Start with the q-tips and alcohol; it depends on the spray for roses. If it is scale, it can be really quite tough to eradicate (because the armour partly protects them from the spray, and also they often hide out in inaccessible parts of the plant). I'm currently using some imidacloprid, and it seems to be helping to kill the stuff. Scale populations seem to be able to magically pop up in vast numbers seemingly overnight.
You may find
Orchid Pests
and
North Jersey Orchid Society
useful; I'm currently using the dose rate from the latter site across my collection.