Table of Contents
REQUIREMENTS #
- A trolley containing the following:
- Top shelf ( a Sterile field with the following sterile items)
- Two (2) or three (3) gallipots for lotions
- Two (2) kidney dish
- Two (2) pairs of dressing forceps
- Two (2) pairs of dissecting forceps
- Sinus forceps
- Probe
- Bottom shelf with the following:
- Dressing lotion
- Sterile cotton and gauze swab in a drum/ pack
- Mackintosh and dressing towel
- Adhesive tape/strip
- Bandage
- Scissors
- Apron
- Disposable gloves
- Sterile gloves
- Receiver for used dressings
- Top shelf ( a Sterile field with the following sterile items)
STEPS #
- Establish rapport (Refer to steps)
- Explain procedure to patient (Refer to steps)
- Ensure privacy
- Put on mask perform hand hygiene
- Prepare and send trolley aseptically to the patient’s bedside
- Assist patient into a desirable position
- Protect bed clothes with mackintosh and dressing towel
- Assembly instruments and pours lotions into gallipots
- Perform hand hygiene
- Wear disposable gloves
- Expose area of wound and removes plaster or bandage
- Remove soiled dressing with dissecting forceps or disposable gloves, assess for the type of exudate and discard
- Perform hand hygiene
- Dab or clean wound with sterile forceps/gloves using prescribed lotion from within outwards
- Where necessary gently irrigates wound with syringe and saline
- Clean or dab wound with series of swabs until wound is clean
- Clean the surrounding skin
- Apply sterile dressing using prescribed dressing lotion
- Add enough sterile dressing and secures into position or leaves exposed where necessary
- Apply adhesive tape or bandage to the site where necessary
- Remove mackintosh and dressing towel
- Reposition patient in bed
- Inform patient about the state of the wound
- Dispose off used items, decontaminate used instruments and trolley
- Perform hand hygiene
- Documents and reports state of the wound in the nurse notes (manually or electronically)
