wound care (dressing)

wound care dressing change with irrigation and packing before beginning this procedure always perform the following 9 steps to ensure patient safety -

perform hand hygiene.
provide patient privacy.
introduce yourself.
use to patient identifiers.
verify allergy status.perform environmental safety check.
ensure proper body mechanics.
gather all supplies.
provide patient education. 

assess the patient's condition including the dressing and wound as well as the pain level if needed medicate with analgesic 30 minutes before procedure if medication is to be given PO or IV .

materials needed for dressing change -



gloves 
biohazard bag 
irrigation tray
with bulb syringe 
normal saline
irrigation bottle 
dressing change tray
measuring device
sterile cotton swabs
4x4 gauze pads
tape
sterile gauze pack
sterile gloves .

the procedure -



make comfort position of the patient.
apply clean gloves.
remove the old dressing including packing and assess the old dressing.
noting color odor consistency and amount of drainage(COCA).
dispose of old dressing in biohazard bag.
assess the wound edges and wound beD.
note any presence of infection.
checking for healthy granulated tissue, exudates Slough ,eschar ,indurations,swelling etc .
measure length, width and depth using wound measuring tools and a sterile cotton swab.
dispose of soiled supplies in biohazard bag.
setup irrigation supplies.
irrigate wound using gauze pads to catch solution and debris.
remember to irrigate in one direction until solution runs clear.
Pat wound bed with sterile gauze pads as needed.
discard gauze pads in biohazard bag .
wash hands for CDC guidelines .
prepare sterile dressing change tray and dressing
supplies using sterile techniques.
do not cross or turn once back to the sterile field throughout the procedure.
Dawn sterile gloves maintaining sterile technique throughout the procedure.
repack wound with sterile packing using sterile technique .
be careful not to touch the edges with a sterile gauze.
remember not to cross the sterile field when disposing items in the appropriate receptacle.
apply sterile top dressing.
secur dressing appropriately.
label dressing with date time and initial
ensure safe environment.
return bed to lowest height with brakes locked and appropriate side rails up and call light and bell in reach .
dispose of soiled supplies and biohazard bag.
wash hands per CDC guidelines.


                                THE END ...thank you..!