Medical Scissors: The Complete Practical Guide

Medical Scissors: The Complete Practical Guide for Parents and Healthcare Professionals | PediaDevices
1

What Are Medical Scissors?

Medical scissors are special scissors made for use in healthcare. They are not the same as regular household or craft scissors. Medical scissors are built with a focus on precision, safety, and hygiene. They are used by doctors, nurses, paramedics, and even parents at home when taking care of bandages or dressings.

In pediatric care (the medical care of children), medical scissors play an important role. They help healthcare workers safely remove bandages from a child's skin, cut stitches after a wound heals, and perform many other small but important tasks.

Medical scissors are made from high-quality stainless steel. This material is strong, does not rust easily, and can be cleaned and sterilized again and again. Some models also use tungsten carbide or titanium for extra strength and sharpness.

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Key Point: Medical scissors are designed tools made for healthcare tasks. They should only be used for their intended purpose and should never be shared with children as toys.

4+Main Types Used in Pediatric Care
316Grade Stainless Steel (Most Common)
100%Must Be Sterilized Before Use
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Purpose and Where They Are Used

Medical scissors are used for many different tasks in healthcare settings. In pediatric care, they are especially important because children have smaller, more sensitive skin than adults. The scissors must be gentle enough to avoid hurting a child while still being sharp enough to do the job.

Common Uses in Pediatric Care

  • Removing bandages and dressings from a child's wound without cutting the skin
  • Cutting stitches (sutures) after a wound has healed
  • Cutting medical tape used to hold dressings or tubes in place
  • Cutting gauze and padding to the right size for a wound
  • Emergency use - cutting clothing quickly during an emergency to reach an injured area
  • Cutting umbilical cord clamp dressings during newborn care

Where Are They Used?

Hospitals

Pediatric wards, operating rooms, emergency departments, and newborn units all use medical scissors daily.

Clinics

Doctor offices and outpatient clinics use them for routine check-ups, stitch removal, and wound care.

Home Care

Parents use bandage scissors at home to change dressings on a child's minor wound.

Emergency Services

Paramedics and EMTs carry trauma shears to quickly cut clothing in emergencies.

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Types of Medical Scissors

There are several types of medical scissors, and each one is made for a specific job. Using the wrong type for a task can lead to injury or poor results. Here are the main types you will find in pediatric care:

Type Main Feature Main Use Used By
Bandage Scissors (Lister) Angled blade, blunt bottom tip Removing bandages safely Nurses, Parents, Paramedics
Suture (Stitch) Scissors Small hook or curved tip on one blade Cutting and removing stitches Doctors, Nurses
Trauma Shears Large, strong blades; blunt tip Cutting clothing in emergencies Paramedics, Emergency Teams
Iris Scissors Very small, fine blades Delicate tissue work, fine suture removal Surgeons (Specialists)
Operating Scissors General purpose, curved or straight Cutting tissue or materials during procedures Surgeons, Doctors
Metzenbaum Scissors Long, thin blades; blunt tip Separating delicate tissues Surgeons
Mayo Scissors Thick, strong blades Cutting tough tissue like muscle or fascia Surgeons

Most Common in Pediatric Care

For most parents and caregivers, the two types you are most likely to use or see are bandage scissors and suture scissors. Bandage scissors are the safest for home use because of their blunt tip design.

Tip

Bandage scissors vs Suture scissors: Bandage scissors have a blunt bottom blade to slide under bandages safely. Suture scissors have a small hook or curved blade to lift and cut stitches cleanly. They are not the same and should not be used for each other's purpose.

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How to Use Medical Scissors - Step by Step

A. Using Bandage Scissors (Most Common for Parents)

  1. 1
    Wash Your HandsClean your hands well with soap and water before touching any medical tools or the wound.
  2. 2
    Prepare the AreaLay the child down on a clean, flat surface. Make sure you have good light so you can see clearly.
  3. 3
    Hold the Scissors CorrectlyPlace your thumb in the top loop and your middle finger in the bottom loop. Rest your index finger along the side of the scissor for better control.
  4. 4
    Slide the Blunt Blade UnderGently slide the longer, blunt-tipped blade under the bandage, between the bandage and the skin. Go slowly to avoid pinching or cutting the skin.
  5. 5
    Cut Along the BandageSqueeze the handles gently and cut in small, steady snips. Do not force the scissors. Move along the bandage until it is fully cut.
  6. 6
    Remove the BandageCarefully lift and peel the bandage away. If the bandage is stuck to the skin, do not pull hard. Ask a doctor or nurse for help.
  7. 7
    Clean the ScissorsAfter use, rinse the scissors under clean water right away. Do not leave them dirty.

