Physician Associate / Assistant Accredited
Advanced Practice Nurse / Nurse Practitioner Accredited
AAPA and ANCC Accredited


The Online Suture Course (15.0 Contact Hours, 2.0 Pharmacology Hours) is an online, asynchronous laceration and wound repair course with 15.0 total AAPA and ANCC contact hours, including 2.0 ANCC pharmacology hours (ANCC contact hours are accepted by the AANP).
Course participants receive training in 11 closure methods through 34 modules and 10 case studies, covering 3 anesthesia methods as well as the A.C.E. F.A.S.T. Closure Method™.
The course is available by itself, or bundled with some extras. All course bundles include downloadable MP3 and MP4 course audio and video, as well as a digital course workbook.
Choose How You Want to Take the Course
Choose How You Want to Take the Course
HYBRID ONLINE / ZOOM
Our 2 Day Live Event brought to you via the Zoom Cloud – watch the event as a Zoom attendee without time restrictions and with plenty of bonus, unplanned content.
The entire Online Suture Course covering close to 40 learning modules and 11 closure techniques sounds great. But we’re going to add The Skin Course in all of its fullness covering over 80 high-yield dermatology topics, incision and drainage, ultrasound evaluation of soft tissue disorders, and skin biopsies. This perfect combination is our CME Value Pack and you can choose to add a deluxe practice suture kit, a copy of the best pocket companion available, the WhiteCoat Suture Manual, and you can even add a course USB drive and a Zoom session with the instructor. Click below to learn more.
– The Online Suture Course AND The Skin Course
– Over 120 learning modules
– 11 closure techniques
– Incision and drainage training
– Ultrasound training
– Skin biopsy training
– 30 hours of AAPA and ANCC Accredited CME/CE
– 12.0 hours of ANCC Pharmacology CE
ONLINE ONLY
OSC CORE AND NOMAD
OSC Core (15.0 Contact Hours, 2.0 Pharmacology Hours) is the backbone of our suturing course. It is the course in its entirety in an online, asynchronous format. OSC Core offers 15.0 total AAPA and ANCC contact hours, including 2.0 ANCC pharmacology hours. ANCC contact hours are accepted by the AANP. With OSC Core, course participants receive training in 11 closure methods through 34 modules and 10 case studies, covering 3 anesthesia methods as well as the A.C.E. F.A.S.T. Closure Method™. All course versions include downloadable MP3 and MP4 course audio and video, as well as a digital course workbook.
OSC NOMAD contains OSC Core and also puts all of the course content on a USB drive, useful for internet-challenging geographic areas, travel, or simply as a personal copy of the content.
For either Core or NOMAD, the word Deluxe indicates that it comes with a practice kit for learning suturing techniques. This kit includes 8 various size sutures, a laceration tray, a skin stapler and staple remover, and a kit box. The kit does not contain any practice medium due to our belief that skin-on chicken thighs, bananas, or pig feet offer a much better human skin analogue than ballistic gel and other inorganic mediums.
11 Closure Methods
You will learn the proper way to perform the following closure techniques:
Steri-Strips
Skin Adhesive
Skin Stapling
Simple Interrupted
Simple Continuous
Horizontal Mattress
Vertical Mattress
Interrupted Cruciate
Corner Stitch
Running Locking
Dog Ear Deformity Correction
Multi-Layer Closure
10 Exciting Case Studies
Anti-coagulated geriatric versus rusty attic nail
Histrionic 4-year old chin versus floor
Hunter versus his own finger
Dizzied middle-age ear versus night-stand
Heavy-weight walker’s knee versus the track
Inebriated toe versus some rocks
Strapping lad’s lower leg versus the farm
Pediatric scalp versus coffee table
Middle-aged scalp (and c-spine) versus the dangers of living by yourself in middle age
Living room dancer’s buttocks versus (again) coffee table
3 Anesthesia Approaches
Local Infiltration
Digital Block
Field Block
ENP Credit Hours
This course provides 15.0 of 30 contact hours required by the AAENP under Option 1 for the ENP certification exam.
A.C.E. F.A.S.T. Closure Method
Learn to ace your closures every time through the A.C.E. F.A.S.T. Closure Method. This method, developed by OSC creator Patton Graham, will improve your throughput times, bolster your medicolegal defensibility, enhance your charting, and fortify your patient outcomes.
34 Learning Modules
- When and When Not to Close
- The A.C.E. F.A.S.T. Closure® Method
- Proper Anesthesia Delivery
- Proper Wound Cleansing
- Proper Wound Examination
- Foreign Body Removal
- Antibiotic Appropriateness
- When to Seek Surgical Consultation
- Current Tetanus Guidelines
- Closure Basics Including Line and Needle Selection
- Proper Knot Tying
- Left-handed suturing
- Repair of Torso Lacerations
- Repair of Extremity Lacerations
- Repair of Head and Neck Lacerations
- Repair of Scalp Lacerations
- Repair of Eyelid Lacerations
- Repair of Ear Lacerations
- Repair of Lip Lacerations
- Repair of Nailbed Lacerations
- Repair of Flap Lacerations
- Repair of Buccal Lacerations
- Repair of Tongue Lacerations
- Repair of Joint Capsule Lacerations
- Nail Trephination
- Dog Ear Deformity Correction
- Undermining
- Multi-layer Suturing
- SPECIAL TOPIC: Treatment of Animal Bites
- SPECIAL TOPIC: Treatment of Open Fractures
- SPECIAL TOPIC: Pediatric Lacerations
- SPECIAL TOPIC: Lacerations in the Anticoagulated Patient
- SPECIAL TOPIC: Managing Poorly Healing Lacerations
- SPECIAL TOPIC: C-spine Management and Imaging Related to Traumatic Head and Neck Lacerations
- BONUS: Appropriate Follow-up Care
- BONUS: Medicolegal Tips and Nuggets
Upcoming Live Courses

