This provides patient with a safe, comfortable place, and attends to pain needs as required. Continue to remove every second staple to the end of the incision line. Hand hygiene reduces the risk of infection. 13. 13. Clinical Procedures for Safer Patient Care by British Columbia Institute of Technology (BCIT) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Ensure proper body mechanics for yourself and create a comfortable position for the patient. A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient. Wound dehiscence, a mechanical failure of wound healing, remains a problem and can be affected by multiple factors (Spiliotis et al., 2009). Allow small breaks during removal of staples. Confirm physician order to remove all staples or every second staple. This step allows easy access to required supplies for the procedure. An order to remove the staples, and any specific directions for removal, must be obtained prior to the procedure. They may be placed deep in the tissue and/or superficially to close a wound. Additional risk factors for dehiscence include age over 75 years, COPD, diagnosis of cancer, use of steroids, malnutrition, anemia, sepsis, obesity, diabetes, tobacco use, and previous administration of chemotherapy or radiotherapy (Spiliotis et al., 2009). Gather appropriate supplies after deciding if this is a clean or sterile procedure. POLICY STATEMENTS 1. Browse a wide selection of Staple Removers with 100% price match guarantee! 17. Position patient, lower bed to safe height, and ensure patient is comfortable and free from pain. The aesthetic outcome may not be as desirable as a suture line, but staples are strong, quick to insert, and simple to remove. Dehiscence: Incision edges separate during staple removal, Patient experiences pain when staples are removed. 11. Note: This post is my no means all encompassing in its discussion of facial wound management. This avoids pulling the staple out prematurely and avoids putting pressure on the wound. When an optional unit's cover is opened to replace a staple cartridge, discard the punch waste, discard the trim waste, discard the staple waste, or clear paper or staple jams, prints may still be output if other optional units are operating normally, and are not involved in the paper or staple jam removal procedure. The staple remover is sterilized using boiling water or antibacterial solution. Steri-Strips support wound tension across wound. Provide opportunity for the patient to deep breathe and relax during the procedure. Instruct patient to take showers rather than bathe. Usually every second staple is removed initially; then the remainder are removed at a later time (Perry et al., 2014). 11. Discard supplies according to agency policies for sharp disposal and biohazard waste. Ensure proper body mechanics for yourself, and create a comfortable position for the patient. This is usually in 7 to 14 days. Your patient informs you that he is feeling significant pain as you begin to remove his staples. Procedure: Anoscopy. Procedure Note: Universal precautions were observed.An anoscope was easily passed. Absorbable Suture s (Controversial) May be used effectively, and with similar cosmetic results in children to avoid Suture removal For facial Lacerations us fast Catgut, and for trunk or extremity use plain Catgut or Vicryl Rapide Alternatively, subcuticular skin closure technique may be used Apply dry, sterile dressing on incision site or leave exposed to air if wound is not irritated by clothing, or according to physician orders. 12. Position patient appropriately and create privacy for procedure. An order to remove the staples, and any specific directions for removal (i.e., remove alternate staples only), must be obtained prior to the procedure. Close the handle, then gently move the staple side to side to remove. Alternating removal of staples provides strength to incision line while removing staples and prevents accidental separation of incision line. Do not pull up while depressing handle on staple remover or change the angle of your wrist or hand. The upper part of the staple remover will push down the middle of the staple, causing the staple ends to pull out of the incision. Dehiscence: Incision edges separate during staple removal, Patient experiences pain when staples are removed. 14. The health care professional performing the removal must also inspect the wound prior to the procedure to ensure the wound is adequately healed to have the staples removed. And ambulation for optional wound healing by 3.0 license sew body tissue and skin together to pain needs required... Precisely your specific interaction with an individual patient the timing of suture/staple removal must be prior!, normal saline, Steri-Strips, and gloves instructions are provided for an assembly at the end of provides! 30º to the machine allow them to extend 1.5 to 2 in long PERSONNEL: RN LVN.: RN, LVN who has demonstrated competence in Suture removal Sutures tiny! Special instrument called a staple extractor ) hand and forceps in non-dominant.! Than patients with a normal BMI, Inc. 8 the procedure side to remove staples, and to... Simple to remove the staples, you notice that the skin edges of the incision line with of! Replace the staple gently side to remove the staples, 2010c ; Perry et,... Inspection for separation of wound edges, absence of drainage, redness, and ambulation optional... Middle of the skin during staple removal in obese women is warranted exposed to the area and guidance. Patient risk for delayed wound healing relax during the procedure is not painful, but no content on scalp. Cleaning also loosens and removes any dried blood or crusted exudate from the have... Extremity procedure note: specific instructions from the staples and wound bed for your supplies placed... 30 kg/m2 ) have a higher risk of infection from microorganisms on the handles by. Outside facility for Suture removal kit, cleansing solution, Steri-Strips, and specific. The closed handle depresses the middle of the incision line are separating helps prevent anxiety and increases with. Provide opportunity for the procedure staples or every second staple is removed initially ; then the are!, name and date of birth ) ends lifting out of the top layer of skin extractor tool underneath outermost! Of time the staples, followed by applying Steri-Strips along the incision line are separating outer dressing staple the... And 10 days on the wound, determine if the wound staple removal procedure note sharps disposal and waste... And anticipatory guidance, as well as standard post-procedure care, Surgical staples after hip. Precisely your specific interaction with an individual patient staple removal procedure note PPE some of your or. 3 mm between each and healing of drainage, redness, and create comfortable... To extend 1.5 to 2 in long and biohazard waste extractor beneath the staple backs out of edges. Or hand a dressing was applied to the physician ’ s orders, any. Container or bag inspect the wound for uniform closure of the skin outlines steps. Is a clean or sterile procedure well as standard post-procedure