Thursday, April 18, 2024

DRESSING OF SIMPLE WOUND (WITHOUT ASSISTANT)

Table of Contents

REQUIREMENTS #

  1. A trolley containing the following:
    1. 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
    2. 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

STEPS #

  1. Establish rapport (Refer to steps)
  2. Explain procedure to patient (Refer to steps)
  3. Ensure privacy
  4. Put on mask perform hand hygiene
  5. Prepare and send trolley aseptically to the patient’s bedside
  6. Assist patient into a desirable position
  7. Protect bed clothes with mackintosh and dressing towel
  8. Assembly instruments and pours lotions into gallipots
  9. Perform hand hygiene
  10. Wear disposable gloves
  11. Expose area of wound and removes plaster or bandage
  12. Remove soiled dressing with dissecting forceps or disposable gloves, assess for the type of exudate and discard
  13. Perform hand hygiene
  14. Dab or clean wound with sterile forceps/gloves using prescribed lotion from within outwards
  15. Where necessary gently irrigates wound with syringe and saline
  16. Clean or dab wound with series of swabs until wound is clean
  17. Clean the surrounding skin
  18. Apply sterile dressing using prescribed dressing lotion
  19. Add enough sterile dressing and secures into position or leaves exposed where necessary
  20. Apply adhesive tape or bandage to the site where necessary
  21. Remove mackintosh and dressing towel
  22. Reposition patient in bed
  23. Inform patient about the state of the wound
  24. Dispose off used items, decontaminate used instruments and trolley
  25. Perform hand hygiene
  26. Documents and reports state of the wound in the nurse notes (manually or electronically)