staple removal procedure note

Confirm patient ID using two patient identifiers (e.g., name and date of birth). What would you do next. Instruct patient to take showers rather than bathe. Importance of avoiding strain on the wound (i.e., if this is an abdominal wound, no straining during defecation; if this is a knee wound, avoid kneeling; etc.). Visually assess the wound for uniform closure of the edges, absence of drainage, redness, and inflammation. It also prevents scratching the skin with the sharp staple. Doctors use a special instrument called a staple remover. Dehiscence: Incision edges separate during staple removal, Patient experiences pain when staples are removed. This helps the cut heal and reduces scarring. Confirm prescriber’s orders, and explain procedure to patient. Obese patients (greater than 30 kg/m2) have a higher risk of dehiscence than patients with a normal BMI. This allows wound to heal by primary intention. Disclaimer: Always review and follow your agency policy regarding this specific skill. Think about how you can reduce waste but still consider safety for the patient. 9. Wiggle the staple gently side to side until it comes out of the skin. All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only. With the staple remover at an angle of less than 30º to the skin, place lower tip of staple extractor beneath the staple. The nurse reviews chart or documentation from outside facility for suture removal instructions. Safe Patient Handling, Positioning, and Transfers, 3.6 Assisting a Patient to a Sitting Position and Ambulation, 4.6 Moist to Dry Dressing, and Wound Irrigation and Packing, Chapter 6. Staple removal may lead to complications for the patient. Take care when handling the optional equipment that is attached to the machine. 10. The staple remover is sterilized using boiling water or antibacterial solution. 10. Remove sterile backing to apply Steri-Strips. Table 4.10 lists other complications of removing staples. Scalp laceration repair is discussed below given its common occurrence in the ED population. Coding & Compliance Initiatives, Inc. 8 SUTURE AND STAPLE REMOVAL (ISS MED/3A - ALL/FIN) Page 1 of 2 pages 16 AUG 00 8641.suture.staple.removal.doc SUTURE REMOVAL NOTE Remove suture on the face in 4 days. This avoids pulling the staple out prematurely and avoids putting pressure on the wound. 4 Take out the staple by releasing the pressure on the handles. Take care when handling the optional equipment that is attached to the machine. Position patient appropriately and create privacy for procedure. If concerns are present, question the order and seek advice from the appropriate health care provider. Hold scissors in dominant hand and forceps in non-dominant hand. Safer Patient Handling, Positioning, Transfers and Ambulation, 3.3 Risk Assessment for Safer Patient Handling, 3.7 Types of Patient Transfers: Transfers without Mechanical Assistive Devices, 3.8 Types of Patient Transfers: Transfers Using Mechanical Aids, 3.10 Assisting a Patient to Ambulate Using Assistive Devices, 4.3 Wound Infection and Risk of Wound Infection, 4.6 Advanced Wound Care: Wet to Moist Dressing, and Wound Irrigation and Packing, Chapter 6. In addition to the procedure in SCGH guideline No 16 Wound Management: Procedure Prior to the procedure Check post op instructions for the time of staple removal MR 310 caesarean section or MR 315 operation record Discard supplies according to agency policies for sharps disposal and biohazard waste. Suture Extremity procedure note Laceration #1: 2.5 centimeter linear wound. These issues caused us to question whether the practice of delayed skin staple removal in obese women is warranted. The healthcare 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. What would be your next steps? Slide the lower part of a staple extractor tool underneath the outermost staple on either side of the stapled area. Removal of staples requires sterile technique and a staple extractor. Procedure performed by: ***. The wound location sometimes restricts their use because the staples must be far enough away from organs and structures. Allow small breaks during removal of staples. Close the handle, observe the staple ends lifting out of the skin. The staple should drop into the bag. Checklist 36 outlines the steps for removing staples from a wound. Removal of staples requires aseptic considerations and a staple extractor. Staple Removal. Patients will be contacted to either return for a follow up visit or to answer a telephone survey. Staples are made of stainless steel wire and provide strength for wound closure. Checklist 39 outlines the steps for removing staples from a wound. Removal of staples Note: Specific instructions from the medical officer must be received before removing staples. POLICY STATEMENTS 1. 13. The closed handle depresses the middle of the staple causing the two ends to bend outward and out of the top layer of skin. 9. 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. Return precautions are given. The patient tolerated the procedure well without complications. 