Bonham Joseph
Emergency Department, Beaumont Hospital, Dublin, Ireland.
Nurs Stand. 2016 Oct 19;31(8):42-46. doi: 10.7748/ns.2016.e10541.
Rationale and key points This article explores how to suture a wound using several common techniques. The use of different suture techniques depends on various factors, including the type of wound, its location, skin thickness, wound tension and cosmetic considerations. » Nurses should have a comprehensive understanding of the relevant anatomy and underlying structures, and the expertise to determine that suturing, rather than other methods of wound closure, is appropriate in each case. » Nurses should work within their scope of practice and to agreed departmental protocols. » Nurses should audit and reflect on their practice to ensure that their suturing skills are maintained and improved. » Nurses should be aware of local procedures in the event of needle-stick injury. Reflective activity 'How to' articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. What factors would affect your decision to use sutures to close a wound rather than another method. 2. How you think this article will change your practice.