the center (fenestrated)
  10. Sterile gloves – Size 7 (for me)
  11. Two curved hemostats
  12. One straight hemostat
  13. One scissors (with a dull tip)
  14. Sterile 2 x 2 or 4 x 4 gauze pads
  15. A probe
  16. Gomco (all sizes 1.1, 1.3 & 1.45)
  17. One small safety pin.
  18. Scalpel – no. 10 blade or similar
  19. Surgicel
  20. Normal saline (for cleaning scrotum and surrounding area after the circumcision).
  21. A&D ointment or White petrolatum (Vaseline) or white petrolatum gauze
  22. Acetaminophen (Tylenol) order (10 mg/kg Q 6 hours X 24 hours)
  23. Clean nappies/diapers and wipes
print