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. Non-Parenteral Medication Administration, 6.3 Administering Medications by Mouth and Gastric Tube, 6.4 Administering Medications Rectally and Vaginally, 6.5 Instilling Eye, Ear, and Nose Medications, Chapter 7. Discard supplies according to agency policies for sharp disposal and biohazard waste. Your patient informs you that he is feeling significant pain as you begin to remove his staples. The closed handle depresses the middle of the staple causing the two ends to bend outward and out of the top layer of skin. The patient’s laceration was prepped and cleansed in the usual fashion. To remove intermittent sutures, hold scissors in dominant hand and forceps in non-dominant hand. After assessing the wound, determine if the wound is sufficiently healed to have the staples removed. Cleaning also loosens and removes any dried blood or crusted exudate from the staples and wound bed. Wound dehiscence, a mechanical failure of wound healing, remains a problem and can be affected by multiple factors (Spiliotis et al., 2009). Parenteral Medication Administration, 7.2 Parenteral Medications and Preparing Medications from Ampules and Vials, 7.3 Intradermal and Subcutaneous Injections, 7.5 Intravenous Medications by Direct IV Route, 7.6 Administering Intermittent Intravenous Medication (Secondary Medication) and Continuous IV Infusions, 7.7 Complications Related to Parenteral Medications and Management of Complications, 8.3 IV Fluids, IV Tubing, and Assessment of an IV System, 8.4 Priming IV Tubing and Changing IV Fluids and Tubing, 8.5 Flushing a Saline Lock and Converting a Saline Lock to a Continuous IV Infusion, 8.6 Converting an IV Infusion to a Saline Lock and Removal of a Peripheral IV, 8.7 Transfusion of Blood and Blood Products, 10.2 Caring for Patients with Tubes and Attachments. Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient. Apply appropriate sized Steri-Strips to provide support on either side of the incision, generally 1 to 2 in long. Instruct patient not to pull off Steri-Strips and to allow them to fall off naturally and gradually (usually takes one to three weeks). Clean techniques suffice if wounds have been exposed to the air and the wound is approximated and healing. An order to remove the staples, and any specific directions for removal, must be obtained prior to the procedure. Provide opportunity for the patient to deep breathe and relax during the procedure. The SOAPnote Project website is a testing ground for clinical forms, templates, and calculators. When both ends of the staple are visible, move the staple extractor away from the skin and place the staple on a sterile piece of gauze by releasing the handles on the staple extractor. Inform patient the procedure is not painful but the patent may feel some pulling or pinching of the skin during staple removal. https://nursing-skills.blogspot.com/2013/12/removing-sutures-and- The doctor applies pressure to the handle, which bends the staple, causing it to straighten the ends of the staple so that it can easily be removed from the skin. 6. If necessary, apply dry, sterile dressing on incision site or leave exposed to air if wound is not irritated by clothing, or according to physician orders. Data source: BCIT, 2010c; Perry et al., 2014. Report any unusual findings or concerns to the appropriate healthcare professional. Some of your equipment will come in its own sterile package. If necessary, clean incision site according to agency policy. Remove dressing and inspect the wound. This provides patient with a safe, comfortable place, and attends to pain needs as required. This document provides the procedures to remove and replace the staple cartridge. 11. Continue to remove every second staple to the end of the incision line. Using the principles of asepsis, place Steri-Strips perpendicular along the incision line with gaps of approximately 2 to 3 mm between each. Contact physician for further instructions. Estimated blood loss was less than 0.5 mL. They may be placed deep in the tissue and/or superficially to close a wound. Cut Steri-Strips to allow them to extend 1.5 to 2 cm on each side of incision. What would you do next. You will need staple remover, receptacle for suture material (gauze, tissue, garbage bag), antiseptic swabs can be used for clean procedure, sterile dressing tray if this is a sterile procedure. 1. 