Wound Care Definition of wound care:

It is the application of a protective covering over a wound by using a sterile technique.

Objectives:
1- To prevent hemorrhage 2- To absorb drainage if present. 3- To provide or maintain high humidity of the wound 4- To prevent infection

Dressing
Equipment:
1- A sterile dressing set includes: a) Forceps b) Scissors c) Sterile gauze d) Sterile basin 2- Sterile gloves 3- Sterile Normal Saline 4- Cleansing solution 5- Antiseptic solution 6- Clean disposable gloves 7-Tape ties on bandage as needed 8- Water proof bag 9- Extra gauze dressing 10- Draping sheet 11- Antiseptic ointment if prescribed

steps
1-Identify the patient 2- Review physician order for dressing change procedures 3- Prepare equipment at the bed side 4- Explain the procedure to the client 5- Position the patient in comfort position and put draping sheet to expose only wound site 6- Place disposable bag within reach of work area 7- Hand washing 8- Wear disposable gloves 9- Remove tape, pull parallel to skin, and pull toward dressings. remove remaining adhesive from skin 10- Carefully remove gauze dressing, one layer at one time 11- Dispose soiled dressing & remove gloves. 12- Put on sterile gloves. 13- Open sterile dressing set. 14- Open bottle of antiseptic solution&pour into sterile basin I

rationale
To prevent error Indicate type of dressing To save time and effort To gain his cooperation Keeping of privacy

to prevent infection pulling tape toward dressing reduces stress on suture

15- Inspect wound for appearance of drains, amount of drain early detection of any abnormality and S&S of infection 16- Clean the wound with antiseptic solution use gauze swab by forceps in one direction 17- Clean around any drain in circular motion 19- Empty the drain 19- Applying antiseptic ointment if ordered 20- Use dry gauze to swab in same manner as before 21- Apply dry sterile dressing 22- Remove gloves 23- Apply tape over new dressing 24- Put patient in comfort position 25- Return of equipment and hand washing 26- Recording of: wound appearance, tenderness, amount of
blood, odor, patient tolerance, any abnormalities if found observe and take sample if needed promote early treatment

II