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Aseptic Wound Dressing Edited 3 Dec 2008

Aseptic Wound Dressing Edited 3 Dec 2008

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Published by: myvi317 on Dec 09, 2011
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 NNA E5 AF 5.3
NATIONAL NURSING AUDIT MINISTRY OF HEALTHMALAYSIAELEMENT
5
: CONTINUUM OF CARE
5.3 ASEPTIC WOUND DRESSING
1.
 
INTRODUCTION
Wound dressing is one of the major nursing responsibilities.Aseptic technique is mandatory to minimize complications.Effective wound dressing promotes wound healing and lead to earlydischarge and thus save cost.
2. OBJECTIVES :
1.To ensure nurses perform wound dressing usingaseptic technique2.To assess the caring component during dressing3.To document wound findings after the procedure in theappropriatepatient’s records.
3. STANDARD :
1.
Nurses perform wound dressing using aseptic technique2.Nurses exhibit the caring component during dressing3.Nurses document wound findings in the appropriate patient’srecords.
National Nursing Audit, Ministry of Health Malaysia: Revised June 2008Nursing Division, Ministry of Health Malaysia
1
 
 NNA E5 AF 5.3
4.CRITERIA
Structure Process Outcome
1. Screen / ProcedureRoom.2. Dressing trolley.3. Hand-washing facilities/hand rub.4. Relevant protectivepersonalequipment (PPE).5. Clinical waste bin.6. Domestic waste bin.7. Protective cover.8. Sterile dressing set.9. Sterile soft dressings.10. Cleansing agent.11. Adhesive tapes.12. Nursing OperatingProcedure (N.O.P.) /Manual of wounddressing.13. Copy of StandardPrecautions by Ministryof Health is available.14. The nurse is competentin performing asepticwound dressing.
 
15. Nurse need to verifypatient and verifytype of dressing.
1. Greet patient andintroduce self.2. Perform pain assessment(if indicated).3. Administer analgesic (if indicated).4. Place sterile dressing setonclean dry trolley.5. Inform patient and explainprocedure.6. Provide privacy to thepatient.7. Place patient in confortableposition.9. Perform hand hygiene.10. Wear mask.11. Open outer layer of dressing set.12. Discard soiled dressing.13. Perform hand hygiene.14. Open inner layer of dressing set.15. Pour cleansing agent.Add soft dressings /supplementary.16. Perform hand hygiene.17. Wear sterile gloves1. Dressingperformedadhering toprinciplesof aseptictechnique.2. Patient isinformedof the progress of his/her wound.3. Respect andcomfortof patient ismaintained.
4. Wound findings andits progress aredocumented.
National Nursing Audit, Ministry of Health Malaysia: Revised June 2008Nursing Division, Ministry of Health Malaysia
2
 
 NNA E5 AF 5.3
(optional).
Structure Process Outcome
18. Perform dressing19. Make patientcomfortableafter procedure.20. Discard used dressingset
21. Perform hand hygiene.
22. Document findings.
5.
AUDIT GUIDE FOR ASEPTIC WOUND DRESSING5.1. INCLUSION CRITERIA
National Nursing Audit, Ministry of Health Malaysia: Revised June 2008Nursing Division, Ministry of Health Malaysia
3

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