Procedure assessment | Yes/No | ||
---|---|---|---|
Needle position 1 | 1 | Held at one half to two thirds distance from the tip | |
2 | Angle 90° ± 20° | ||
3 | Uses tissue or other instrument for stability | ||
4 | Attempts at positioning (≤3) | ||
Needle driving 1 (entry to incision) | 5 | Entry at 60° to 90° to the tissue plane | |
6 | Driving with one movement | ||
7 | Single point of entry through the tissue | ||
8 | Removes the needle along its curve | ||
Needle position 2 | 9 | Held at one half to two thirds distance from the tip | |
10 | Angle 90° ± 20° | ||
11 | Uses tissue or other instrument for stability | ||
12 | Attempts at positioning (≤3) | ||
Needle driving 2 (incision to exit) | 13 | Driving with one movement | |
14 | Removes the needle along its curve | ||
Pulling the suture | 15 | Needle on needle holder in view at all times | |
16 | Uses the pulley concept | ||
Technique of knots | 17 | Correct C-loop (no S- or O-loops) | |
18 | Smoothly executed throw, no fumbles | ||
19 | Correct inverse C-loop (no S- or O-loops) | ||
20 | Smoothly executed throw, no fumbles | ||
21 | Knot squared (capsized/reef/surgical) | ||
22 | Correct third C-loop (no S- or O-loops) | ||
23 | Smoothly executed throw, no fumbles | ||
Total points |