Renovations had been completed recently in the new surgical suite, and J.O., a surgical technologist, set up the two new adjoining "cysto" rooms. Each room had a new cystoscopy bed with padded knee crutches for lithotomy position, a drainage drawer for irrigation solution collection, and radiology capability. The instrument storage carts were stocked with rigid and flexible cystoscopes, sheaths with obturators, and resectoscopes with assorted fulgurating loops, connectors, guide wires, laser fibers, and fiberoptic light cords. Sterile storage closets held assorted urethral and ureteral catheters, irrigation tubing and syringes, collection bags, biopsy needles and forceps, basic soft tissue instruments, and dressing supplies.
An electrosurgery machine was placed in each room. Cysto no. 1 had the CMG machine and urinometer. Cysto no. 2 had a Nd:YAG (neodymium:yttrium-aluminum-garnet) and a liquid tunable pulsed-dye laser machine. Each room had a machine to collect and decontaminate the liquid waste, instead of the former floor drains.
The substerile room between Cysto no. 1 and no. 2 had a steam sterilizer, a peracetic acid processor/sterilizer, and glutaraldehyde soaking pans under a ventilation hood to high level-disinfect the instruments between cases. A warming closet contained blankets and sterile PSS, H2O, and glycine for bladder irrigation during the procedures. J.O. wished there was room left for an ESWL system.
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