Suture Materials

ABSORBABLE:

lose their tensile strength

within 60 days.

NON-

ABSORBABLE:

Surgical Needles

Surgical Instruments

Needle Holders

Forceps
Tissue

forceps

Dressing

forceps

Suture Removal Scissors

Wound Evaluation
Time

of incident
Size of wound
Depth of wound
Tendon / nerve involvement
Bleeding at site

Wound Irrigation

Check physician's order for dressing change.

Prepare necessary equipment and supplies:
Sterile dressing set.
Sterile irrigation solution.
Clean disposable gloves.
Sterile gloves
Sterile gauze.
Sterile syringe.
Sterile basin.
Sterile forceps.
Rubber sheet.
Disposable bag.
Tape.
Blanket.

Identify the client.

Explain the procedure to the client.
Determine if the client has allergy to any of the materials or solutions
needed for the procedure.
Wash hands.
Close the room door or curtains & windows.
Place the bed at a comfortable position.
Assist the client to a comfortable position.
Expose the area and drape the client with blanket if needed.
Place rubber sheet under the wound area.
Using aseptic technique, open sterile set on work area.

Principles And Techniques

Place disposable bag within easy reach for use during

the irrigation.
Wear clean disposable gloves and remove the soiled
dressings.
Assess the wound for size, appearance , amount of
drainage and the appearance of the surrounding tissues.
Discard the dressings in disposable bag.
Remove gloves and put them in disposable bag.
Using sterile technique ,prepare a sterile field and add all
the sterile supplies needed for the procedure to the field.

Pour warmed sterile irrigating solution into the sterile

container or basin.
Wear sterile gloves.
Position the sterile basin below the wound when
collect the irrigating fluid.
The irrigation solution will flow from the upper end
of the wound toward the lower end.
Make sure all areas of the wound are irrigated.
Use a syringe with an irrigating tip to flush the
wound.
Insert irrigating tip into the wound until resistance is
met.
Watch for the solution to flow smoothly and evenly.
When the solution from the wound flows out clear,
discontinue irrigation.

Dry the surrounding skin with a sterile gauze sponge.

Apply a new sterile dressing to the wound.
Apply dry sterile gauze over wound.
Remove gloves and dispose of them properly.
Secure dressing with tape.
Return the bed to the lowest position and raising the side rails as needed.
Remove the equipment and dispose it properly.
Wash hands.
Documentation.

Suturing
Apply

the needle to the needle driver

Clasp needle 1/2 to 2/3 back from tip

Rule

of halves:

Matches wound edges better; avoids dog ears

Vary from rule when too much tension across

wound

Suture Removal
Time frame for removing sutures:
Average time frame is 7-10 days
FACE: 4-5 days
BODY & SCALP: 7 days
PALMS, BACK OR OVER JOINTS: 10 days
Any suture with pus or signs of infections should
be removed immediately.

Suture Removal
Clean with hydrogen peroxide to remove
any crusting or dried blood
2. Using the tweezers, grasp the tie and cut
the suture below the tie, close to the skin
3. Pull the suture line through the tissue- in
the direction that keeps the wound closed and place on a 4x4
1.

Suture Removal
Once all sutures have been removed, count
the sutures
The number of sutures needs to match the
number indicated in the patient's health
record