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                                                            UNIT 3
                                               PROCEDURE CHECKLIST 40
                    Nursing interventions for Client with Infections and Inflammations: Removal
                                                       of suture / clip




                 NO.                            PROCEDURE                                     REMARKS



                  1.   Review the medical orders or the nursing plan for wound care.
                  2.  Identify and inform the patient

                  3.  Check present dressing with non-sterile gloves.

                  4.  Perform hand hygiene and put on mask

                  5.  Gather necessary equipment.
                       Prepare environment, position patient, adjust height of bed and
                  6.   turn on lights.

                  7.  Prepare patient and expose dressed wound
                  8.  Cut pieces of paper tape and have them within reach

                  9.  Perform hand hygiene

                  10.  Prepare sterile field.

                       Add necessary sterile supplies such as scissors / Michelle’s
                  11.   clip remover.

                  12.  Pour cleansing solution.

                       Apply sterile gloves and use dressing forceps prepare enough
                  13.   swab for dressing.
                  14.  Use dissecting forceps remove soiled dressing.

                  15.  Discard the dissecting forceps

                       Clean the incision site using the alcohol swabs or according to
                       facility policies and procedures

                       16.1  From clean to dirty (incision, then outer edges)
                  16.
                       16.2  From far to near

                       16.3  From top to bottom

                  17.  Discard the soiled dressing forceps

                       Use the forceps, grasp the knot of the first suture and gently lift
                  18.
                       the knot up off the skin.





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