Subcuticular Skin Closure
Resident: _______________
Date: __________
Skin Suturing Steps
Runs the suture, placing appropriate bites into dermal layer
Y
N
Enters the dermal layer directly across from exit site
Y
N
Avoids penetration of the epidermis
Y
N
Avoids multiple forcep grasps of skin
Y
N
Instrument ties with square knots
Y
N
Approximates skin with appropriate tension
Y
N
1
Economy of Time
and Motion
Many unnecessary /
disorganized movements
Final Rating
2
3
4
Organized time / motion, some unnecessary
movement
Other Summative Comments:
 Demonstrates competence
 Requires further practice
Evaluator
Start Time ______________
Camera ______________
End time_______________
CD # _________________
5
Maximum economy
of movement and
efficiency