 to kind of show you guys some of the things that we use and if you remember from my previous video where I like talked about where we slept and I showed you all our little closet of goodies that has like all of our tools that we use and the various different things when we're on call overnight things that we may need I'm gonna go in there and show you guys some of the things that we may use so this is our closet and it has like all of our various different items we do have like a bunch of sutures here you know for if we have to put a line in some other various different things in here as well this is just bassatrasin so you know you'll put that on any wounds so like maybe road rash things like that that may need a little bit of that ointment we have like all of these sutures here if we ever need to go in and suture anything this is 2O ethylon monofilament you can see that there we use ethylon 2O or 3O which I have here if we are just trying to stop bleeding on somebody's like perm account or something like that we may put a couple sutures in there then we have like other larger sutures and stuff and I want to show you guys something about the suture so I will get them out just to kind of show that for you all but it's important with those sutures to ensure that you're getting the right size and the right kind of suture this is a biopatch so we put these on our various different like central lines or any type of line that we want to keep sterile it has like antibiotic in it and it allows you know it's already like in the actual biopatch so you put this down on the line and that kind of gives it an extra added protection because you don't want these lines getting you know infected we always keep like the lidocaine that we get from some of these these different kits that we don't use because we use lidocaine for a lot of things so this is lidocaine 1% you'll put that in to really just kind of ensure that the patient is anesthetized right and you know they'll be able to tolerate the procedure but I want to show you guys these sutures so I'm going to take out some sutures and just kind of talk about those for you so here I have for you guys some perma hand silk in different sizes ethyl lawn again in a 30 and a 20 and then praline and oh and a 30 and vigral and so we use these for various different things we use the perma hand silk oh whenever we're putting in a chest tube sorry guys a little gown just fell but this is used whenever we're putting in a chest tube this is used to secure the chest tube and so this is a non absorbable silk suture it's braided and so you can kind of see I don't know if we can like zoom in a little bit on the filament for you just so that you can see that it has like many various different like micro filaments in there but it's a braided suture okay and then this is a 20 same brand but 20 meaning that when when it comes to sutures you would think oh the larger the number the larger the suture the larger the needle but that is not the case so when it comes to sutures the smaller the number the larger the needle and the larger the suture you can really see it a lot better with this oh praline and 3o praline so you can tell right here that the oh praline the needle is way larger right then the 3o and then also if you look at it closely you can see that the filament is actually smaller like that actual it's kind of like a nylon thread it's a lot smaller so again here with the 3o and the 2o right so larger the number the smaller the filament so again you can see the 3o is a lot thinner than the 2o and these all of these sutures here this one this one and this one are non-absorbable sutures now this suture this is vigral and so this is an absorbable suture we put this in like our more inner layers like the dermis if we're trying to like make sure that it's like a really big laceration but we want to make sure that it pulls together really neatly we'll use vigral yeah so we'll use vigral if we want to make sure that it pulls together extremely neatly and so you'll put the vigral down into the suture like into your laceration into the most inner part you'll pull that together we usually just do like some simple interrupted sutures and if you haven't seen my videos on that I'll I can always make another video just kind of showing you what a simple interrupted suture is but we'll put a couple of those in there just to kind of pull the wound a little bit together because we want some extra added kind of like support for it not to only be relying on the outer sutures so we'll pull that together and then we'll use like a non-absorbable suture like your ethylon or your proline or something like that to kind of just pull it together a little bit more and depending on where the wound is we'll use various different sizes of sutures so anything on the face we always use like five or six oh you know things lower on the body like the arm extremities you can get away with like a three oh or two oh suture so that's what we use a lot of we use a lot of sutures and so I do a lot of suturing with all of my motor vehicle accidents that come in with lacerations or my stab wounds so you have to get kind of really good at knowing okay well what's going to bring this wound together really well um if you're dealing with like anything in the mucosa like in the mouth you're going to use like a chromic which again is absorbable but it's more sticky it sticks together a little bit more than like your vigral and and you want to ensure that you're getting the right suture in because you don't want it to be like irritating or painful or anything like that so all right let's have you guys so I just got back from my last trauma it's like five o'clock in the morning let me show you guys the clock five thirty one in the morning to be exact and y'all I am so freaking tired but um I can't go back to sleep because I'm literally about to get off of work in two hours so what I'm going to do right now is check my list I have a list of all the patients that I am taking care of that um have either come in overnight or that have been on the floor I always like fold my list in half just so that I can easily fit in my pocket so I have like a blank sheet of paper I'll show you what I do all right so list is usually like this size you know 8 by 11 usually there's names of the patients and all of the private information that I cannot show you guys because again HIPAA but um what I do is I tend to fold it in half like this so I'm still able to see the patient's names but um let's go on this side so I'll fold it in half like that I'm still able to see the patient's names here but then kind of all their other like true information on everything that they're here for is kind of hidden so then I'm able to write next to their names um because that makes it easier for me when I'm looking at my patient I can write you know things that I need to do things that um have been done that kind of stuff because there are very different tasks that you have to do throughout the day and you really want to be um very organized to make sure that you're getting all of these various different things done because um if you're not organized then you can miss things um or you know like things can just fall by the wayside because uh you you missed it like you forgot about it and you know that's patient care so you want to make sure that you're getting things done so that's what I do um so that's what I'm going to do now check on all of those patients for my patient that is downstairs all my patients that are downstairs um I'm going to make sure that I have all their orders in to either admit them to the hospital or keep them for 24 hours um an observation just to make sure that the various different things that they're waiting for um gets accomplished like if uh someone has to sober up things like that uh or just ambulate which is walk because you know they were shaken up after after a car accident we try to keep them for like 24 hours just to make sure that we nothing nefarious happens nothing like you know they don't start decompensating for some odd reason that we may have missed that way we can catch it so and that is what I'm going to do um I'm really tired but again like I said it's two hours until I leave so I want to make sure that I'm getting all of the various different things that I need to get done done all right so it is morning time um I'm in our little bathroom that you guys have seen uh I'm going to just brush it up brush my teeth and get ready for sign out you can hear like everybody else that's in the bathroom brush my hair a little essentially that's it right so I mean that's it I hope you guys like this video if you do go ahead and hit that like button for me and don't forget to subscribe and hit that notification bell so you can know exactly when I come out with a new video follow me on instagram and on the pa and on instagram at get that see university um also check us out at get that see university dot com thank you guys so much for watching I will talk to you guys next time bye