LACS + DERM 2022
August 25-26, 2022 | Franklin, TN
WHERE: In-Person OR Live Webinar
WHAT: The Whole Course OR Suture Course OR Dermatology Course
- Ultrasound Training – evaluation of soft tissue abnormalities
- Suture Training – 11 closure techniques
- Biopsy training
- Anesthesia Training – 3 anesthesia approaches
- Learn incision and drainage
- 33 topics in suturing
- 81 topics in dermatology
YOU WILL RECEIVE
Accredited CE – 30.0 contact hours including 12.0 pharmacology hours
Course Supplies (laceration tray, sutures, scalpel, skin stapler, staple remover, punch biopsy, skin analogues both days)
Event T-Shirt
Lifetime Course Access
Workbook – Full Color Digital Course PowerPoint
WhiteCoat Suture Manual – Our fully illustrated pocket-book for suturing
SCHEDULE
Day 1: Live Advanced Course in Suturing (Suturing component)
8:00am – 5:00pm CST
Day 2: The Skin Course (Dermatology component)
8:00am – 5:00pm CST
LOCATION
Drury Plaza Hotel
1874 West McEwen Drive
Franklin, TN 37067
Phone
615-771-6778
The entire original Online Suture Course and The Skin Course, taught LIVE!
JOINTS, POINTS, & BLOCKS
September 29-30, 2022 | Franklin, TN
Joint Injections, Trigger Point Injections, and Nerve Blocks
NEW! Joints, Points, and Blocks is a high-yield course that prepares you to inject 10 different joints, perform dry needling and trigger point injections, and perform 13 different nerve blocks including dental blocks.
Joints, Bursa, Periarticular
- Glenohumeral
- Knee
- Temperomandibular
- Subacromial
- Olecranon
- Trochanteric
- Prepatellar
- Medial Epicondyle
- Lateral Epicondyle
- Trigger Finger
Trigger Points
- Dry Needling
- Point Injections
Nerve Blocks
- Supraorbital
- Infraorbital
- Greater Occipital
- DENTAL – Anterior Superior Alveolar
- DENTAL – Middle Superior Alveolar
- DENTAL – Posterior Superior Alveolar
- DENTAL – Nasopalatine
- DENTAL – Greater Palatine
- DENTAL – Buccal
- DENTAL – Inferior Alveolar
- DENTAL – Incisive
- ORTHOPEDIC – Hematoma
- Digital
LOCATION
Drury Plaza Hotel
1874 West McEwen Drive
Franklin, TN 37067
Phone
615-771-6778

