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Suturing
As the module suggests, "Each wound that is encountered and considered for repair must be addressed independently," ("Wound considerations"). This is true whether the injury is an acute one, or whether there is a procedure involved. Generally, however, suturing can take place in an outpatient care clinic regardless of whether there was an acute injury or not. It depends a lot on the nature of the injury, and the nature of the procedure, though. Generalizing about situations like injuries and procedures is unnecessary, unproductive, and potentially dangerous. Each would certainly requires an evaluation of the situational and patient variables. The age and overall health condition of the patient, and the age of the wound are all taken into consideration when there has been an acute injury; the type of the wound also needs to be taken into consideration when there was an injury. Acute injury patients might not be regular patients at the care center facility, and would not need any specialized attention other than appropriate suturing as the wound requires. When the procedure is straightforward and without complications, then outpatient servicing of the wound is completely appropriate and in fact, preferable given that it takes place in conjunction with the initial procedure. This allows for greater continuity of care. A greater risk occurs when there is a lack of continuity of care, versus where the patient received suturing. Therefore, the decision of which situation to assign to an outpatient facility cannot be answered in simple terms. The decision of outpatient for injury vs. outpatient for procedure is made not according to whether it was an injury wound or a surgical procedure wound; it is made according to other variables are listed in the answer to the following question.
b. It depends largely on the location of the wound, and its intensity. The decision would also depend on what…
References
Khan, M., Bann, S., Darzi, A. & Butler, P. (2003). Use of suturing as a measure of technical competence. Annals of Plastic Surgery 50(3):304-309.
Queen's University School of Medicine Module
Ratner, D., Nelson, B.R. & Johnson, T.M. (1994). Basic suture materials and suturing techniques. Seminars in Dermatology 13(1): 20-26.
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