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Published byLora Beasley Modified over 9 years ago
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Assisting with minor surgery and suture removal
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Minor Surgery includes Removal of warts, cysts, tumors, growths, foreign objects Performing biopsies of skin growths or tumors Suturing wounds Incising and draining body areas *Instruments and equipment used depends on the type of surgery/procedure being done.
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Scalpel Instrument with a handle attached to knife blades Used to incise (cut) skin and tissue
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Surgical Scissors May have blunt ends or sharp points or both Used to cut tissue
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Hemostats Curved or straight, usually striated at the ends Used to compress (clamp) blood vessels to stop bleeding or grasp tissue
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Tissue forceps Has one or more fine points (teeth) at the tip of the blades Used to grasp tissue
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Splinter forceps Has fine pointed ends and no teeth Used to remove splinters/foreign objects from skin and/or tissues
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Towel clamps Has sharp points at the end that lock together Used to attach surgical drapes to each other; used to clamp tissue that has been dissected
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Retractors Used to hold/draw back sides of a wound or incision “skin hooks”
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Sutures (Stitches) -Applied to hold a wound or incision closed -Some are digested by tissue enzymes and absorbed by the body -Some suture materials like silk, nylon, Dacron, stainless steel, metal skin clips/staples have to removed after tissue/skin has healed
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Needle holder/ Needle Holder is to hold/support needle while sutures are being inserted Needle- slender with an eye at one end; usually curved for easier insertion into skin
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Bandage Scissors Have blunt lower ends Used to remove dressings and bandages; blunt ends prevent injury to the skin
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Prep of the surgical tray requires sterile technique to prevent infection Instruments must be sterilized Skin prep is sometimes done before minor surgery – Clean thoroughly with antiseptic soap – May or may not shave site (WHY?) Local anesthetic is administered by MD to decrease pain- may be an injection, spray, liquid
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Suture Removal Main instruments used are suture scissors and thumb forceps- these two are frequently packaged in sterilized, disposable kits called suture removal sets
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Remember……. Need signed consent form from pt Pt needs pre and post-op instructions Pt may be fearful/apprehensive Body tissues, growths, specimens are sent to the lab for examination (What info would you put on lab requisition?) Use standard precautions!!!!! Clean/sterilize instruments after use Put sharps in sharps container
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