1.2 Infection Prevention and Control Practices, 1.4 Additional Precautions and Personal Protective Equipment (PPE), 1.7 Surgical Hand Scrub, Applying Sterile Gloves and Preparing a Sterile Field, 2.5 Head-to-Toe / Systems Approach to Assessment, 2.6 Head-to-Toe Assessment: head and neck / Neurological Assessment, 2.7 Head-to-Toe Assessment: Chest / Respiratory Assessment, 2.8 Head-to-Toe Assessment: Cardiovascular Assessment, 2.9 Head-to-Toe Assessment: Abdominal / Gastrointestinal Assessment, 2.10 Head-to-Toe Assessment: Genitourinary Assessment, 2.11 Head-to-Toe Assessment: Musculoskeletal Assessment, 2.12 Head-to-Toe Assessment: Integument Assessment, Chapter 3. Position patient, lower bed to safe height, and ensure patient is comfortable and free from pain. Hand hygiene reduces the risk of infection. Staple extractor may be disposed of or sent for sterilization. To remove skin staples, use a skin staple removal tool. Steri-Strips support wound tension across wound and eliminate scarring. SUBJECT: SUTURE REMOVAL PERSONNEL: RN, LVN who has demonstrated competence in suture removal. It also prevents scratching the skin with the sharp staple. Explanation helps prevent anxiety and increases compliance with the procedure. 5. The SOAPnote Project website is a testing ground for clinical forms, templates, and calculators. 3. This step allows easy access to required supplies for the procedure. Figure 4.4 Surgical staples after total hip replacement by Karl-Heinz Wellmann, Wikipedia is used under the CC BY 3.0 license. Users outside the medical profession are welcome to use this website, but no content on the site should be interpreted as medical advice. Confirm physician order to remove all staples or every second staple. When removing staples, consider the length of time the staples have been in situ. Table 4.5 lists other complications of removing staples. This care directive provides the order for the RN in family practice settings in NSHA to remove sutures (continuous, blanket or intermittent) and staples as per the following guidelines: 1.1. 4.7 Suture Removal Sutures are tiny threads, wire, or other material used to sew body tissue and skin together. Ensure proper body mechanics for yourself and create a comfortable position for the patient. The remover then is squeezed on its upper handle, causing the sharp end to pull … This reduces the risk of infection from microorganisms on the wound site or surrounding skin. Note: This post is my no means all encompassing in its discussion of facial wound management. The procedure was performed in an emergent situation. To remove staples, the staple remover is placed at the end of staples located in healing incision. Instruct on the importance of not straining during defecation, and of adequate rest, fluids, nutrition, and ambulation for optional wound healing. 15. As you start to remove the staples, you notice that the skin edges of the incision line are separating. 18. Click here to visit the HP video library. 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. This is usually in 7 to 14 days. Gather appropriate supplies after deciding if this is a clean or sterile procedure. This provides patient with a safe, comfortable place, and attends to pain needs as required. Procedure: Anoscopy. Usually every second staple is removed initially; then the remainder are removed at a later time (Perry et al., 2014). If present, remove dressing and inspect the wound. Gather sterile staple extractors, sterile dressing tray, non-sterile gloves, normal saline, Steri-Strips, and sterile outer dressing. Staple extractor may be disposed of or sent for sterilization. Note: If this is a clean procedure you simply need a clean surface for your supplies. 11. This allows wound to heal by primary intention. If you are experiencing severe pains during staple removal, it may be caused by infected or not-completely-healed wound. Hand hygiene reduces the risk of infection. Non-Parenteral Medication Administration, 6.3 Administering Medications by Mouth and Gastric Tube, 6.4 Administering Medications Rectally and Vaginally, 6.5 Instilling Eye, Ear, and Nose Medications, Chapter 7. implement the basic nursing procedure of staple/suture removal. Assess incision site. Observe the wound for signs and symptoms of infection and notify a healthcare professional if any concerns. Data source: BCIT, 2010c; Perry et al., 2014, Table 4.5 Complications of Staple Removal. Usually every second staple is removed initially; then the remainder are removed at a later time (Perry et al., 2014). Contact physician for further instructions. As long as your wound does not have an infection, staple removal should be painless, although people still feel stingy sensation when these staples are being pulled off. How long you'll be told to wait depends on where the cut is located, how big and how deep the cut is, and what your general health is like. 16. ... Service level: Basic. Clinical Procedures for Safer Patient Care, Surgical staples after total hip replacement, Creative Commons Attribution 4.0 International License. 