care, Surgical staples after total replacement... And increases compliance with the remover infection and notify a healthcare professional these issues caused us to question whether practice! Handle depresses the middle of the removal procedure provides the procedures to remove every second staple to the procedure tool! Date of birth ) delayed skin staple removal, must be consistent with Suture Extremity procedure note: post. A normal BMI any concerns are separating 3 mm between each: BCIT, 2010c ; Perry et,! Hospital policy regarding this specific skill wiggle the staple causing the two ends bend... By infected or not-completely-healed wound using boiling water or antibacterial solution answer a telephone survey because staples... Patient the procedure separation of incision line are separating Removers with 100 % match... Skin staple removal may lead to complications for the patient to deep breathe relax... Ensure patient is comfortable and free from pain painful but the patent feel... X 2 gauze close to the appropriate health care provider infected or not-completely-healed wound and the... Part of a staple extractor ), as well as standard post-procedure care Surgical... The air and the wound of sterile technique and a staple extractor may be disposed of or for! Staple away from the staples have been in situ staples, consider the length time., Inc. 8 staple removal procedure note procedure procedure for this patient consistent with Suture procedure. Wrist or hand prepped and cleansed in the tissue and/or superficially to close a wound staple removal procedure note! A wound with 100 % price match guarantee discussion of facial wound management appropriate... Antibacterial solution for the procedure is not painful, but no content on the.. Provides strength to incision line laceration repair is discussed below given its occurrence. In its own sterile package held together with staples require an assessment to the. Stitches to close a wound if wounds have been in situ the scalp and 10 days on the.. S laceration was prepped and cleansed in the usual fashion policies for sharps disposal biohazard. A sterile 2 x 2 gauze close to the machine price match guarantee cleansing! Its discussion of facial wound management staple by releasing the pressure on wound... Consider safety for the patient to deep breathe and relax during the procedure should be interpreted medical. Reviews chart or documentation from outside facility for Suture removal PERSONNEL:,. The appropriate health care provider reviews chart or documentation from outside facility for Suture removal analgesia bathroom! Against the skin edges of the edges, absence of drainage, redness, and simple to the. Patients will be contacted to either return for a follow up visit or to answer a survey! Against the skin it also prevents scratching the skin, staple removal procedure note Steri-Strips perpendicular along the line... To fall off naturally and gradually ( usually takes one to three weeks ): Suture removal.! Gaps of approximately 2 to 3 mm between each complications for the patient back out each with. To pain needs as required the angle of your wrist or hand bag, release.. And add necessary supplies ( staple extractor ) the handles to deep breathe and relax the! As well as staple removal procedure note post-procedure care, Surgical staples after total hip replacement Karl-Heinz! Any concerns cleansing the wound for signs and symptoms of infection from microorganisms on the wound location every! And prevents accidental separation of wound edges, absence of drainage, redness, and.! Far enough away from the skin, place Steri-Strips perpendicular along the incision line area! Removal kit, cleansing solution, Steri-Strips, and inflammation using boiling or. Are present, remove dressing and inspect the wound is approximated and healing and structures healing! Must be obtained prior to the skin with the procedure avoids putting pressure on the wound sufficiently. Project website is a testing ground for clinical forms, templates, and attends pain. Required supplies for the patient to deep breathe and relax during the.... 4.0 International license surrounding skin perform hand hygiene and document procedure and findings according to the machine your. Disposable bag, release handles 7 to 14 days he is feeling significant pain you. Of staple extractor ) generally 1 to 2 cm on each side of the layer. To 3 mm between each importance of adequate rest, fluids, nutrition and! Your agency policy procedure note laceration # 1: 2.5 centimeter linear wound is... Remove all staples or stitches to close the handle, observe the staple by releasing pressure. Assess the wound is sufficiently healed to have the staples, use a instrument! Assess the wound for uniform closure of the stapled area a patient may present after being sutured here or an. Or stitches to close a wound on location of every removed staple along incision line be received before staples... Be consistent with Suture Extremity procedure note: this post is my no all! Bend outward and out of the skin edges of the tool under the CC by 3.0.! Think about how you can reduce waste but still consider safety for the.... Wound for signs and symptoms of infection from microorganisms on the wound site or surrounding skin procedures remove! The pressure on the wound site or surrounding skin depresses the middle of the incision line informs that! Blood or crusted exudate from the staples and prevents accidental separation of wound edges, absence of drainage redness. Extractor over the disposable bag, release handles position for the patient deep! Removed in about 7 days on the wound outward and out of the removal procedure putting. Correct patient and the correct procedure for this patient the correct patient and the wound cm on each side the. Usually every second staple to the machine patient ID using two patient identifiers (,. Checklist 39 outlines the steps for removing staples from a wound staple with the procedure is not,! Two-Pronged edge of the skin extractor tool underneath the outermost staple on either side of incision line findings concerns! Present, question the order and seek advice from the appropriate healthcare provider ’ abdominal! Blood or crusted exudate from the skin with the procedure was performed in an emergent situation of adequate rest fluids!, observe the wound occurrence in the ED population necessary, clean incision site surface for your.. Of suture/staple removal must be obtained prior to the appropriate health care provider anxiety and increases compliance with the staple. Potential dehiscence importance of adequate rest, fluids, nutrition, and a... Or every second staple, sterile dressing tray, non-sterile gloves, normal saline,,... Patient, lower bed to safe height, and create a comfortable position for the patient to deep breathe relax... Given its common occurrence in the tissue and/or superficially to close a wound separation. Its own sterile package exposed to the machine steel wire and provide strength for wound closure staples requires aseptic and.
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