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Procedure 18-9
Chapter 18 Assisting with Minor Ofce Surgery 411
Performing Hair Removal and Skin
Preparation
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Equipment: Nonsterile gloves; shaving cream, lotion,
or soap; a new disposable razor; gauze or cotton balls;
warm water; antiseptic solution; and sponge forceps.
1. Wash your hands.
2. Gather the equipment.
A new razor must be used for each patient to
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prevent the spread of microorganisms.
The new blade also will ensure the closest pos-
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sible shave.
3. Greet the patient by name and explain the proce-
dure. Answer any questions the patient may have.
4. Put on gloves. Standard precautions must be observed
when contact with blood or body uids is possible.
5. Prepare the patient’s skin. If shaving is required:
Apply shaving cream or soapy lather to the area
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to reduce friction.
Pull the skin taut and shave by pulling the razor
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across the skin in the direction of hair growth.
This gives the closest shave, while reducing the
chance of nicking the skin.
When all hair is removed from the operative
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area, rinse to remove soap residue and hair.
Thoroughly dry the area by patting with gauze
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square.
Using gauze squares picks up stray hairs that
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might have been left behind during rinsing.
6. If shaving isn’t necessary, wash and rinse the patient’s
skin with soap and water. Dry the skin thoroughly.
7. Apply antiseptic solution of the physician’s choice
to the skin surrounding the operative area. Here’s
how it should be done.
Use sterile gauze sponges or sterile cotton balls to
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apply the solution, or use antiseptic wipes.
Hold the gauze or cotton ball in sterile sponge
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forceps.
Wipe the skin in circular motions, beginning at
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the operative site and working outward. Discard
each sponge after a complete sweep has been
made to prevent contamination.
If the area is large or circles are not appropriate,
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the sponge may be wiped straight outward from
the operative site. Use a fresh sponge after every
pass over the skin. Repeat the procedure until the
entire area has been thoroughly cleaned.
A wipe that has been passed over the skin should
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never be returned to the cleaned area or to the
antiseptic solution.
8. Holding dry sterile sponges in the sponge forceps,
thoroughly pat the area dry. In some instances, the
area may be allowed to air dry. Moist skin may
moisten the sterile drapes, causing wicking and
contamination.
9. Tell the patient not to touch or cover the prepared
area to avoid contaminating the operative site.
10. Inform the physician that the patient is ready for
the procedure. Drape the prepared area with a sterile drape if the physician will be delayed for more
than 10 or 15 minutes.
Procedure 18-10 Assisting with Excisional Surgery
Equipment: A basin for solutions, gauze sponges
and cotton balls, antiseptic solution, a sterile drape,
sterile syringes and needles for local anesthetic, dissecting scissors, a disposable scalpel, a blade of the
physician’s choice, mosquito forceps, tissue forceps, a
needle holder, a suture and needle of the physician’s
choice, sterile gloves, local anesthetic, antiseptic
wipes, adhesive tape, sterile dressings, and a specimen
container with a completed laboratory request form.
1. Wash your hands and gather the equipment and
supplies.
P
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412 Section IV Clinical Medical Assistant Skills
Procedure 18-10
Assisting with Excisional Surgery
(continued )
2. Greet the patient by name and explain the procedure. Answer any questions the patient may have.
3. Set up a sterile eld on a surgical stand with the
at-the-side supplies and equipment close at hand.
Cover the eld with a sterile drape until the physician arrives.
4. Position the patient appropriately to expose the
operative site.
5. Put on sterile gloves or use sterile transfer forceps
and cleanse the patient’s skin. When you’re nished, remove your gloves and wash your hands.
(Some physicians prefer to cleanse the skin themselves using supplies on the eld. Always follow the
preferences of the physician in your medical ofce.)
6. If the physician asks you, assist during the
procedure.
You may need to add supplies, watch for oppor-
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tunities to assist the physician, and comfort the
patient.
You don’t need to wear sterile gloves unless
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you’ll be handling sterile instruments or supplies.
7. If the lesion is to be sent to pathology for analysis,
you’ll need to assist in specimen collection. Follow
standard precautions and wear examination gloves
when handling specimens. Have the container
ready to receive the specimen.
