Clips "stitch the skin" Procedure

Definition: Metal suture used to stitch the skin

Purpose
Some as suturing with stitch

Equipment
• Michel clip applier
• Clip
• Tissue forceps (toothed dissecting forceps)
• Cleaning material- same as stuttering with stitch.

Procedure
The first part of procedure is the same as for suturing with stitch Except that instead of suturing the skin with thread and needle you would apply clips with the applier. Removal of Clips

Technique
Use aseptic technique

Equipment
• Sterile gauze
• Sterile cotton balls
• Sterile kidney dish
• Sterile forceps 3
• Sterile clip removal forceps
• Antiseptic solution (Savalon 1% and iodine)
• Receiver
• Benzene or ether
• Adhesive tape or bandage

Procedure
Explain procedure to the patient and organize the needed equipment
• Drape and position patient
• Protect bedding with rubber sheet and its cover
• Remove old dressing and discard.
• Cleans wound with antiseptic solution starting from the cleanest part of the wound to the most contaminated part and discard the cotton ball.
• Place sterile gauze to receive removed clips.
• Take clip remove with the right hand and dissecting forceps with the left hand.
• Insert the lower blade of the clip remove below the middle of the clip using the dissecting forceps as a support of old the clips in place, and close the blade firmly as this will cause disagreement of the clips from the skin.
• Receive clips on sterile gauze
• Apply iodine on the skin punctures if required
• Dress the area if required
• Secure dressing in place with adhesive tape
• Leave patient comfortable and tidy
• Record the state of scare
• Clean and return used equipment to its proper place.

Study Questions
1. Identify different types of wound care.
2. Mention three types of wound healing intentions.
3. Mention the purposes of septic wound dressing.
4. Describe suturing.
5. What is clip?