Patton Graham, NP-C, EMT
Patton is a family and emergency nurse practitioner. He is a member of the American Academy of Emergency Nurse Practitioners and the American Academy of Nurse Practitioners. He earned his B.S. (sociology) in 2005 from the University of North Alabama, his A.S. (nursing) in 2012 from Columbia State Community College, and his M.S. (nursing) in 2015 from Tennessee State University. He completed his emergency nurse residency in 2012 at Saint Thomas Midtown Hospital in Nashville, TN.
Patton practices in both emergency departments and acute care clinics. Patton has taught at the collegiate level and has also taught suture training courses, wound repair, and procedural processes in a variety of clinical settings.
WhiteCoat Suture Manual
Up-to-date
Right-to-the-point
The ultimate suturing manual
The WhiteCoat Suture Manual is the ultimate resource for laceration closure and management covering 13 closure techniques and 33 topics. An excellent stand-alone clinical resource, or as a study aid for the Online Suture Course.
Addresses all the questions you (should) have, including:
When should you consult an orthopedist or surgeon?
How do you properly assess a joint’s involvement in a laceration?
When should you refrain from closing a wound?
How do you close an ear laceration?
What technique is best for closing deep extremity wounds?
Are antibiotics appropriate for every wound?
How long do sutures stay in place in a given body region?
DETAILS
- Helpful section tabs bring you right where you want to be quickly
- Case studies integrate guidelines with practice
- Featuring the A.C.E. F.A.S.T. Closure Method
- Closure instruction by body system
- Pages: 168
- Size: Lab-coat ready, pocket size (4.25″ x 6.0″)
- Shipping: Free
THE SKIN COURSE
Dermatology Course for Registered Nurse Practitioners and Physician Assistants
- Complete, High-Yield Dermatology Course for NPs and PAs
- 15.0 AAPA / ANCC Contact Hours
- 10.0 ANCC Pharmacology Hours
- 81 Topics
- Incision and Drainage Training
- Ultrasound Training
- Biopsy Training
- AANP Accredited CE: 15.0 contact hours including 10.0 pharmacology hours

OSC Group Practice and Facility Plan
Do you have a practice of 2 or more providers? We would love to be part of your core training program for current and future providers.
Depending on how many providers are in your practice / facility, OSC can be incorporated into your training program at a significantly discounted rate.
Our program can help you (and your practice) learn more techniques for wound evaluation and treatment. More importantly, you can better manage complex lacerations, sending fewer to a “higher-level-of-care”, and retaining associated revenue.
To inquire about these substantial discounts, and to find out more about our plans, please email patton@onlinesuturecourse.com.

Learn multiple techniques for simple and complex closures
- Steri-strips
- Skin Adhesive
- Staples
- Simple Interrupted
- Simple Continuous
- Horizontal Mattress
- Vertical Mattress
- Interrupted Cruciate
- Corner Stitch
- Running Locking
- Dog Ear Deformity Correction
- Multi-layer Closure

Discussion of Medicolegal Implications and Pitfalls
- Defensive charting tips
- What to verbalize to your patients (or their parents)
- Essential discharge instructions
- Avoiding common pitfalls that could result in lawsuit
- Discussion of the most important way to avoid being sued

An Entire Module on Pediatric Lacerations
- Dealing with kids and their parents
- Building rapport with your pediatric patient
- Pediatric analgesia tips
- Pediatric moderate sedation procedures
- Pediatric case studies

Extensive Anesthesia and Pharmacology Discussion
- Local infiltration
- Digital blocks
- Field blocks
- Moderate sedation
- Amide family (the “caines”) anesthetics