suturing removal
TRANSCRIPT
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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
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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$uipment and supplies: Sterile dressing set. Sterile irrigation solution. lean disposa%le gloves. Sterile gloves Sterile gauze. Sterile syringe. Sterile %asin. Sterile forceps. &u%%er sheet. Disposa%le %ag. Tape. Blan!et.
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'dentify the client.()plain the procedure to the client.
Determine if the client has allergy to any of the materials or solutions
needed for the procedure.
*ash hands.
lose the room door or curtains + windows.
#lace the %ed at a comforta%le position.
,ssist the client to a comforta%le position.
()pose the area and drape the client with %lan!et if needed.
#lace ru%%er sheet under the wound area.-sing aseptic techni$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$ue prepare a sterile field and add all
the sterile supplies needed for the procedure to the field.
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#our warmed sterile irrigating solution into the sterile
container or %asin. *ear sterile gloves. #osition the sterile %asin %elow the wound when
collect the irrigating fluid. The irrigation solution will flow from the upper end
of the wound toward the lower end. a!e sure all areas of the wound are irrigated. -se a syringe with an irrigating tip to flush the
wound. 'nsert irrigating tip into the wound until resistance is
met. *atch for the solution to flow smoothly and evenly. *hen the solution from the wound flows out clear
discontinue irrigation.
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Dry the surrounding s!in with a sterile gauze sponge.
,pply a new sterile dressing to the wound.
,pply dry sterile gauze over wound.
&emove gloves and dispose of them properly.Secure dressing with tape.
&eturn the %ed to the lowest position and raising the side rails as needed.
&emove the e$uipment and dispose it properly.
*ash hands.
Documentation.
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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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Suture RemovalSuture Removal
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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Suture RemovalSuture Removal
;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