8. At the end of the procedure, wash your hands
and dress the wound using sterile technique. The
wound must be covered to protect the incision
from contamination.
9. Thank the patient and provide instructions for
postoperative care, including dressing changes,
postoperative medications, and follow-up visits.
10. Wearing gloves, clean the treatment room and
prepare it for the next patient. Follow standard
precautions.
11. Record the procedure. Documentation should
include postoperative vital signs, care of the wound,
instructions on postoperative care, and processing
any specimens.
Procedure 18-11
Assisting with Colposcopy and
Cervical Biopsy
Equipment: Specimen container, laboratory request
form, sterile gloves, a gown and drape, a vaginal speculum, a colposcope, a specimen container with preservative (10% formalin), sterile cotton-tipped applicators,
sterile normal saline solution, sterile 3% acetic acid,
sterile povidone-iodine (Betadine), silver nitrate sticks
or ferric subsulfate (Monsel solution), sterile biopsy forceps or punch biopsy instrument, a sterile uterine curet,
sterile uterine dressing forceps, sterile 4 × 4 gauze, a sterile towel, a sterile endocervical curet, a sterile uterine
tenaculum, a sanitary napkin, examination gloves, an
examination light, tissues, and biohazard container.
1. Label a specimen container with the patient’s name
and date. Prepare a laboratory request. Verify that
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the patient has signed the consent form. Colposcopy
with biopsy is an invasive procedure that requires
written consent.
2. Wash your hands.
3. Gather the equipment and supplies.
4. Check the light on the colposcope to make sure it’s
functioning properly.
5. Set up the sterile eld using sterile technique. Items
that can be placed on the sterile eld include the
sterile cotton-tipped applicators and sterile containers for the solutions.
Chapter 18 Assisting with Minor Ofce Surgery 413
Procedure 18-11
Assisting with Colposcopy and
Cervical Biopsy
6. Pour sterile normal saline and acetic acid into their
sterile containers. Cover the eld with a drape to
maintain sterility as you prepare the patient.
7. Greet the patient by name and explain the procedure, answering any last-minute questions from the
patient.
8. When the physician is ready, assist the patient into
the dorsal lithotomy position. If you are going to be
assisting the physician from the sterile eld, put on
sterile gloves after you position the patient.
9. Hand the physician the applicator immersed in
normal saline followed by the applicator immersed
in acetic acid. Acetic acid swabbed on the area
improves visualization of abnormal tissue.
(continued )
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
12. If necessary, provide the physician with Monsel
solution or silver nitrate sticks to stop any bleeding. Monsel solution and silver nitrate act as
coagulants.
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
10. Hand the physician the applicator with the antiseptic solution (Betadine). The area to be sampled for
biopsy must be swabbed to reduce microorganisms
and pathogens.
11. If you didn’t apply sterile gloves to assist the physician, apply clean examination gloves. Receive the
biopsy specimen into the container of 10% formalin preservative.
13. When the physician is nished, remove your gloves
and wash your hands. Assist the patient from the
stirrups and into a sitting position. Explain to the
patient that a small amount of bleeding may occur
(a small sanitary pad should be sufcient). Have a
sanitary napkin available.
14. Ask the patient to get dressed and assist as needed.
Allow the patient privacy for dressing.
15. Reinforce any instructions from the physician
regarding follow-up appointments. Tell the patient
how to obtain the biopsy ndings.
16. Wearing gloves, properly care for or dispose of
equipment and clean the examination room.
Remove your gloves and wash your hands.
17. Document the procedure, including routing the
specimen and patient education.
414 Section IV Clinical Medical Assistant Skills
Procedure 18-12 Assisting with Incision and Drainage
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Equipment: See items listed in bullets under Step #1.
1. Wash your hands and gather the equipment as
described below.
On the sterile eld, you’ll need a basin for solu-
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tions, gauze sponges and cotton balls, antiseptic
solution, a sterile drape, sterile syringes and sterile needles for local anesthetic, a commercial I&D
(incision and drainage) sterile setup or scalpel,
dissecting scissors, hemostats, tissue forceps, sterile 4 × 4 gauze sponges, and a probe (optional).