B. Using Suture Scissors (Usually Done by a Doctor or Nurse)

Stitch removal is usually done by a healthcare professional. However, understanding the process helps parents know what to expect:

  1. 1
    Clean the AreaThe skin around the stitches is cleaned with a safe, sterile solution.
  2. 2
    Lift the StitchForceps (a small grabbing tool) are used to gently lift the stitch up, away from the skin.
  3. 3
    Cut One SideThe suture scissor is placed at one end of the stitch, right next to the skin, and a small cut is made.
  4. 4
    Pull Out GentlyThe stitch is gently pulled out using forceps in one smooth motion. This should be quick and cause very little pain.
  5. 5
    Clean AgainThe area is cleaned once more and covered with a fresh dressing if needed.
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Do Not Remove Stitches at HomeStitch removal should only be done by a trained healthcare professional. Doing it at home can cause infection, scarring, or wound reopening.

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Precautions and Dangers

Medical scissors are sharp tools. Even though they are designed to be safer than regular scissors, they can still cause harm if not used correctly.

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Important Dangers to Know:

Accidental cuts to skin, especially in babies and young children with thin and delicate skin. Infection if scissors are not clean or sterilized. Wound reopening if stitches are removed too early or incorrectly. Injury to the person holding the scissors if they are not gripped properly.

Safety Rules for Everyone

  • Never use medical scissors without proper training or instruction.
  • Always use the correct type of scissors for the task.
  • Never cut toward your own body or toward the child.
  • Always keep the scissors closed when not cutting.
  • Pass scissors to another person with the handles facing them, blades pointing away.
  • Never leave medical scissors within reach of children.
  • Do not use medical scissors on hair, nails, or non-medical items.
  • If the skin is cut by accident, stop immediately, apply gentle pressure with a clean cloth, and seek medical help if the cut is deep or does not stop bleeding.

Risks During Pediatric Use

RiskHow It HappensHow to Prevent It
Skin Cut Blade slides onto skin during bandage removal Use the blunt-tipped blade facing the skin. Go slowly.
Infection Dirty or unsterilized scissors used on skin Always clean and sterilize scissors before and after use.
Child Moves Suddenly Child struggles or moves during the procedure Have a second person hold the child gently. Stay calm.
Wrong Scissors Used Using operating scissors instead of bandage scissors Always check which type of scissors you have before starting.
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Medical Scissors Around Children

Children are curious. They often want to touch or play with anything they see adults using. Medical scissors should never be left where a child can reach them.

Storage Around Children

  • Keep all medical scissors in a locked cabinet or drawer that children cannot open.
  • Do not leave them on tables, counters, or beds after use.
  • If you are using them while a child is nearby, keep them in your hand at all times until you are done.
  • After use, place them immediately into a closed case or container before putting them away.
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Note on Children Using Scissors:This guide is about medical scissors used in healthcare and wound care, not craft scissors for children. If you want to know about teaching your child to use craft scissors safely, please speak to your child's pediatrician or look for age-appropriate craft scissors with rounded tips.

If a Child Gets Cut by Medical Scissors

  1. 1
    Stay CalmDo not panic. Stay calm so the child stays calm too.
  2. 2
    Apply PressureUse a clean cloth or sterile gauze and press gently on the cut to stop the bleeding.
  3. 3
    Clean the WoundOnce bleeding slows, rinse the cut gently under clean running water.
  4. 4
    Cover ItApply a sterile bandage or plaster. Make sure the wound is clean before covering.
  5. 5
    Get Medical Help if NeededIf the cut is deep, long, will not stop bleeding after 10 minutes, or is on the face or hand, take the child to a doctor or go to the nearest emergency room.
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How to Keep Medical Scissors Safe and Clean

Keeping medical scissors clean is one of the most important steps to prevent infection. Dirty scissors can carry bacteria and viruses that can make a child very sick.

Cleaning Steps (After Every Use)

  1. 1
    Rinse ImmediatelyRight after use, rinse the scissors under clean water to remove any blood, debris, or dirt. Do not wait.
  2. 2
    Wash with SoapUse mild soap and warm water. Wash all parts of the scissors, including the blades, joints, and handles. Use a soft brush if needed.
  3. 3
    Dry CompletelyDry the scissors fully with a clean towel. Do not store them wet. Moisture can cause rust and grow bacteria.

Sterilization (For Clinical or Repeated Home Use)

If the scissors are reusable and used regularly, they should be sterilized. The most common methods are:

Autoclaving

The gold standard method used in hospitals. High-pressure steam kills all bacteria, viruses, and spores. Only done in healthcare settings.

Boiling

Boiling in water for 10 minutes can be done at home for basic disinfection, but it is NOT full sterilization. Only use this method if advised by your doctor.

