Opens sterile dressing supplies and sterile gloves using sterile technique. Sterile gauze pads or other dressing tape or bandage material initials corresponding signature of instructor title procedure guidelines su date initials su date initials 1. If using a gauze dressing, apply sterile gauze pad directly over insertion site and secure with sterile tape in an occlusive manner. Cleaning a wound and applying a dry, sterile dressing continued comments 12.
Moist to dry dressing, and wound irrigation and packing. Using sterile forceps, remove inner dressing packing from the wound. Confirm the quantity and type of packing is the same as recorded on previous dressing change. Medical policy surgical dressings description policy. Place the clear dressing over the catheter and gauze. A dressing change is a two person procedure and must be completed using aseptic technique. Place a sterile dressing for 2448 hours thorough hand hygiene and sterile supplies for wound dressing change control blood glucose assisting with dressing changes goals the goals of this module are to prepare participants to. Cover the wound and any protruding organs with sterile. Wettodry gauze dressings are often used with open wounds. Foot placed in dependent position, with blanket for warmth.
Assisting with dressing changes goals the goals of this module are to prepare participants to. After setting up the sterile field, don procedure gloves for removing the old dressing and cleaning the wound as long as procedure gloves do not touch anything wet using procedure gloves after cleaning the incision and drain site. Apply transparent dressing, covering catheter insertion site and securement according to manufacturers instructions. Early dressing of the wound is important to absorb any leakage and to protect the wound from trauma and infection.
Apply the tape without tension, gently but firmly stroking the surface to maximize adhesion. Check the patients chart for specific orders about the wound or dressing. If the packing sticks, gently soak the packing with normal saline or sterile water and gently lift off the packing. Choose from 477 different sets of sterile dressing change flashcards on quizlet. Use either sterile gauze or sterile, transparent, semipermeable dressing to cover the catheter site 8487. Aseptic technique benefits whenever your skin is opened, youre vulnerable to infection. Recognizes and verbalizes action if contamination occurs. Remove the old dressing and place it in a bag or wrap it in newspaper. Clean aseptic technique should be used to change nonsterile dressings. Skill 81 cleaning a wound and applying a dry, sterile.
Prevention is possible, but only when best practices are consistently used 4. Central venous access device vad, dressing change procedure supercedes 03302003 keywords. Holding gentle traction on the skin, loosen the tape by pulling the ends toward the wound, and then remove the dressing. To change a sterile dressing, a person needs sterile gloves and a special dressing change kit or supplies. Choose from 158 different sets of sterile dressing flashcards on quizlet. To protect a wound from trauma, infectious agents, and to enhance healing consideration. A cleanser to clean the wound, such as a saline solution. There may be a little bit of blood on the sterile dressing. Wound care sterile dressing change flashcards quizlet. Remove your gloves and dispose of them in an appropriate waste receptacle.
Places large sterile abd dressing over the wound dressing. A sterile dressing is different from a bandage, in that a bandage is designed to hold a dressing in. Special medical needs shelter general medical care guidelines. Skill 321 cleaning a wound and applying a dry, sterile. If you change your dressing every time you drain fluid, your dressing is now complete. Add a pdf file from your device to the rearrange pages in pdf tool of pdf candy either add file button or drag and drop mechanism will do. Know the difference between a clean and a sterile dressing assist a client with changing a clean dressing assist with changing a sterile dressing time 1 hour and 30 minutes activities teaching methods time 1. Enclose any nonwoven edges in the center of the packing. Dons sterile gloves without contaminating or recognizing contamination a. The best way to learn is to practice as much as you can while your child is in the hospital. Change their order by dragging them or delete unnecessary pages and then press the apply changes button to apply changes. Successful completion of the sterile technique module is required prior to this module.
Sterile dressing, like sterile gauze or a prepackaged dressing. In the event of multiple wounds, each wound is considered a. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Go to the section titled how to discard fluid and used supplies on page 16. If it is sticking to your skin, wet it with warm water to loosen it. It takes training and practice to change a picc dressing.
Dressing option comments initial postop dressing remains in place first 1014 days postop. Our antiinfection resources address each step in the surgical experience to help lower. Sterile to sterile rules involve the use of only sterile instruments and materials in dressing change procedures and avoiding contact between sterile instruments or materials and any non sterile surface or products. An absorbent dressing is needed if the wound is leak. Labels the dressing with the date changed, time, and initials. Chart the time, place of wound, size, drainage and amount, type of cleaning solution, and dressing applied. Apr 26, 2020 a sterile dressing is a form of absorbent cotton fabric that is generally bonded on both sides so that it does not stick to the wound or area.
Postoperative wounds typically require a clean dry gauze dressing. Learn sterile dressing change with free interactive flashcards. Track datetime of dressing change, insertion, and removal. Penn,lvn nursing care checklist chapter 2 legal and ethical issues in maternalchild nursing 37. Place soiled dressings in the appropriate waste receptacle. Aseptic technique procedure audit tool wound dressing yes no na 15. Wash your hands thoroughly with soap and warm water before and after each dressing change. Your childs nurse will clean this up the first time the dressing is changed. Sample procedure for nonsterile dressing change wound care. Performing a dressing change julianne kirby 55 performing a dressing change on a wound.