At the side, you’ll need sterile gloves, local anes-
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thetic, antiseptic wipes, adhesive tape, sterile
dressings, packing gauze, and a culture tube if
the wound may be cultured.
2. The steps for this procedure are similar to those
in the Hands On procedure for assisting with excisional surgery.
You’re expected to prepare the surgical eld and
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the patient’s surgical area as instructed or preferred by the physician.
After the procedure, the wound must be covered
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to avoid further contamination and to absorb
drainage.
The exudate is a hazardous body uid requiring
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standard precautions.
Although a culture and sensitivity (C&S) may be
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ordered on the drainage from the infected area,
no other specimen is usually collected.
Label the specimen container and prepare a lab-
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oratory request if a culture and sensitivity has
been ordered.
Procedure 18-13 Applying a Sterile Dressing
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Equipment: Sterile gloves, sterile gauze dressings, scissors, bandage tape, medication to be applied to dressing.
1. Wash your hands and gather your supplies.
2. Greet the patient by name and ask about any tape
allergies. Some patients are sensitive to certain tape
adhesives. Hypoallergenic tape should be available.
3. Depending on the size of the dressing, cut or tear
lengths of tape to secure the dressing. Set the tape
strips aside in a convenient place, such as afxing
the end of each piece to a nearby countertop where
it can be removed easily and applied. Having tape
cut and prepared saves time and may prevent the
dressing from slipping while tape is cut.
4. Explain the procedure and instruct the patient
to remain still. The patient should avoid talking,
sneezing, or coughing until the procedure is complete. You don’t want droplets of moisture containing microorganisms to contaminate the sterile eld
or the wound.
5. Open the dressing pack to create a sterile eld, leaving the sterile dressing on the inside of the opened
package. Observe the principles of sterile asepsis.
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
6. Use sterile technique to prevent wound contamination. Put on sterile gloves if you won’t be using sterile transfer forceps to apply the dressing.
Chapter 18 Assisting with Minor Ofce Surgery 415
Procedure 18-13 Applying a Sterile Dressing (continued )
7. If a topical medication is needed, apply it to the
sterile dressing that will cover the wound directly.
Take care not to touch the medication bottle or
tube to the dressing. Allow the medication to free
fall onto the sterile dressing. The outside end of the
medication container may not be sterile.
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
8. Using sterile technique, apply the number of dressings necessary to cover and protect the wound. Sterile
dressings must be placed carefully on the wound.
Dragging them over the skin can lead to contamination from microorganisms on the surrounding skin.
you may remove your gloves (discarding them appropriately) or keep them on to tape the dressing.
Avoid overuse of tape. Tape is used only to keep
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the dressing in place.
Too much tape can cause perspiration that will
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dampen the dressing and compromise its sterility.
And keep in mind that too much tape may cause
unnecessary discomfort to the patient when it
has to be removed.
Tape shouldn’t obstruct blood circulation.
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(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
10. Apply a bandage if necessary to hold the dressing in
place, add support, or immobilize the area.
(Reprinted from Kronenberger J, Ledbetter J. Lippincott
Williams & Wilkins’ Comprehensive Medical Assisting.
5th ed. Philadelphia, PA: Wolters Kluwer; 2016.)
9. Apply the previously cut lengths of tape over the dressing to secure it. When the wound is completely covered,
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
11. If the patient needs to change dressings at home,
instruct the patient on how to do so.
Dressings should be kept clean and dry.
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They need to be changed if they become wet or
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soiled, or as instructed by the physician.
Instruct the patient about wound care and signs
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of infection.
12. Return reusable supplies (unopened sterile gloves
or dressings, tape) to their storage areas. Properly
discard contaminated supplies or waste.
13. Record the procedure in the patient’s chart.
416 Section IV Clinical Medical Assistant Skills
Procedure 18-14 Changing an Existing Dressing
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Equipment: Sterile gloves, nonsterile gloves, sterile dressing, prepackaged skin antiseptic swabs or sterile antiseptic solution in a sterile basin and sterile cotton balls or
gauze, tape, and biohazard waste containers.
