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

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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