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No touch technique

No touch technique. Why no touch techniques. Infectious risk of needles: Hep C, Hep B and HIV. ED has high risk population Better to keep your hands away Used correctly, this technique is faster. Olson-Hegar Needle Driver & Suture Scissors: Mostly used by DVMs. Thumb Forceps. Three types:

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No touch technique

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  1. No touch technique

  2. Why no touch techniques • Infectious risk of needles: Hep C, Hep B and HIV. ED has high risk population • Better to keep your hands away • Used correctly, this technique is faster

  3. Olson-Hegar Needle Driver & Suture Scissors: Mostly used by DVMs

  4. Thumb Forceps • Three types: • With Teeth for tissue pick up • W/O Teeth for packing wounds and dressing changes • With tying platform for delicate suture handling and knot tying • The first two types should not be used to handle needles, they will damage them and make breakage likely

  5. Teethed forceps with tying platform • Teeth are used in the usual manner for tissue control • Tying platform can gently handle needle, making it possible to load the needle driver without touching it

  6. Adson’s with teeth and platform

  7. Teeth and Tying Platform

  8. No touch closure following exploration of .177 pellet wound in cat scalp

  9. Tying with platform forceps

  10. Instrument tie using forceps

  11. Cutting suture using Olson-Hegar

  12. Summary • Instruments available that allow safer “no touch” needle technique • Combined needle driver and suture scissors speeds procedure • Adson’s with tying platform particularly useful in tying and cutting small suture: 6-0 or less

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