1. Wash your hands and gather your supplies.
2. Greet the patient by name and explain the procedure. Answer any questions the patient may have.
3. Prepare a sterile eld, including opening sterile
dressings. Follow the guidelines below when preparing the sterile eld.
If using a sterile container and solution, open the
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package containing the sterile basin. Use the inside
of the wrapper as the sterile eld for the basin.
Flip the sterile gauze or cotton balls into the
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basin. Pour in the appropriate amount of antiseptic solution.
If using prepackaged antiseptic swabs, carefully
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open an adequate number for the size of the
wound. Set them aside using sterile technique to
avoid contamination.
4. Instruct the patient not to talk, cough, sneeze,
laugh, or move during the procedure in order to
prevent contamination of the sterile eld.
5. Wearing clean gloves, carefully remove the tape
from the wound by pulling it toward the wound.
Pulling away from the direction of the wound may
pull the healing edges of the wound apart.
6. Remove the old dressing. Never pull on a dressing
that doesn’t come off easily.
If the dressing is difcult to remove because of
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dried blood, soak it in sterile water or saline for
a few minutes to loosen it.
Gently pull the edges of the dressing toward the
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center.
If this procedure doesn’t loosen the dressing or
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causes undue discomfort to the patient, notify
the physician.
7. Discard the soiled dressing in a biohazard waste
container. Don’t pass the dressing over the sterile
eld—it may shed microorganisms.
8. Before cleaning, inspect the wound for degree of
healing, amount and type of drainage, and appearance of wound edges. If you inspect the wound
after cleaning, most of the exudate will have been
removed.
9. Remove and discard your gloves using medical
aseptic practices.
The physician may want to inspect the wound
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before you remove exudates or drainage to assess
the status of the healing process.
If a culture is ordered, the specimen must be
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taken before the wound is cleaned.
10. Using proper technique, put on sterile gloves. Clean
the wound with the antiseptic solution ordered by
the physician.
Clean in a straight motion with cotton or gauze
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and antiseptic solution or with prepackaged antiseptic swabs.
Discard the wipe after each stroke and use a
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fresh sterile one to continue.
Never return the wipe to the antiseptic solution
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or to the skin after one sweep across the area.
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
11. Remove your gloves and wash your hands. Change
the dressing using the procedure for sterile dressing
application.
12. Record the procedure.
Chapter 18 Assisting with Minor Ofce Surgery 417
Procedure 18-15 Removing Sutures
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Equipment: Skin antiseptic, sterile gloves, prepackaged
suture removal kit or thumb forceps, suture scissors, and
gauze.
1. Wash your hands and apply clean examination
gloves.
2. Check the chart before you begin the procedure
to see how many sutures or staples were applied.
This way you can be certain that you have removed
them all.
3. Greet the patient by name and explain the procedure. Answer any questions the patient may have.
4. If dressings are still in place, remove them and
dispose of them in biohazard waste containers.
Remove your gloves and wash your hands.
5. Wearing clean examination gloves, cleanse the
wound with antiseptic, such as Betadine. Use new
antiseptic gauze for each swipe down the wound.
The wound should be as free of pathogens as possible to prevent contamination.
6. Open the suture removal kit using sterile asepsis
technique or set up a sterile eld.
7. Put on sterile gloves. Suture removal is a sterile
procedure.
8. The knots of the suture will be tied so that one tail
of the knot is very close to the surface of the skin.
The other will be closer to the area of suture that
is looped over the incision. Here’s how to cut and
remove the sutures.
With the thumb forceps, grasp the end of the
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knot closest to the skin. Lift it slightly and gently
up from the skin (A).
Cut the suture below the knot as close to the
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skin as possible (B). Cutting close to the skin
frees the knot at an area that hasn’t been exposed
totheoutside surface of the body. The only part
of the suture that will pull through the tissues
will be suture that was under the skin surface.
This helps to avoid contamination by microorganisms from the outside skin surface.
Use the thumb forceps to pull the suture out of
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the skin with a smooth, continuous motion (C).
Keep the forceps at a slight angle to the wound to
prevent tension on the healing tissue.
ABC
(Reprinted from Kronenberger J, Ledbetter J.
