Sutures
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University of Michigan Hospitals and Health Centers Infection Control & Epidemiology
Flowchart: Use of Suture Needles in the Operating Room (Example of a process review in order to identify areas for improvement)
Open Suture Needle Package (peel pouch)
Additional needle counter needed?
Ongoing Needle Count YES Load on Needle Holder Decision made by Nurse/Tech?
NO
NO Immediate/ Emergent Use?
NO
Place on stand
Continue using existing needle counter (double load)
YES Get new needle counter
YES
Pass to Surgeon Counting needles Physician suturing technique Discard needle counter Discarding of needle by surgeon
Place needle on surgical field
Suture needle put in needle counter or discarded
sutures.vsd
Pass needle to scrub nurse
Staff who need to be involved in improvement activities: Surgeon Scrub Nurse Circulation Nurse OR Tech COPYRIGHT © 2002 THE REGENTS OF THE UNIVERSITY OF MICHIGAN ALL RIGHTS RESERVED PERMISSION IS GRANTED TO USE, COPY AND REDISTRIBUTE THIS DOCUMENT FOR NONCOMMERCIAL EDUCATION AND RESEARCH PURPOSES, SO LONG AS NO FEE IS CHARGED, AND SO LONG AS THE COPYRIGHT NOTICE ABOVE AND THIS GRANT OF PERMISSION APPEAR IN ALL COPIES MADE; AND SO LONG AS THE NAME OF THE UNIVERSITY OF MICHIGAN IS NOT USED IN ANY ADVERTISING OR PUBLICITY PERTAINING TO THE USE OR DISTRIBUTION OF THIS DOCUMENT WITHOUT SPECIFIC, WRITTEN PRIOR AUTHORIZATION. PERMISSION TO MODIFY OR OTHERWISE CREATE DERIVATIVE WORKS OF THIS DOCUMENT IS NOT GRANTED.
Flowchart: Use of Suture Needles in the Operating Room (Example of a process review in order to identify areas for improvement)
Open Suture Needle Package (peel pouch)
Additional needle counter needed?
Ongoing Needle Count YES Load on Needle Holder Decision made by Nurse/Tech?
NO
NO Immediate/ Emergent Use?
NO
Place on stand
Continue using existing needle counter (double load)
YES Get new needle counter
YES
Pass to Surgeon Counting needles Physician suturing technique Discard needle counter Discarding of needle by surgeon
Place needle on surgical field
Suture needle put in needle counter or discarded
sutures.vsd
Pass needle to scrub nurse
Staff who need to be involved in improvement activities: Surgeon Scrub Nurse Circulation Nurse OR Tech COPYRIGHT © 2002 THE REGENTS OF THE UNIVERSITY OF MICHIGAN ALL RIGHTS RESERVED PERMISSION IS GRANTED TO USE, COPY AND REDISTRIBUTE THIS DOCUMENT FOR NONCOMMERCIAL EDUCATION AND RESEARCH PURPOSES, SO LONG AS NO FEE IS CHARGED, AND SO LONG AS THE COPYRIGHT NOTICE ABOVE AND THIS GRANT OF PERMISSION APPEAR IN ALL COPIES MADE; AND SO LONG AS THE NAME OF THE UNIVERSITY OF MICHIGAN IS NOT USED IN ANY ADVERTISING OR PUBLICITY PERTAINING TO THE USE OR DISTRIBUTION OF THIS DOCUMENT WITHOUT SPECIFIC, WRITTEN PRIOR AUTHORIZATION. PERMISSION TO MODIFY OR OTHERWISE CREATE DERIVATIVE WORKS OF THIS DOCUMENT IS NOT GRANTED.
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