Proper Storage

  • Store in a dry, clean, closed case or pouch.
  • Do not store in a wet or humid place.
  • Keep away from direct sunlight for long periods.
  • Keep in a place that is out of reach of children.
  • Do not store together with non-medical items.

When to Replace Your Medical Scissors

  • Blades are dull or do not cut smoothly anymore.
  • There is rust, pitting, or visible damage on the blades or joints.
  • The joint (screw) is loose and cannot be tightened.
  • The scissors no longer open and close smoothly.
Tip

Lubrication:A tiny drop of medical-grade instrument oil on the joint (pivot point) of the scissors helps them stay smooth and last longer. Do this after cleaning and drying, especially for reusable scissors. Ask your doctor or a medical supply store for the right oil.

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How to Choose the Right Medical Scissors

Not all medical scissors are the same. Choosing the right one matters for safety and for the job to be done correctly. Here is a simple guide:

Your TaskBest Scissors to UseWhy
Removing a bandage at home Lister Bandage Scissors Blunt tip prevents skin cuts. Angled blade slides under the bandage easily.
Cutting medical tape Bandage Scissors or Utility Scissors Sharp enough to cut tape cleanly. Safe enough for home use.
Cutting gauze to size Utility or Operating Scissors General purpose, cuts material neatly.
Emergency - cutting clothing Trauma Shears Very strong. Can cut through thick clothing, belts, and even some metals quickly.
Stitch removal Suture Scissors (done by a professional) Designed to lift and cut stitches cleanly without hurting the skin.
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For Home Use:If you only need scissors for basic wound care and bandage changes at home, a good pair of Lister bandage scissors (size 5 to 5.5 inches) made of stainless steel is a safe and practical choice. You can find these at any pharmacy or medical supply store.

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Frequently Asked Questions

Yes. Parents can safely use bandage scissors at home to remove bandages and cut gauze or tape. However, tasks like removing stitches or anything involving open wounds should only be done by a healthcare professional.

No. Medical scissors are made from medical-grade stainless steel, designed for specific healthcare tasks, and built to be sterilized. Regular scissors are not made for contact with skin or wounds and should not be used for medical tasks.

For basic home use, wash with soap and water and dry completely. If your doctor advises it, you can boil them in water for 10 minutes as a simple disinfection step. Full sterilization (autoclaving) is done in hospitals and clinics only.

No. Bandage scissors are not designed for cutting stitches. They do not have the right blade shape or tip to do this safely. Stitch removal must be done with suture scissors by a trained professional.

Using dirty scissors on a wound can introduce harmful bacteria into the skin, which can cause an infection. Signs of infection include redness, swelling, warmth, pus, or fever. Always clean scissors before and after use, and contact a doctor if you notice any signs of infection.

Good quality medical scissors made of stainless steel can last for years if cleaned, dried, and stored properly. Replace them when the blades become dull, the joint loosens, or you see rust or damage. There is no fixed expiry date, but regular checks are important.

A pair of Lister bandage scissors (5 to 5.5 inches) is the most useful for home wound care. They are safe, affordable, and widely available at pharmacies. Keep them in your home first aid kit.

Medical scissors should never be within a baby's reach. Babies put everything in their mouths and can be easily cut. Only use medical scissors on a baby when you are performing a specific care task, keep them in your hand the entire time, and put them away immediately after.

Suggested References and Resources

  • CDC - Guideline for Disinfection and Sterilization in Healthcare Facilities (Centers for Disease Control and Prevention, USA)
  • WHO - World Health Organization Guidelines on Medical Device Sterilization and Reprocessing
  • Spaulding Classification System for Medical Devices (Critical, Semi-Critical, Non-Critical)
  • AAMI - Association for the Advancement of Medical Instrumentation: Standards for Sterilization of Medical Instruments (ANSI/AAMI ST79)
  • Nemours KidsHealth - Preventing Cuts: A Guide for Parents (kidshealth.org)
  • AORN - Association of periOperative Registered Nurses: Perioperative Practice Guidelines
  • Kapczynski, H. - "Surgical Instruments 101" - General reference for surgical instrument types and history
  • ISO 17664-1:2021 - International Standard for Reprocessing of Medical Devices

Medical Disclaimer

This guide is for educational and informational purposes only. It does not replace the advice, diagnosis, or treatment given by a qualified healthcare professional. Every child is different, and medical needs can vary.

Do not use medical scissors or perform any medical procedure on a child based solely on this or any online guide. Always consult your child's doctor or a trained healthcare provider before doing any medical care at home.

If your child is injured or you are unsure about any medical procedure, contact your doctor, go to the nearest emergency room, or call your local emergency number immediately.

The information in this guide is based on currently accepted medical knowledge and international healthcare guidelines. Medical practices may change over time.

Checked and Reviewed by: Dr. (Pediatrician) | PediaDevices

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