Lippincott Williams & Wilkins’ Comprehensive
Medical Assisting. 5th ed. Philadelphia, PA: Wolters
Kluwer; 2016.)
9. Place the suture on the gauze sponge. Repeat the
procedure for each suture to be removed. By setting
the sutures on the gauze sponge, you can easily count
the number removed. If six sutures were inserted and
are to be removed, there should be six sutures on the
gauze sponge at the end of the procedure.
10. Clean the site with an antiseptic solution. Cover it
with a sterile dressing if the physician has directed
you to do so. Some wounds still need to be protected; others have healed well enough to be left
uncovered.
11. Thank the patient and properly dispose of equipment and supplies. Make sure you follow standard
precautions. Clean the treatment area, remove your
gloves, and wash your hands.
12. Record the procedure. Documentation must include
the time, location of sutures, number removed, and
the condition of the wound.
418 Section IV Clinical Medical Assistant Skills
Procedure 18-16 Removing Staples
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Equipment: Antiseptic solution or wipes, examination
gloves, sterile gloves, sponge forceps, gauze squares, and
prepackaged sterile staple removal instrument.
1. Wash your hands and gather your supplies.
2. Greet the patient by name and explain the procedure. Answer any questions the patient may have.
3. If the dressing is still in place, put on clean examination gloves and remove it. Dispose of it in a biohazard waste container. Remove your gloves and
wash your hands.
4. Clean the wound with antiseptic. Pat dry with sterile gauze sponges. The wound should be as free of
pathogens as possible to prevent contamination.
5. Put on sterile gloves. Staple removal is a sterile
procedure.
6. Gently slide the end of the staple remover under
each staple to be removed.
Press the handles together to lift the ends of the
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staples out of the skin.
The remover is designed to open the staple so the
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ends will lift free with minimal discomfort to the
patient.
7. Place each staple on a gauze square as it is removed.
This helps in counting the staples at the end of the
procedure.
8. When all the staples have been removed, gently
clean the site with antiseptic solution.
Pat dry and dress the site if the physician has
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ordered you to do so.
The area must be dry before the new dressing is
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applied to avoid wicking microorganisms.
The wound may be healed well enough to be left
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uncovered.
9. Thank the patient and properly dispose of equipment and supplies. Make sure you follow standard
precautions. Clean the treatment area, remove your
gloves, and wash your hands.
10. Record the procedure. Documentation must include
the time, location of staples, number removed, and
the condition of the wound.
(Reprinted from Kronenberger J, Ledbetter J. Lippincott
Williams & Wilkins’ Comprehensive Medical Assisting.
5th ed. Philadelphia, PA: Wolters Kluwer; 2016.)
Chapter 18 Assisting with Minor Ofce Surgery 419
Preparing for Externship
If your externship experience is in a practice where
they perform minor surgical procedures, you need to
review your clinical procedures specic to this area.
Review the techniques and principles of surgical
asepsis and be able to recognize the surgical instruments used for each procedure. Usually the medical
Chapter Recap
● In assisting with minor surgical procedures, surgical
asepsis is essential. Surgical aseptic techniques include
sterilization and the surgical scrub. Before sterilization,
equipment must be sanitized by hand or by using a
mechanical washer. Handle medical instruments
very carefully when cleaning them. Check to ensure
instruments are in good working order.
● The autoclave uses steam heat under high pressure
to sterilize instruments. Items must be wrapped
carefully before they’re placed in the autoclave.
Special indicators help to ensure the items are
properly sterilized. Loading the autoclave requires
careful attention to item positions so steam can
penetrate. Time, pressure, and temperature are three
factors that affect sterilization.
● Cold chemicals may be used to sterilize delicate
instruments, instruments that are sensitive to heat, or
instruments that are too large to t into the autoclave.
● The medical assistant is responsible for setting up
instruments and equipment for surgical procedures.
It’s important to learn the names of commonly used
instruments. Some basic instruments are scissors, scalpels,
forceps, and clamps. Different medical specialties have
specialized instruments for surgical procedures.
● Supplies and equipment for specic surgical
procedures are often packaged together in a sterile
surgical pack. Surgical packs may be prepared in
the medical ofce or purchased from a commercial
supplier. Do not use surgical packs that show any
signs of contamination.
