Suturing Removal

7/23/2019 Suturing Removal

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Suture MaterialsSuture Materials

ABSORBABLE:

lose their tensile strength

within 60 days.

NON-

ABSORBABLE:


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Surgical NeedlesSurgical Needles


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Surgical InstrumentsSurgical Instruments


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Needle Holders


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ForcepsForceps

Tissue forceps Dressing forceps


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Suture Removal ScissorsSuture Removal Scissors


7/16

Wound EvaluationWound Evaluation

Time of incident

Size of wound

Depth of wound

Tendon / nerve involvement

Bleeding at site


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Wound IrrigationWound Irrigation

hec! physician"s order for dressing change. #repare necessary e$uipment and supplies: Sterile dressing set. Sterile irrigation solution. lean disposa%le gloves. Sterile gloves Sterile gauze. Sterile syringe. Sterile %asin. Sterile forceps. &u%%er sheet. Disposa%le %ag. Tape. Blan!et.


9/16

'dentify the client.()plain the procedure to the client.

Determine if the client has allergy to any of the materials or solutions

needed for the procedure.

*ash hands.

lose the room door or curtains + windows.

#lace the %ed at a comforta%le position.

,ssist the client to a comforta%le position.

()pose the area and drape the client with %lan!et if needed.

#lace ru%%er sheet under the wound area.-sing aseptic techni$ue open sterile set on wor! area.


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Principles And TechniquesPrinciples And Techniques

#lace disposa%le %ag within easy reach for use duringthe irrigation.

*ear clean disposa%le gloves and remove the soiled

dressings. ,ssess the wound for size appearance amount of

drainage and the appearance of the surrounding tissues.

Discard the dressings in disposa%le %ag.

&emove gloves and put them in disposa%le %ag. -sing sterile techni$ue prepare a sterile field and add all

the sterile supplies needed for the procedure to the field.


11/16

#our warmed sterile irrigating solution into the sterile

container or %asin. *ear sterile gloves. #osition the sterile %asin %elow the wound when

collect the irrigating fluid. The irrigation solution will flow from the upper end

of the wound toward the lower end. a!e sure all areas of the wound are irrigated. -se a syringe with an irrigating tip to flush the

wound. 'nsert irrigating tip into the wound until resistance is

met. *atch for the solution to flow smoothly and evenly. *hen the solution from the wound flows out clear

discontinue irrigation.


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Dry the surrounding s!in with a sterile gauze sponge.

,pply a new sterile dressing to the wound.

,pply dry sterile gauze over wound.

&emove gloves and dispose of them properly.Secure dressing with tape.

&eturn the %ed to the lowest position and raising the side rails as needed.

&emove the e$uipment and dispose it properly.

*ash hands.

Documentation.


13/16

SuturingSuturing

,pply the needle to the needle driver

lasp needle 1/2 to 2/3 %ac! from tip

&ule of halves:

atches wound edges %etter4 avoids dog ears

5ary from rule when too much tension across

wound


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Suture RemovalSuture Removal

Time frame for removing sutures:

,verage time frame is 710 days

8,(: 97 days

B;D< + S,=#: days

#,=S B,> ;& ;5(& ?;'@TS: 10 days

,ny suture with pus or signs of infections should

%e removed immediately.


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1. lean with hydrogen pero)ide to remove

any crusting or dried %lood

2. -sing the tweezers grasp the tie and cut

the suture %elow the tie close to the s!in

3. #ull the suture line through the tissue7 in

the direction that !eeps the wound closed 7and place on a 9)9


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;nce all sutures have %een removed count

the sutures

The num%er of sutures needs to match the

num%er indicated in the patient"s health

record

Documents

Suturing Removal