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07) One Hand Tie-right hand

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Summary

This one-hour on-demand teaching session provides medical professionals with the opportunity to learn and gain confidence in executing the one-handed, knot-tying technique. This skill can be extremely handy in operating rooms where you may only have one free hand to tie sutures. By reviewing best practices on how to do a knot-tie using your right hand (or left if you're left-handed!), you'll gain the confidence and proficiency to execute this skill in the OR. Take this session to learn the tips and tricks for effective knot-tying.

Generated by MedBot

Learning objectives

Learning Objectives:

  1. Demonstrate how to perform a one handed, not tie correctly.
  2. Explain the difference between a one-handed and two-handed not tie.
  3. Explain when to opt for a one-handed not tie vs. a two-handed not tie.
  4. Identify the necessary materials (i.e. not tying board, suture silk, and gloves) for performing the technique.
  5. List the steps for executing a one-handed not tie correctly.
Generated by MedBot

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Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Today, we're going to review how to do a one handed, not tie for this will need are not tying board. Our practice during or suture o silk ties work best and gloves are optional, but I highly recommend them. It's always best to practice the skill. The same way you're going to have to execute it in the operating room. You can use this tie to secure any, not especially when you may only have one hand free to tie and some attendings will only want you to use a two handed, not tie to tie, sutures in the operating room, but some are okay with you. Moving on to the skill or starting with a one handed tie. If that's what you feel most comfortable with to start, we'll put our not tying board in front of us and we'll threat our practice string behind the side that has the pen or a strain. I'm going to put the blue side of my string on the left side and the white side of my string on the right side for this. Not my right hand is going to be my tying hand and my left hand is going to be my post, which means my right hand is going to be doing most of the moving now. No worries if you're left handed, we have a video to demonstrate a left handed one hand, not tie as well. And the key to making this not is going to be hooking your index finger around the string, which can seem a bit confusing at first. So we'll start off slow to start. I'm going to drape the right side of my string around my right index finger so that the middle part of the string lays across these three fingers here, drapes over my index finger and then the loose end will come up and over my index finger and drape across the palm of my hand like this. Next, I'm going to take the left side of my string and drape it over these three fingers as well. And the two sides of the string should be parallel from here. I'm going to take my middle finger and I'm going to pull the blue under my string with my middle finger under the white string over top. So it looks something like this. Then with my middle finger and ring finger pinched. I'm going to pull the white end of my string through and cross my arms too. Then lay down a square. Not now, this is just one half of are not in order to continue throwing square knots. We'll have to switch to making fours and I'll show you what that looks like to start. You'll pick up the same side of the string with the same hands that you had before and using my index finger. I'm going to bring the white side of my string overtop the blue side to make what almost looks like a number four. If you can see that from here, I'm going to bring my index finger under the blue string and we're going to hook the side of the white string as on the opposite side of the blue string. I'm going to take that hooked part of my white string and pull it through the middle with my index finger and then pull on both sides to then bring down my second. Not since we crossed our hands last time, we don't need to cross our hands this time and to continue, you would move back to laying your string across your right palm and then alternating back and forth between making your fours and laying the string across your palm for each. Not so that way each not lay square. And that is how you do a one handed, not tie.