● Careful attention is required to maintain the sterile
eld. Don’t talk, cough, sneeze, or reach across the
sterile eld. Small supplies and solutions may be
added using sterile techniques. Use sterile gloves or
sterile transfer forceps to move sterile items. The
physician must be informed if there is any possibility
the sterile eld has become contaminated.
practice has a schedule of procedures for the next day
so it is easy for you to do your homework the night
prior to ensure you are prepared to assist the physician, if necessary. After each procedure, write down
notes of what was new, different or interesting so you
will remember the next time you see the procedure.
● Before surgical procedures, the medical assistant may
help to obtain informed consent and to reinforce
preoperative instructions. When the patient is
gowned, surgical drapes are provided to expose the
operative area. The patient’s skin is cleansed and
shaved, if necessary.
● During minor surgery, the medical assistant may
be asked to hold supplies for the physician, adjust
the draping of the patient, pass instruments to the
physician, and help collect specimens.
● Common surgical procedures performed in a medical
ofce are excision of lesions and incision and drainage
(I&D). If a specimen is collected, the medical assistant
is responsible for providing an appropriately labeled
container, preparing a laboratory request form, and
sending the specimen to the laboratory.
● In the medical ofce, wounds usually are closed
using sutures. The physician chooses atraumatic or
traumatic needles in the appropriate size or gauge.
Sutures may be absorbable or nonabsorbable.
Nonabsorbable sutures need to be removed after
healing.
● When the surgical procedures are complete, the
medical assistant is responsible for applying dressings
and bandages to surgical wounds. The medical
assistant usually performs suture and staple removal
as well. Sterile technique is necessary for infection
control.
● The medical assistant reinforces the physician’s
instructions for postoperative wound care and tells
the patient how to observe the wound for changes
that indicate infection or problems with healing.
● After minor surgery, the medical assistant is
responsible for removing and caring for instruments,
equipment, and supplies. Standard precautions
need to be followed in cleaning and disposing of
waste.
420 Section IV Clinical Medical Assistant Skills
Online Resources for Students
Resources for students available on thepoint.
lww.com include the following:
● Audio Glossary
● Animations
Exercises and Activities
Certication Preparation Questions
1. Which of the following represents the process that
kills all spores?
a. Sanitation
b. Disinfection
c. Sterilization
d. Boiling
e. Chemical soaking
2. Which of these would not be included in an
informed consent?
a. Type of procedure
b. Expected results of the procedure
c. Purpose of the procedure
d. Insurance reimbursement for the procedure
e. Possible risks of the procedure
● Competency Evaluation Forms
● Harris CareTracker Case Studies
● Interactive Games & Activities
● Certication Preparation Question Bank
● Videos
4. Which of the following is an absolute way of
ensuring all microorganisms have been killed?
a. Use autoclave indicator tape
b. Perform culture testing
c. Use a sterilization indicator
d. Double wrap all surgical packs
e. Reautoclave surgical packs
5. What are the three critical elements to ensure
proper sterilization?
a. Temperature, pressure, and time
b. Pressure, size of load, and autoclave paper
quality
c. Time temperature, and sterilizer indicators
d. Type of machine, steam, and drying time
e. Type of items autoclaved, time, and autoclave
indicator tape
3. To maintain a sterile eld you need to:
a. avoid talking when you reach over the sterile
eld.
b. keep your hands above waist level.
c. never pour liquids directly into sterile containers
on the sterile eld.
d. maintain a ½″ border around the eld which is
considered contaminated.
e. keep your back to the eld so you don’t acci-
dently touch it.
6. Which of the following is not a feature of
absorbable suture?
a. It is removed after healing of the wound.
b. It can be chemically treated to delay absorption.
c. There are two forms available, chromic and
plain.
d. Type of suture can be made from sheep intestine.
e. It is used to close deep tissues.
7. An I&D would be indicated to:
a. excise a mole.
b. incise an abscess.
c. destroy tissue with electric sparks.
d. perform a cervical biopsy.
e. cut tissue and coagulate blood vessels.