Confirm physician orders, and explain procedure to patient. The wound most likely has had a bandage applied, unless skin glue was used, or unless the wound was in a hard-to-bandage area, like the scalp. Pat the wound dry immediately after it gets wet. Incisions closed with nonabsorbable sutures or staples must be kept dry until the doctor removes the sutures or staples, usually about seven to 10 days after surgery. Removing Staples 5. When all staples are removed from the wound, the wound and its surrounding area is wiped with saline solution or antiseptic to get rid of any existing bacteria. Cleanse the area with mild soap and water and gently pat dry with a clean cloth. … This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. It is not intended as medical advice for individual conditions or treatments. Causes. Most thread-like sutures are removed by cutting the suture next to the knot, then pulling the knot out gently until the suture is completely removed. Your doctor will give you instructions on how to care for your stitches or staples. Keep the wound dry for 48 hours after it was treated. Failure to comply may result in legal action. 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. This is important, especially if the incision is still draining and needs to be bandaged. Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 Jan 2021), ASHP (updated 6 Jan 2021) and others. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Dehiscence: Incision edges separate during staple removal, Patient experiences pain when staples are removed. Stitches on your scalp need to be removed after 7 to 14 days. This step allows easy access to required supplies for the procedure. © Copyright IBM Corporation 2020 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. You may cover the wound with a thin layer of petroleum jelly, such as Vaseline, and a non-stick bandage. The medical tape will fall off on its own after several days. It also prevents scratching the skin with the sharp staple. After assessing the wound, determine if the wound is sufficiently healed to have the staples removed. Close the handle, then gently move the staple side to side to remove. Your wound is red, warm, swollen, or leaking pus. After surgery, you will need to take care of the incision as it heals. I returned to the hospital after roughly two weeks to have the staples removed from the wound. Staples and Stitches: You may wash or shower 24 hours after surgery unless you are directed otherwise by your healthcare professional. These need to be removed by a health care provider with a special tool. 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. Stitches: Some wounds are closed with stitches. All wounds held together with staples require an assessment to ensure the wound is sufficiently healed to remove the staples. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Home Health Care 4. This reduces the risk of infection from microorganisms on the wound site or surrounding skin. This is normal. Most of the pain and soreness where the skin was cut should go away by … All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health. The wound location sometimes restricts their use because the staples must be far enough away from organs and structures. My leg was still swollen from the surgery and I walked with crutches. Repeat wound care once a day until staples are removed. Only use creams or ointments (emollients) recommended by your doctor. Staples are made of stainless steel wire and provide strength for wound closure. An order to remove the staples, and any specific directions for removal, must be obtained prior to the procedure. Here is some care advice that should help. No normal: It is not normal for the wound to open after 2 months. Start removing the staples at the 2nd staple. Place lower tip of staple extractor beneath the staple. That said, staples require a special tool for removal, while stitches require a simple pair of scissors. After the first 24 to 48 hours, wash around the cut with clean water 2 times a day. Instruct patient not to pull off Steri-Strips and to allow them to fall off naturally and gradually (usually takes one to three weeks). Surgical staples can play a role in how these infections come about. Available for Android and iOS devices. Your healthcare provider will tell you when to return to have your stitches removed. Do not soak the wound or swim until the sutures have been removed. 6. Do NOT pull or try to help the staple remover remove the staple….it will do this on its own. You should only use creams and lotions if recommended by your doctor. You suddenly cannot move your injured joint. The above information is an educational aid only. Any stitches or staples used on the outside need to be removed in about 7 to 14 days, depending on the location. 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. Most bandages for lacerations can be removed after 24-48 hours, unless indicated otherwise by your doctor. Your patient informs you that he is feeling significant pain as you begin to remove his staples. Then soak them for removal. Stitches over joints may remain in place up to 14 days. Some types of stitches dissolve on their own. In general, staples are removed within 7 to 14 days. After the stitches or staples are put in, the area may be covered with a thin layer of ointment and covered with a nonstick bandage. This … Write down your questions so you remember to ask them during your visits. When removing your surgical staples, your doctor will follow these general steps: Remove any wound dressing or other materials covering the area. Select one or more newsletters to continue. Your provider will use sterile forceps or tweezers to pick up the knot of each stitch. At the time of suture removal, the wound has only regained about 5%-10% of its … When the staples are removed, drop them into a disposable container or bag. It is normal for stitches or staples to cause a small amount of skin redness and swelling where the stitch or staple enters the skin. Last updated on Nov 16, 2020. 28 years experience Family Medicine. Patients with incisions on the face, hands, or arms may be able to take showers or tub baths as long … This avoids pulling the staple out prematurely and avoids putting pressure on the wound. 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. Doing so may limit scarring, may help you avoid pain or discomfort, and may help lower the risk of problems like infection. Your wound splits open or is starting to come apart. Explain process to patient and offer analgesia, bathroom, etc. Medical tape will be placed on your wound once your staples are removed. 4.Wound is checked for signs of infection. nurse will tell you how your wound is closed and how to look after it. Position patient, lower bed to safe height, and ensure patient is comfortable and free from pain. 8. Cleaning also loosens and removes any dried blood or crusted exudate from the staples and wound bed. Staple extractor may be disposed of or sent for sterilization. You may need to return in 3 to 5 days if the stitches are on your face. Inform patient the procedure is not painful but the patent may feel some pulling or pinching of the skin during staple removal. Wound care after suture removal is just as important as it was prior to removal of the stitches. In general, staples are removed within 7 to 14 days. 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. Take good care of the wound so it will heal and not scar. Incisions closed with Steri-strips should be kept dry for about four to five days. Your wound will need care and observation. Cut Steri-Strips to allow them to extend 1.5 to 2 cm on each side of incision. Care Advice. Removal of staples requires sterile technique and a staple extractor. Explanation helps prevent anxiety and increases compliance with the procedure. You have questions or concerns about your condition or care. Complete patient teaching regarding Steri-Strips and bathing, wound inspection for separation of wound edges, and ways to enhance wound healing. However, it is not unheard of. Position patient appropriately and create privacy for procedure. 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