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No touch technique. Why no touch techniques. Infectious risk of needles: Hep C, Hep B and HIV. ED has high risk population Better to keep your hands away Used correctly, this technique is faster. Olson-Hegar Needle Driver & Suture Scissors: Mostly used by DVMs. Thumb Forceps. Three types: - PowerPoint PPT Presentation
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No touch technique
Why no touch techniques
Infectious risk of needles: Hep C, Hep B and HIV. ED has high risk population
Better to keep your hands away Used correctly, this technique is faster
Olson-Hegar Needle Driver & Suture Scissors: Mostly used by DVMs
Thumb Forceps
Three types: – With Teeth for tissue pick up– W/O Teeth for packing wounds and dressing
changes– With tying platform for delicate suture handling
and knot tying The first two types should not be used to handle
needles, they will damage them and make breakage likely
Teethed forceps with tying platform Teeth are used in the usual manner for
tissue control Tying platform can gently handle needle,
making it possible to load the needle driver without touching it
Adson’s with teeth and platform
Teeth and Tying Platform
No touch closure following exploration of .177 pellet wound in cat scalp
Tying with platform forceps
Instrument tie using forceps
Cutting suture using Olson-Hegar
Summary
Instruments available that allow safer “no touch” needle technique
Combined needle driver and suture scissors speeds procedure
Adson’s with tying platform particularly useful in tying and cutting small suture: 6-0 or less