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H.C.A. TRAINING Suture and Clip Removal

H.C.A. TRAINING Suture and Clip Removal. Sally Panto AUGUST 2006. AIM. Identify Types of Wound Closure Identify Correct Equipment to remove Demonstrate knowledge disposal of Equipment Identify Signs of Wound Infection Identify signs Wound healing. OBJECTIVES.

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H.C.A. TRAINING Suture and Clip Removal

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  1. H.C.A. TRAININGSuture and Clip Removal Sally Panto AUGUST 2006

  2. AIM • Identify Types of Wound Closure • Identify Correct Equipment to remove • Demonstrate knowledge disposal of Equipment • Identify Signs of Wound Infection • Identify signs Wound healing

  3. OBJECTIVES • To demonstrate care of patient before , during and following procedure • Demonstrates knowledge of required responsibility in ensuring effective documentation • Knowledge of infection control to protect patient, self and others during procedure • To ensure group is aware of the difference between items designed for single use and single patient only • Awareness of pain control methods to minimise discomfort

  4. OBJECTIVES • Demonstrate awareness correct time to remove wound closures • Knowledge of correct techniques for removal of wound closure • Recognition of complications that may occur • To provide practical session to allow hands on opportunity to familiarise with Equipment and to remove closures

  5. Wound Closure • Holistic Approach • Primary wound healing • Sutures –absorbable and others • Staples (based on surgeon preference) • Clips • Steristrips • Dehiscence

  6. Equipment • Clip removers • Tagging and Disposal • Stitch cutters • Safe disposal

  7. Wound Infection • Identifying Infection • Signs and Symptoms • Odour • Pain • Change in appearance • Increased exudate • Pus • Reddness and or inflammation

  8. WOUND HEALING • What is “normal” • What is “ abnormal” • When to remove skin closure • Appropriate dressing • Reporting to nurse in Charge

  9. PATIENT CARE • Information to give to patient or their carer • Explaination • Reassurance • Exercise • Diet • Bathing • Driving • General well being • Diet • Contact numbers

  10. Documentation • Appropriate documentation – record procedure and outcome • Out of hours service • Feedback to team • Referral of patient ie practice nurse

  11. REMOVAL OF SUTURES • Prepare patient • Prepare environment • Prepare equipment • Prepare self • Cut stitch as close to skin as possible • Discuss reasons • Dispose of equipment- All stitch cutters should be disposed of into sin bins at time of use • Assess whether dressing required • Documentation • Skin care

  12. REMOVAL OF CLIPS • Prepare patient • Prepare environment • Prepare equipment • Prepare self • Disposable or reusable clip remover • Slide into position accurately • Allow patient time to recover between clips • Dispose of clip remover –

  13. Discuss when appropriate to use steristrips • Dehiscence • Skin Care • Documentation

  14. WHEN TO REMOVE CLIPS AND SUTURES • Scalp and face 3-4 days • Upper limb 7 days • Lower Limb 7-10 days • Trunk (abdomen) 10-14 days • Clips usually 7-10 days • If in doubt contact nurse in charge

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