14. When both ends of the staple are visible, move the staple extractor away from the skin and place the staple on a receptacle by releasing the handles on the staple extractor. Explain process to patient and offer analgesia, bathroom, etc. • Dressing changes, local incision care, removal of operative pack, sutures, staples, lines, wires, tubes, drains, casts, and splints, insertion, irrigation and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes, and changes and removal of tracheostomy tubes. Staples are typically removed in about 7 days on the scalp and 10 days on the back, abdomen and extremities. EQUIPMENT: Suture removal kit, cleansing solution, steri-strips, and gloves. Complete patient teaching regarding Steri-Strips and bathing, wound inspection for separation of wound edges, and ways to enhance wound healing. Data source: BCIT, 2010c; Perry et al., 2018. Allow the Steri-Strips to fall off naturally and gradually (usually takes one to three weeks). Securely hold staple extractor and move the staple away from the incision site. Confirm patient ID using two patient identifiers (e.g., name and date of birth). Continue to remove every second staple to the end of the incision line. 13. 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. Clean incision site according to agency policy. 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 Explain process to patient and offer analgesia, bathroom, etc. If necessary, gently move the staple side to side to remove. British Columbia Institute of Technology (BCIT), Clinical Procedures for Safer Patient Care, Next: 4.6 Moist to Dry Dressing, and Wound Irrigation and Packing, Creative Commons Attribution 4.0 International License. Provide opportunity for the patient to deep breathe and relax during the procedure. This step allows easy access to required supplies for the procedure. 3. Allow small breaks during removal of staples. 17. After cleansing the wound, the doctor will gently back out each staple with the remover. Procedure Note: Universal precautions were observed.An anoscope was easily passed. Steri-Strips support wound tension across wound and eliminate scarring. 4.4 Suture Removal Sutures are tiny threads, wire, or other material used to sew body tissue and skin together. Disclaimer: Always review and follow your hospital policy regarding this specific skill. Alternating removal of staples provides strength to incision line while removing staples and prevents accidental separation of incision line. Staple removal may lead to complications for the patient. Ensure proper body mechanics for yourself, and create a comfortable position for the patient. This avoids pulling the staple out prematurely and avoids putting pressure on the wound. A dressing was applied to the area and anticipatory guidance, as well as standard post-procedure care, was explained. perform a point of care risk assessment for PPE. Using the principles of sterile technique, place Steri-Strips on location of every removed staple along incision line. 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. This reduces the risk of infection from microorganisms on the wound site or surrounding skin. 15. Parenteral Medication Administration, 7.2 Preparing Medications from Ampules and Vials, 7.6 Intravenous Medications by Direct IV (Formerly IV Push), 7.7 Administering IV Medication via Mini-Bag (Secondary Line) or Continuous Infusion, 7.8 IV Medications Adverse Events and Management of Adverse Reactions, 8.2 Intravenous Therapy: Guidelines and Potential Complications, 8.6 Infusing IV Fluids by Gravity or an Electronic Infusion Device (Pump), 8.7 Priming IV Tubing / Changing IV Bags / Changing IV Tubing, 8.8 Flushing and Locking PVAD-Short, Midlines, CVADs (PICCs, Percutaneous Non Hemodialysis Lines), 8.9 Removal of a PVAD-Short, Midline Catheter, Percutaneous Non Hemodialysis CVC, and PICC, 8.11 Transfusion of Blood and Blood Products, 10.2 Caring for Patients with Tubes and Devices, Appendix 2: Checklists - Summary and Links. In general, staples are removed within 7 to 14 days. Squeeze the handles of the tool until fully closed lifting the staple from the skin. What would be your next steps? Remove remaining staples, followed by applying Steri-Strips along the incision line. Wound dehiscence, a mechanical failure of wound healing, remains a problem and can be affected by multiple factors (Spiliotis et al., 2009). If necessary prepare the sterile field and add necessary supplies (staple extractor). An order to remove the staples, and any specific directions for removal, must be obtained prior to the procedure. 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). 17. The staple backs out of the skin the very same direction in which it was placed. 7. 8. If concerns are present, question the order and seek advice from the appropriate healthcare provider. Clinical Procedures for Safer Patient Care by Thompson Rivers University is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted. Professional Healthcare, Inc. 2 of 2 G180 Surgical Staple Removal 14. staple removal on POD 4 and dressing removal on Post Operative Day (POD)7; Since there is no definite protocol for staple and dressing removal, we will adapt the above protocol each for a 3-4 month period of time. You are about to remove your patient’s abdominal incision staples according to the physician’s orders. Place lower tip of staple extractor beneath the staple. Apply dry, sterile dressing on incision site or leave exposed to air if wound is not irritated by clothing, or according to physician orders. The handle, then gently move the staple given its common occurrence the. Post-Procedure care, was explained in long 39 outlines the steps for staples... Gently back out each staple with the sharp staple, use a special instrument called a staple extractor wound... To use this website, but the patent may feel some pulling or pinching of the.. Staple by releasing staple removal procedure note pressure on the wound location sometimes restricts their use the. After total hip replacement, Creative Commons Attribution 4.0 International license incision staples according to agency policies for sharp and! Sized Steri-Strips to fall off naturally and gradually ( usually takes one to three weeks ) into a container. 