DRESSING PROCEDURE

Prepared by:SRN NOORHAZAMIN

NURSING EDUCATION SERVICES

INTRODUCTION Effective wound dressing

promotes wound healing and lead to early discharge and thus save cost.

OBJECTIVESTo ensure nurses perform wound dressing

using aseptic technique.

To assess the caring component during dressing.

To document wound findings after the procedure in the appropriate patient’s records.

STANDARD Nurses perform wound dressing using

aseptic technique.

Nurses exhibit the caring component during dressing.

Nurses document wound findings in the appropriate patient’s records.

PURPOSE To protect the wound from mechanical

injury.

To protect the wound from microbial contamination.

To provide or maintain moist wound healing.

PURPOSE To provide thermal insulation.

To absorb drainage or debride a wound or both.

To prevent haemorrhage (when applied as a pressure dressing or with elastic bandage).

PURPOSE To splint or immobilize the wound site

and thereby facilitate healing and prevent injury.

GAUZE Used in minor wound.

TULLE Doesn’t stick to wound surface. It is

best used for patient with sensitive skin.

SEMI PERMEABLE Composed of sterile sheet, it is

transparent which can allow to check on the wound regularly. Suitable for shallow wound.

HYDROCOLLOIDS It is available in many forms and can

cover larger wound.

HYDROGELS Composed mainly of water in a

composite network.

Hydrofibre Soft non-woven pad that interacts

with wound drainage. It provides a moist environment for deep wounds that needs to be sealed yet air can penetrate.

ASEPTIC WOUND DRESSING

S1 Greet and acknowledge patient.

ASEPTIC WOUND DRESSING

S2 Inform patient and explain

procedure and assess pain.

ASEPTIC WOUND DRESSING

T3 Prepare trolley for dressing.

ASEPTIC WOUND DRESSING

S4 Provide privacy to patient.

ASEPTIC WOUND DRESSING

S5 Place patient in comfortable

position.

ASEPTIC WOUND DRESSING

T6 Perform hand hygiene (hand rub).

ASEPTIC WOUND DRESSING

T7 Wear mask and hand rub.

ASEPTIC WOUND DRESSING

T8 Open outer layer of dressing set.

ASEPTIC WOUND DRESSING

T9 Discard soiled dressing.

ASEPTIC WOUND DRESSING

T10 Perform hand hygiene (hand wash).

ASEPTIC WOUND DRESSING

T11 Open inner layer of dressing and add

necessary items using non touch technique.

ASEPTIC WOUND DRESSING

T12 Perform hand hygiene (hand wash).

ASEPTIC WOUND DRESSING

T13 Wear sterile glove (optional) and

prepare swabs.

ASEPTIC WOUND DRESSING

T14 Perform dressingT14.1 Maintain sterile field.T14.2 Correct aseptic technique while performing dressing.T14.3 Apply and secure appropriate wound dressing.

ASEPTIC WOUND DRESSING

T15 Perform hand hygiene (hand wash).

ASEPTIC WOUND DRESSING

D16 Document findingsD16.1 Wound size and depth.D16.2 Nature of wound :Swelling, dirty, clean, slough,gangrene, healing process.D16.3 Nature of discharge :Smell, color, serous, bloody, pus.