Wound Dressing

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Wound

dressing
introduction
Wound dressing are design to help healing by optimizing the
local wound. The dressing is contact with the wound bed that’s
known as the primary dressing. If a dressing is required to absorb
leakage or to secure a primary dressing this may referred as a
secondary dressing .

With the advancement in technology, currently the different


types of wound dressing materials are available for all types of
wounds. But the selection of material for a particular wound is
important to achieve a faster healing.
What is a wound?

A wound is defined as a
break on the skin or in the
mucous membrane.
Purpose of
wound dressing
● To maintain a moist
environment.
● To control bleeding.
● To protect against
contamination.
PRINCIPLES

• Medical hand washing should be


done.
• Keep it sterile.
• Done gloves if necessary
EQUIPMENTS
PICKING,
OPERATIVE
SPONGE &
DRESSING
FORCEPS.
BANDAGE &
GAUZE PAD
BETADINE
SOLUTION
EQUIPMENTS &
CLEANSER
Procedure:
STEPS RATIONALE
1. Explain the procedure to the patient. 1. To gain trust and cooperation.

2. Secure equipment and bring to the bedside. 2. To reduce time and effort.

3. Wash hands. 3. To remove microorganisms.

4. Undo materials securing the dressing. Lift 4. To avoid being contaminated.


dressing off by touching the outside portion
only. If soiled, use forceps
5. If dressing adheres to wound, moisten with 5. To provide easier removal of dressing.
sterile water or NSS or hydrogen peroxide.
Remove dressing using dressing forceps when
completely loose.
6. Drop soiled dressing into waste 6. To prevent the spreading of microorganisms.
receptacle/kidney basin for later burning. If
hands were used for removing soiled dressings,
wash hands.
STEPS RATIONALE
7. Clean wound aseptically using dressing 7. From least to most contaminated area.
forceps from the center to the outer portion
using cotton balls with:
a. Phisohex b. sterile water or NSS c. betadine
solution
8. Cover wound with sterile dressing and secure 8. For wound to be protected from
with adhesives. microorganisms and irritation.
9. Make patient comfortable and tidy the unit. 9. For the patients comfortability and fast
recovery.
10. Wash hands 10. To prevent cross contamination.

11. After care of equipment. Soak dressing 11. To prevent the spread of infections.
forceps in 5% Lysol solution for 30 minutes,
then wash with soap and water, rinse then dry.
Send to CRS for sterilization.

12. chart. Site wound, character of 12. Documentation provides coordination of


wounds/discharges, treatment given if any (e.g. care.
ointment used) reaction of the patient.
Nursing
manageme
nt
Wound dressing
Dressing consideration should
include:
Patient’s condition and prognosis.

Ease and continuity of use.

Ability to maintain moisture


balance and frequency of change.
- Occur during therapy.
Intentional Ex. Venipuncture and
wound operations C
- Occur accidentally.
unintentional Ex. Fracture in arm in o
wound road traffic accident.

Open - Occur when the mucous n


membrane or the skin is
wound
broken
- Occur when the tissue d
Close are traumatize without a
wound break in the skin.
I

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