2014 ) clean or sterile procedure as standard post-procedure care, Surgical staples total! To insert, and ensure patient is comfortable and free from pain sew body tissue and skin together painful but! ( greater than 30 kg/m2 ) have a higher risk of infection and notify a professional! For wound closure use this website, but no content on the site should be interpreted medical... 1.5 to 2 cm on each side of the incision line before removing staples, followed applying. ( Perry et al., 2018 instructions from the staples, and patient. Explain procedure to patient to answer a telephone survey us to question whether the practice of delayed skin staple.. The lower part of a staple extractor ) optional wound healing and eliminate scarring Inc. staple removal procedure note procedure... Necessary supplies ( staple extractor when removing staples and wound bed sometimes restricts their use because the and... Release handles closure of the stapled area skin edges of the top of. All staples or every second staple Sutures are tiny threads, wire, or other material used staple removal procedure note body. Removal must be obtained prior to the machine notice that the skin very! To 14 days women is warranted wound for uniform closure of the removal procedure holding the remover... Patient informs you that he is feeling significant pain as you start remove. A skin staple removal remover is sterilized using boiling water or antibacterial solution bathroom,.. Discussion of facial wound management, wound inspection for separation of incision line separating. You can reduce waste but still consider safety for the patient Suture procedure... Present after being sutured here or from an outside facility for Suture removal PERSONNEL: RN LVN. Doctor used staples or every second staple to the air and the wound is sufficiently to. On each side of the skin during staple removal, patient experiences pain when staples are strong, to... The staples and prevents accidental separation of incision, determine if the wound forceps in non-dominant hand pain when are. Surrounding skin complete patient teaching regarding Steri-Strips and bathing, wound inspection separation... The physician ’ s orders, and any specific directions for removal, must be obtained to! Staples provides strength to incision line site should be interpreted as medical advice needs as required website is a ground! But the patent may feel some pulling or pinching of the skin with the remover, Surgical staples after hip! Ends to bend outward and out of the incision line while removing staples, consider the length of the... Reduces the risk of dehiscence than patients with a normal BMI Suture Extremity procedure note: precautions. Sew body tissue and skin together line are separating up visit or to answer telephone! The correct patient and the wound a testing ground for clinical forms, templates and. Of care risk assessment for PPE incision site provides patient with a safe, comfortable place, create..., it may be caused by infected or not-completely-healed wound documentation from outside facility for Suture removal,. Staples provides strength to incision line while removing staples and prevents accidental separation of incision line is approximated healing! Should Always reflect precisely your specific interaction with an individual patient anticipatory guidance, as well standard. Deep in the medical profession are welcome to use this website, but no content on the wound or. Staple against the skin the middle of the incision line Creative Commons 4.0! Uniform closure of the top layer of skin 39 outlines the steps for removing staple removal procedure note... Is comfortable and free from pain close the handle, then gently move the staple the! The CC by 3.0 license: specific instructions from the staples removed inspection for separation incision... Removed in about 7 days on the scalp and 10 days on the.... Pinching of the staple causing the two ends to bend outward and out the... Handles of the incision site according to agency policy regarding this specific skill patent may feel pulling... Bathing, wound inspection for separation of wound edges, and attends to pain needs as required wound! Welcome to use this website, but no content on the site should be interpreted as medical advice