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Surgical Scissors Demonstration

by John Russell, DNP, APRN, AGACNP-BC, FNP-BC, CCRN, CRNFA

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    00:05 Straight male scissors are the most common scissors used in a procedural area.

    00:10 Now the reason these are so useful is because they are very durable, they're very strong, they're very solid.

    00:16 They can be used for blunt dissection.

    00:18 You can poke into tissue and then expand.

    00:21 If you imagine poking into tissue and then opening it up poking in and opening up, you never want to go in and then chopping because you potentially damaged tissue, but you can blunt dissect open, and that will help open up areas of tissue.

    00:35 So very, very cool for that.

    00:36 The nice and solid, very durable.

    00:38 They're not as dramatic, they're nice and rounded.

    00:40 That said, if you use a small Iris scissor that are pretty common to see in the outpatient setting, those are kind of pokey on the tip.

    00:45 So it'd be careful when you do a blunt dissection, you can actually not be doing a blunt dissection, but rather a sharp dissection, and you'll see increasing bleeding sometimes.

    00:52 So keep that in mind, you'd be careful on how you use these.

    00:56 Straight scissor as opposed to a curve scissor.

    00:58 Just different techniques for different approaches.

    01:01 But that said, for cutting tissue this can be used if needed.

    01:04 However, this is not really designed for cutting tissue.

    01:07 This is more for cutting suture.

    01:08 Cutting tissue, you want something more fine, that's not going to mar the tissue and in be as abrasive.

    01:15 This is designed for long lasting, durable cutting.

    01:20 And if you notice it down here, you have a long distance from here to the very tip of the scissor.

    01:24 So if you cut something here, you can chop something important down here, that's called past point cutting.

    01:29 So always make sure that you open up the V just a little bit, engage your strategy you're going to cut, turn it clockwise and snip.

    01:35 The reason we cut it clockwise is because if you look at this, you know any way you look at it, flip it around upside down backwards doesn't matter.

    01:42 The bottom time is going to be the outer surface here and then the cutting blade is on the upper portion of that time.

    01:49 So, if I want to say, I don't want to cut my finger there, I would rotate it away to protect it from cutting.

    01:57 So I'm going to be cutting up here.

    01:59 If I turn it this way, I'm going to chop through my finger or in the case of my suture probably my knot.

    02:04 So I was cut it - go clockwise when you cut it and then snip and that will keep you away from your knot to protect you. Okay.

    02:13 So very simple, open just a little bit, engage your strand, turn it, snip, done, okay. That's how you use scissors. Very simple.

    02:21 We've all used scissors, typically holding your non dominant hand.

    02:24 But you can also switch into your dominant hand depending on the use.

    02:27 They're very versatile.

    02:28 Doesn't really matter for most things, but realize that you may need to pull up on one time to the other to have it really engage properly.

    02:35 It's just a matter of how sharp your scissors are in your particular application. Okay, let's play.


    About the Lecture

    The lecture Surgical Scissors Demonstration by John Russell, DNP, APRN, AGACNP-BC, FNP-BC, CCRN, CRNFA is from the course Suturing.


    Included Quiz Questions

    1. Opening the scissors slightly, placing the tip of the bottom part under the stitch, turning the scissors clockwise, and cutting.
    2. Opening the scissors fully, placing the entire length of the bottom part of the scissors under the stitch, turning clockwise, and cutting.
    3. Opening the scissors slightly, placing the tip of the bottom part under the stitch, turning the scissors counter-clockwise, and cutting.
    4. Opening the scissors fully, placing the entire length of the bottom part of the scissors under the stitch, turning counter-clockwise, and cutting.

    Author of lecture Surgical Scissors Demonstration

     John Russell, DNP, APRN, AGACNP-BC, FNP-BC, CCRN, CRNFA

    John Russell, DNP, APRN, AGACNP-BC, FNP-BC, CCRN, CRNFA


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