Wound dressing - PowerPoint PPT Presentation

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Wound dressing


Wound dressing Prepared by Miss Aisha Al-hofaian Supervised by Dr.Gehan Purpose 1- To promote wound ... Support and hold the drain erect while cleaning around ... – PowerPoint PPT presentation

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Title: Wound dressing

Wound dressing
  • Prepared by Miss Aisha Al-hofaian
  • Supervised by Dr.Gehan

  • 1- To promote wound healing by primary intention
  • 2- To prevent infection .
  • 3- To assess the healing process
  • 4- To protect the wound from mechanical trauma .
  • 5- To absorb drainage.
  • 6- To prevent contamination from bodily discharge.

Types of dressings
  • Dry - to dry
  • Used primarily for wounds closing by primary
  • Layer of wide mesh cotton gauze lies next to the
    wound surface , second layer of dry absorbent
    cotton to protect the wound

Types of dressings
  • Wet to dry
  • These are particularly useful for untidy or
    infected wounds that must be debrided and closed
    by secondary intention
  • Layer of wide mesh cotton gauze saturated with
    saline next to wound surface ,second layer of
    moist absorbent with same solution to debride the

  • Wet to damp
  • Variation of wet to dry dressing .
  • Wet to wet
  • Used in clean open wounds.
  • Layer of wide mesh gauze saturated with
    antibacterial solution next to the wound surface,
    second layer of absorbent material saturated with
    the same solution to dilutes viscous exudates .

  • 1- Client allergies to wound cleaning agents.
  • 2- The appearance and size of the wound .
  • 3- The amount and character of exudates.
  • 4- Client complaints of discomfort.
  • 5- The time of last pain medication .
  • 6- Signs of systemic infection ( e.g. .elevated
    in body temp , diaphoresis, malaise ) .

  • -Moisture proof bag .
  • -Mask .
  • -Acetone solution to loosen adhesive .
  • -Clean gloves.
  • -Sterile gloves .
  • -Sterile dressing set .
  • -Additional supplies ( extra gauze dressing , and
    ointment if ordered .
  • -Tie tapes, tape or binder .
  • - Normal saline or antiseptic solution .

  • Before changing a dressing , determine any
    specific order about dressing or wound.
  • Preparation
  • - Acquire assistance for changing a dressing on
    restless or confused client .
  • - Put the client to comfortable position in which
    the wound can be readily exposed ( expose only
    wound area ).
  • - Make cuff on the moisture proof bag for
    disposal of the soiled dressings and place the
    bag within reach .
  • - Put on face mask .

  • 1- Explain procedure to the client .
  • 2- wash hands.
  • 3- provide for client privacy .

4- Remove binder and tape -remove binder if used
and place them aside . - If adhesive tape used ,
remove it by holding down the skin and pulling
the tape toward the wound . - Use solvent to
loose the tape if required .
5- Remove and dispose of soiled dressing . - Put
on clean gloves to remove outer dressing or
surgipad . - Place outer dressing away from
client . - Place the soiled dressing in moisture
proof bag without touch the outside the bag . -
Remove the under dressing , taking care not to
dislodge any drains , if the gauze sticks to the
drains , support the drain with one hand and
remove the gauze with other.
  • Assess the location , type and odor of the wound
    drainage and number of gauzes saturated .
  • Discard the soiled dressing in the bag as before
  • Remove clean gloves .
  • - Wash hands or clean with antiseptic solution .

6- Setup sterile supplies . - Open the sterile
dressing set using aseptic technique . - Place
the sterile drape beside the wound . - Open the
sterile cleaning solution pour it over the gauze
sponges . - Put on sterile gloves .
7- Irrigate the wound -Instill a steady stream
of irrigating solution into the wound . -
Position the basin below the wound to receive the
irrigating -Use either a syringe with a catheter
attached or with irrigating tip to flush the
wound -Continue irrigating until the solution
becomes clear. -Dry the area around the wound.
  • 8- Clean the wound .
  • - Clean the wound using your gloved hands or
    forceps and gauze swabs moisture with cleaning
  • Use the cleaning method .
  • Use a separate swab for each stroke and discard
    each swab after use .

-If drain is present , clean the skin around the
drain site by swabbing it half or circle .
  • Cont
  • Support and hold the drain erect while cleaning
    around .
  • Dry the surrounding skin with gauze swab as
    required .do not dry wound or incision itself .

9- Apply dressing to the drain site and
incision. -Place a precut 4 in 4 gauze around
drain . -Apply the sterile dressing one at a
time over the drain and incision . -Apply
surgipad , remove gloves and dispose of them
. -Secure the dressing with tape or tie. - Wash
your hands. -Document the procedure and all
nursing assessment .
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