Page 75 - CLINICAL PRACTICE II

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NO. PROCEDURE REMARKS

Slide the tip of stitch scissors around the suture, cut one side of
19. the suture below the knot, close to the skin.

Grasp the knot with the forceps and pull the cut suture through
the skin.
20. Avoid pulling the visible portion of the suture through the
underlying tissue

Place the remove sutures on a piece of gauze and discard the
21.
sutures into clinical waste or according to facility policy.
Remove every other suture (alternately) to be sure the wound
edges are healed.
22. If they are, remove the remaining sutures as ordered.
(Repeat step 19 - 22)

Removal of clip

Position the staple remover so that the lower
18.
jaw is on the bottom

Ensure the staple is perpendicular to the plane of the skin. If
19.
not, reposition the staple with the tips of the lower jaw
Lift slightly on the staple, ensuring that it stay perpendicular to
20. the skin.

Continue to lift slightly while gently squeezing the handles
21.
together to close

22. Lift the reformed staple straight up from the skin

Remove every other (alternately) staple, and check the tension
23.
on the wound
If there is no significant pull on the wound, remove the remaining
24. staples.

Place the remove staples on a piece of gauze and discard the
25.
staples into sharp bin.
26. Assist patient to comfortable position.

27. Discard used equipment appropriately.

28. Perform hand hygiene.

29. Documentation and reporting

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