Clinical Skills – Key Learnings from the Suture Skills Course Video
Suturing is a fundamental skill in clinical practice for nurse practitioners (NPs). The ability to perform suturing efficiently can significantly impact patient outcomes, particularly in emergency and primary care settings. This week’s focus on suturing techniques provided an opportunity to enhance my practical skills and understanding of this essential procedure.
Key Learnings
Types of Sutures and Their Applications
One of the key points discussed in the Dr. Zenn (2013) video was that the selection of the type of suture material should be informed by the wound’s location and the patient’s general health (Faris et al., 2022). For example, catgut sutures, which are completely absorbable, should be used in internal tissues, while polyglactin sutures, which are non-absorbable, are useful in skin closure.
Suturing Techniques
During the course, the various suturing methods that were taught included the simple interrupted stitch, the continuous stitch, and the mattress stitch. All the techniques bear their own characteristics in terms of indications, merits, and demerits. For instance, the simple interrupted suture is all around and gives good wound hemostasis, while the continuous suture is quicker but is not as secure (Kethan Umakanth et al., 2022).
Wound Assessment and Preparation
Proper wound assessment and preparation are crucial for successful suturing. The video highlighted the steps to thoroughly clean and debride the wound to prevent infection. Also, wound evaluation and readiness are important components of the suturing process. The video also mentioned the procedure of gently washing and irrigating the injury site to minimize the risk of infection (Xu et al., 2022). Additionally, ensuring hemostasis before suturing is essential to maintain a clear field and reduce the risk of hematoma formation.
Post-Suturing Care
Proper care after suturing is essential and must be given properly to enhance fast recovery. In the video, the speaker talked about the program of patient teaching regarding wound care, identifying signs of infection, and knowing when to follow up with a healthcare provider. Outpatient follow-up visits to take out sutures and evaluate wound healing were also stressed.
Conclusion
The Suture Skills Course furnished rich information with regard to the various facets of suturing, including the choice of material, method of application with regard to suturing, and handling patients after suture placement. These are among several skills that a nurse practitioner needs to learn and possess with diligence in order to enhance the quality of patients’ treatment and overall wound management.
References
Dr. Zenn. (2013, November 19). Learn how to suture – best suture techniques and training [Video]. YouTube. https://www.youtube.com/watch?v=TFwFMav_cpE
Faris, A., Khalid, L., Hashim, M., Yaghi, S., Magde, T., Bouresly, W., Hamdoon, Z., Uthman, A. T., Marei, H., & Al-Rawi, N. (2022). Characteristics of suture materials used in oral surgery: Systematic review. International Dental Journal, 72(3), 278–287. https://doi.org/10.1016/j.identj.2022.02.005
Kethan Umakanth, Mahathi Neralla, & D Prabu. (2022). Knowledge, awareness, and prevalence of various types of suturing techniques used for intraoral wound closure. DOAJ (DOAJ: Directory of Open Access Journals), 13(Suppl 1), S259–S264. https://doi.org/10.4103/japtr.japtr_364_22
Xu, L., Liu, Y., Zhou, W., & Yu, D. (2022). Electrospun medical sutures for wound healing: A review. Polymers, 14(9), 1637. https://doi.org/10.3390/polym14091637
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Question 
Discussion Prompt
This week’s content addresses common techniques and testing that can be prescribed by the Nurse Practitioner. Please Review ONE of the following videos and post in the class what you have learned this week after reviewing.
Clinical Skills
Watch the following video on suturing or on appropriate ordering of imaging:
• Suture Skills Course – Learn Best Suture Techniques
• THE VIDEO LINK FOR SUTURE SKILLS: https://www.youtube.com/watch?v=TFwFMav_cpE
•
o OR
• Ordering the most appropriate imaging test- Appropriateness criteria https://acsearch.acr.org/list
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Initial Post:
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