How should you perform an instrument exchange in a way that minimizes tissue injury?

• A. Exchange without keeping tips protected.
• B. Exchange only after clamp is fully open.
• C. Use clean handoff, keep tips protected, and avoid abrupt movements; maintain sterile technique.
• D. Exchange quickly with panicked motions.

Answer: (C)

Minimizing tissue injury during instrument exchange comes from a controlled, safe handoff that keeps sharp parts protected and maintains sterility. When you hand off instruments, ensure the tips are shielded so they don’t brush or gouge tissue as the instrument changes hands. A clean handoff means both the sender and receiver know the exact exchange point and sequence, reducing miscommunication that can lead to sudden movements or drops. Avoid abrupt, rushing motions—slow, deliberate exchanges keep the instrument trajectory predictable and reduce the chance of catching tissue or injuring the patient. Keeping sterile technique throughout prevents contamination that could worsen tissue healing and integrity, and it also fosters a stable grip and communication.

Exchanging without protecting the tips risks accidental contact with tissue or glove punctures; waiting for a clamp to be fully open doesn’t address the need for controlled, protected handling; panicked, rapid motions are exactly what increase the likelihood of tissue trauma and dropped instruments.