Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

staples left in

Got this patient from the hospital, one of my nurses finds a staple still intact in an incision that's otherwise healed. Report from hospital says staple were removed last week! It's now 9pm. Do I remove the staple myself, wait til AM to call surgeon, or call surgeon now?

Featured Replies

What kind of incision are we talking about. Where is the staple? Is it embedded? What is the condition of the surrounding skin? If it looks pretty straightforward, I'd say go for it.

We have med students remove staples from c-section incisions, so it's not rocket science.

If you're feeling dicey, you could call the doc and ask if he/she wants you guys to take care of it.

Then again, if it's embedded or the skin is red, walk away, walk away.

I'm curious. Who was at fault for leaving it in?

I would wait 'til the AM, I haven't removed staples without an order. It's not hurting anything by sitting there for one more night. By stating that the incision is healed well, I'm assuming the staple insertion sites are unremarkable.

  • Author

The hospital left it in. We remove staples all of the time, but the skin has started growing around the staple - it looks like it might take a little digging to get it out, honestly. It's a knee incision. I will leave it for the AM charge nurse.

I'd wait and let the AM nurse take care of calling the physician. I would not call a doctor at night over this :twocents:

I'd wait and let the AM nurse take care of calling the physician. I would not call a doctor at night over this :twocents:

And I would definitely document your findings in a narrative note!

The hospital left it in. We remove staples all of the time, but the skin has started growing around the staple - it looks like it might take a little digging to get it out, honestly. It's a knee incision. I will leave it for the AM charge nurse.

Were you typing this from work?Curious

If it's worth charting it's worth calling the doc....leave a message with his/her service and if he/she wants to call back, he/she will. You will have done what you were supposed to do.

I'd be more curious to know why the patient was in the hospital long enough for skin to grow over the staple. We get knee patients 3 days after surgery.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.