Wound Dressing

Wound Dressing is a sterile protective surgical covering, applied to a wound or incision with aseptic technique, with or without medication. Types of wound dressing: Wet Dressing. Non- adherent dressing. Self-adhesive dressing. Hydrocolloid (HCD) and Hydro gel dressing. Pressure dressing

Purposes: To promote wound granulation and healing. To prevent micro organism invasion. To decrease the presence of purulent wound drainage. To absorb fluid and apply medication. To immobilize and support the wound. To assist in removal of necrotic tissue. To apply medication to the wound. To provide comfort.

Articles required:STERILE TRAY Artery forcep-1 Dissecting forcep-2 Scissors-1 Suture cutting scissors-1 Small bowl-1 Gloves, mask, a gown Cotton balls, gauze pieces, cotton pads Dressing towels

 Towel Clips-4 CLEAN TRAY Cleaning solutions Ointments and powders Bandages, binders, pins, adhesive plaster Scissors Large bowl with disinfectant solution Kidney tray and a paper bag A mackintosh and towel

Preparatory phase of nurse: Wash hands thoroughly. Place dressing, supplies, or articles on a clean flat surface Place disposable bags nearby to collect soiled dressing. Determine the type of dressing necessary. Open the dressing tray by peeling apart the edges of the package. Wash hands thoroughly before and after the procedure. Preparatory phase of patient and environment Identify the patient and position him comfortably. Explain the procedure and provide privacy. Drape the patient. Offer a bed pan or urinal prior to dressing. Close the doors and windows and put off the fan to prevent draughts. Keep one assistant for dressing of the large wounds. Protect the bed with the mackintosh and the towel. Expose the part as necessary. Untie the bandage or dressing and remove only after hand washing. Turn the patients head to one side to avoid anxiety.

General Instructions: Dressing should not be done immediately after sweeping and dusting, wait for 15-20 minutes. Avoid talking, coughing, sneezing once the wound is open. If the dressing is adherent to the wound due to dry secretions or blood, wet it with sterile saline before it is removed. Observe the discharge from the wound accurately for color, odor, amount and consistency. Shortening and removal of the drainage tube is done only after doctors order. Avoid meal timings for dressing; it should be done either half an hour before or after the meal. Procedure: Screen and drape the patient. Wash hands. Collect required articles to the bed side. Loosen all the adhesive tapes of the old dressing but do not remove the dressing. Wash hands. Put on mask, gown and gloves as necessary. Open the sterile tray. Pick up the dissecting forceps and remove the sorted dressing. Fold the dressing inwards and discard in paper bag or bin Discard the dissecting forceps in the bowl of antiseptic solution. Clean the wound from centre to periphery. Use one gauze for one stoke from up to down. Dry the wound with dry gauze piece. Apply medication if ordered. Cover the wound with a sterile gauze piece and then with cotton pads. Reinforce the dressing on the dependent part where the drainage may get collected.

 Discard the artery forceps and dissecting forceps in the bowl of antiseptic solution. Remove gloves and secure the dressing with bandage for adhesive tapes. Make the patient comfortable and remove all the articles from bedside. Record and report the findings. After care: Remove the mackintosh and the towel. Take all the articles to the treatment room. Discard the soiled dressing in a covered container and send it for incineration. Remove all articles or instruments from the disinfectant solution and clean them thoroughly. Dry, reset the tray for autoclaving. Replace all the articles. Help the patient to dress up and make him comfortable. Replace the bed linen (if necessary). Wash hands. Record the procedure in nurses record and report the findings to physician.

ASSIGNMENT
TOPIC : DEMONSTRATION ON WOUND DRESSING AREA GROUP DATE TIME : : : : ICCU B.Sc. (N) 4TH year 1st yr 22 June11 10am Mr. Anurag patidhar Lecturer CON, DMC&H, Ldh.

PRESENTED TO :

PRESENTED BY: MAMTA CHOUDHARY M.Sc. (N) 1st year CON, DMC&H,Ldh.