Oct 20, 2017 this feature is not available right now. Non sterile gloves are put on to remove the dressing, the dressing is disposed of in the waste bag, and gloves are removed and disposed of in the waste bag. Our experts consulted with clinicians nationwide to develop venous catheter insertion and dressing change bundles to help you standardize best practices. If the patient is diaphoretic or if the site is bleeding or oozing, use a gauze dressing until this is resolved. Before you start if you need pain medicine, before you change your dressing. If it is time to change your dressing, go to the section titled how to care for and dress your aspira drainage catheter on page 10. All individuals actively involved in dressing change must wear mask and sterile gloves o some centers add clean gownhead covering.
Sterile technique involves meticulous hand washing, use of a sterile field, use of sterile gloves for application of a sterile dressing, and use of sterile instruments. Aseptic technique procedure audit tool for general practice. Use either sterile gauze or sterile, transparent, semipermeable dressing to cover the catheter site. Place a sterile dressing for 2448 hours thorough hand hygiene and sterile supplies for wound dressing change control blood glucose sterile dressing continued comments 12. Wound requires assessment secondary to pain, wet dressing. Changing your dressing remove the current dressing. Learn sterile dressing with free interactive flashcards. Mark sterile saline and chlorhexidine containers with the date they were opened. After removing the dressing, note the presence, amount, type, color, and odor of any drainage on the dressings. It is used as wound care to promote the healing of an injury and to prevent more harm to the area. View sterile dressing change ppts online, safely and virusfree.
A clear available work space, such as a stainless steel trolley. Dressing change with mechanical, chemical, or enzymatic debridement yes clean sterile. Appropriate solution for cleaning the wound, if needed. Places patient in a comfortable position, raises side rail, and places call light so it is accessible. Perform hand hygiene, then don sterile gloves for dressing change 9. A sterile dressing is a form of absorbent cotton fabric that is generally bonded on both sides so that it does not stick to the wound or area.
Sample procedure for nonsterile dressing change wound. Explain the procedure to the patient and have the patient turn hisher head away from the catheter insertion site. Burns page 2 of 3 how to change the dressing explain to your child how the dressing change will be done, using simple words he can understand. The sterile dressing helps prevent infection and keeps the catheter in place. Acetaminophen 500 mg given po per physicians order. Rinse thoroughly then dab dry with a sterile compress. The space must be big enough for the dressing pack to be opened on. There is a special sterile dressing over the place where the catheter comes out of the skin. Applies a new sterile catheter stabilization device, if one is available. The wound is usually covered with a sterile dressing immediately after surgery.
Description nonsterile dressings protect open wounds from contamination and absorb drainage. Remove the paper edge from the dressing and smooth down the dressing edges. Old dressing, removable securement device, andor skin closure strips if in situ, can be removed with nonsterile gloves. Vad dressing change protocol page 2 of 2 2 dressing change procedure 1.
Eliminate variance and standardize best practices with our customizable dressing change systems and line access kits. By nancy morgan, rn, bsn, mba, woc, wcc, dwc, oms each month, apple bites brings you a tool you can apply in your daily practice. Dressing your drain site starting the day after surgery, change your dressing daily or when it becomes soiled with drainage. If it is not time to change your dressing, tape the catheter to the skin where it is most comfortable. Skill 321 cleaning a wound and applying a dry, sterile dressing. Then the documents pages will be displayed as a grid. Learn more nearly 2% of surgical patients get an infection 3. Place a dry cover sponge over the moistened dressing. Dressing integrity is compromised moisture, drainage, or blood is present signs and symptoms of infection are present. Procedure checklist changing central iv dressings check. Medical policy surgical dressings description a surgical dressing is a cover over a wound or surgical incision. The catheter cap is changed every 3 to 7 days to prevent catheterrelated bloodstream infections.
How to change a surgical wound dressing healthy essentials. Replace catheter site dressing if the dressing becomes damp, loosened, or visibly soiled. Every catheter insertion, line access and dressing change is an opportunity for microbes to invade the body. Wound irrigation and packing1030 saskatoon health region. Don non sterile gloves to remove old dressing, using the shoveling technique with a chg swabstick 8. Sterile to sterile rules involve the use of only sterile instruments and materials in dressing change procedures. If the patient is diaphoretic or if the site is bleeding or oozing, use gauze dressing until this is resolved 8487. Place a sterile dressing for 2448 hours thorough hand hygiene and sterile supplies for wound dressing change control blood glucose sterile normal saline, wettodry dressing applied.
Ensure an adequate seal around the dressing to prevent cooling of the wound bed and contamination. A sterile dressing is different from a bandage, in that a bandage is designed to hold a dressing in place while the sterile dressing is the gauze or. Make sure the dressing sticks to the skin around the gauze. Document the wound appearance, if the staples are intact, if the incision is wellapproximated. Procedure 19 changing a clean dressing procedure 20. The type of dressing your child has will determine how often it will need to be changed. Aug 27, 2019 changing the wound dressing will be much more efficient if you do not have to go looking for materials in the middle of changing your dressing. Secure needleless connector and extension set with tape.