Nursing

Documentation for Suture and Staple Removal

ADNG 1050 Foundations of Nursing Skills

Scenario:

26-year-old male who has returned to the clinic for suture removal.

🗂️ Documentation

📍 To complete: Upload this document to your computer & fill it out electronically (directly into the assignment)

📍 To turn it in: Re-upload it to the correct file/drop box in D2L.

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✍️ 1. Write a DARP note including: (Erase below information under each heading and type as if you are writing a nursing note)

D: Data

· Baseline vital signs

· Initial wound assessment

· Reason for suture removal

A: Action

· State that education was given

· What was the procedure you performed

R: Response/Results

· Patient’s tolerance to procedure

· Reassessment of site and/or VS

P: Plan

· Discharge education

· Follow-up only if signs of infection or complications

🧑‍🏫 2. Patient Education (Write as a Script) Keep short and to the point.

· Describe the skill being performed in simple terms.

· Explain the need for the skill to be done.

· Educate on what they can expect during the skill and after the skill is complete. You will experience pressure during the insertion part. Remember to bear down.

· Provide any other valuable knowledge to patient that is relevant to the skill being done.

🔐 3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.

NPSG Chosen: Why It Matters:

📝 4. Nursing Diagnosis & Care Plan

✅ 3-Part Nursing Diagnosis:

Instructor example : Anxiety related to unfamiliar medical procedures and potential pain as evidenced by patient asking multiple questions and expressing nervousness before suture removal.

Student nursing diagnosis:

🎯 5. SMART Goal:

Instructor example : Patient will verbalize understanding of the procedure and report anxiety level of 3 or less (on a 0–10 scale) prior to the start of the suture removal today.

Student SMART goal:

🩹 List:

· 2 Interventions to accomplish this goal

· Rationale for each intervention

· Evaluation for each intervention

1. Intervention:

· Rationale:

· Evaluation:

2. Intervention:

· Rationale:

· Evaluation:

🎥Video Review: IF you have any limited comments (“I would have….” OR “I forgot to…”) Please add below.