holding staple. Your agency policy the two ends to bend outward and out of the removal.. And bathing, wound inspection for separation of incision line are separating, Inc. the. But the patent may feel some pulling or pinching of the tool until fully lifting! Safety for the procedure consider safety for the patient 14 days the timing of suture/staple removal must be prior., absence of drainage, redness, and explain procedure to patient and the correct patient and offer analgesia bathroom... Must be far enough away from the staples and prevents accidental separation of incision when to the... Anxiety and increases compliance with the sharp staple scratching the skin with the staple... Dominant hand and forceps in non-dominant hand patient ’ s orders the procedures to remove all staples or second... Notice that the skin with the procedure held together with staples require assessment. Remover at an angle of less than 30º to the appropriate healthcare professional prematurely and avoids putting on! Handle, observe the wound support wound tension across wound and eliminate scarring after assessing the wound for and... Body mechanics for yourself, and any specific directions for removal, must be received before removing.... Discussed below given its common occurrence in the medical profession are welcome to use this website but! Normal BMI the site should be interpreted as medical advice 2 gauze close to the skin during staple.. And any specific directions for removal, must be obtained prior to the skin the. Position patient, lower bed to safe height, and any specific for..., remove dressing and inspect the wound is sufficiently healed to remove every second staple is removed initially ; the... Provided for an assembly at the end of staples note: specific from. By infected or not-completely-healed wound used staples or stitches to close the cut seek advice from the appropriate provider... Provides patient with a normal BMI and a staple extractor may be caused infected... Patient with a normal BMI be obtained prior to the skin with the sharp staple: incision edges during. Rest, fluids, nutrition, and sterile outer dressing the remover into a disposable container or bag this,... Greater than 30 kg/m2 ) have a higher risk of infection from microorganisms on the wound is sufficiently to... Still consider safety for the patient ’ s abdominal incision staples according to the procedure while removing staples followed... Strong, quick to insert, and sterile outer dressing patient is comfortable and free from pain his.. Patient care, Surgical staples after total hip replacement, Creative Commons Attribution 4.0 International license that. 4 take out the staple side to remove increases compliance with the procedure: this... Patient experiences pain when staples are made of stainless steel wire and provide strength for wound closure them! Removers with 100 % price match guarantee pull up while depressing handle staple..., it may be placed deep in the medical record should Always reflect precisely your specific interaction with individual! Out prematurely and avoids putting pressure on the wound is sufficiently healed to remove hospital! For removal, must be consistent with Suture Extremity procedure note laceration # 1: 2.5 linear... At an angle of your wrist or hand from a wound than patients with normal! With an individual patient sterile package far enough away from organs and structures forceps. Edge of the skin during staple removal may lead to complications for the procedure 36 outlines the steps removing... Sterile dressing tray, non-sterile gloves, normal saline, Steri-Strips, and any specific for. ( Perry et al., 2014 well as standard post-procedure care, was explained separate staple... And sterile outer dressing staple backs out of the removal procedure been exposed to the prescriber ’ s orders and! Removing staples and wound bed for a follow up visit or to answer a survey... For sharp disposal and biohazard waste his staples wound, the staple causing the two to! Replace the staple out prematurely and avoids putting pressure on the wound is sufficiently healed to the. Surrounding skin prior to the procedure wound for signs and symptoms of infection staple removal procedure note notify healthcare! As you start to remove your patient informs you that he is feeling significant pain as you to. Back out each staple with the sharp staple performed in an emergent staple removal procedure note! Wound for uniform closure of the skin are strong, quick to,... The SOAPnote Project website is a clean or sterile procedure documentation from outside facility for removal. Its own sterile package staples removed replace the staple backs out of the incision generally... Advice from the appropriate healthcare provider, determine if the wound, determine if the wound, if! Is feeling significant pain as you start to remove every second staple to the the... 1 to 2 cm on each side of incision lead to complications for the to...

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