Dog Ear Excision
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Date:
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Nurse Name:
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Patient Name: |
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Department: Nurse
Submitted By: Natasa Evangelidou
Effective Date: 15/08/25
Last Update: 15/08/25
SOP Number: 17
This checklist is to perform precise and sterile dog ear excision under local anesthesia to improve aesthetic contour and correct tissue redundancy post-surgery.
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No
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Dog Ear Excision Checklist
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Completed
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In Progress
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Notes
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1.
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Ask the patient to wear the blue surgical gown (open in the front) |
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2.
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Confirm if the patient needs the washroom to avoid interruption during the procedure |
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3.
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Cover the patient’s hair with a disposable cap |
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4.
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Obtain signed consent for scar revision |
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5.
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Take pre-operative photographs |
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6.
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Record the patient’s vital signs |
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Prepare the Sterile Surgical Table: |
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7.
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Galipot with 15 ml lidocaine + 15 ml NSS (50:50 dilution) |
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8.
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Kidney basin for used gauze |
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9.
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Syringes: 2 × 5 cc |
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10.
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Needles: 4 × G25, 2 × G23 |
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11.
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Blades: 2 × #15 (one per excision site) |
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12.
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Sterile gauze: 8 wet and 12 dry |
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Surgical instruments:
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13.
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Blade holder |
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14.
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Toothed and non-toothed forceps |
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15.
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Small curved and straight scissors |
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16.
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Mosquito forceps |
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17.
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Mayo suture scissors |
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18.
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Needle holder |
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19.
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Cautery cord with sterile stockinet cover |
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20.
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Cautery tip |
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21.
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Sterile marker |
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22.
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Sterile light handle |
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23.
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Sutures: Monocryl 4.0 and 5.0 (confirm with Dr. Dora before opening) |
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24.
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Steri-Strips ½ inch and Tegaderm waterproof dressing |
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Prepare the Prep Table: |
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25.
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Galipot with Betadine (confirm no iodine allergy) |
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26.
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Dry sterile gauze |
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27.
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2 sterile gowns (for Dr. Dora and scrub nurse) |
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28.
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Sterile gloves No 7 for Dr. Dora + 2 glove sets for skin prep and nurse |
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29.
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Sterile adhesive drapes (×4) |
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Equipment Check: |
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30.
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Ensure the monopolar cautery machine is functioning correctly |
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Marking: |
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31.
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Conduct markings while the patient is standing for accuracy |
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Patient Positioning: |
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32.
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Lay the patient on the surgical bed with underpads |
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33.
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Ensure the patient is covered with a blanket and comfortable |
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Aseptic Preparation: |
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34.
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Clean the area in 3 outward circular motions using Betadine |
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35.
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Instruct the patient not to touch the prepared site |
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Draping: |
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36.
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Apply sterile square drapes securely |
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Surgical Procedure: |
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37.
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Administer local anesthesia with G25 needle, then G23 to release adhesions |
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38.
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Confirm anesthesia effectiveness (check for numbness) |
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39.
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Perform incision using blade #15 |
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40.
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Retract skin using dry gauze without applying tension |
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41.
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Excise the redundant tissue (dog ear) |
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42.
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Achieve hemostasis using electro cautery |
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43.
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Close the incision with Monocryl 4.0 (interrupted + continuous suturing) |
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44.
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Repeat on the opposite side if necessary |
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45.
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Apply Steri-Strip and waterproof dressing |
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46.
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Maintain strict sterile technique throughout |
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47.
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Clean the surgical area thoroughly post-procedure |
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Post-Op Instructions and Follow-Up: |
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48.
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Book a follow-up appointment in 2 days for dressing change |
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49.
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Document procedure and materials used in the patient's record |
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50.
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Close the incision with Monocryl 4.0 (interrupted + continuous suturing) |
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51.
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Repeat on the opposite side if necessary |
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52.
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Apply Steri-Strip and waterproof dressing |
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53.
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Maintain strict sterile technique throughout |
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54.
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Clean the surgical area thoroughly post-procedure |
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Post-Op Instructions and Follow-Up: |
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55.
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Book a follow-up appointment in 2 days for dressing chang
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56.
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Document procedure and materials used in the patient's record
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