Nursing skills lab procedure for wound care dressing change with irrigation and packing.
West Coast University students, you can find the Skills Resource Guide and Checklist links below:
“Wound Care Dressing Change with Irrigation and Packing: Before beginning this procedure always perform the following steps to ensure patient safety. Perform hand hygiene, provide patient privacy, introduce yourself, use two 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 P O or IV. Explain the
procedure to patient. 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, 4×4 gauze pads, tape, sterile gauze pack, sterile gloves. The Procedure: Physician-patient. Apply clean gloves. Remove the old dressing including packing, and assess the old dressing,
noting color, odor, consistency, and amount of drainage co CA. Dispose of old dressing in biohazard bag. Assess the wound edges and wound bet. 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. Secure dressing appropriately. Label dressing with date, time, and initials. 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.”
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