Bản lĩnh Việt Nam - Đổi mới – Sáng tạo – Vươn tới những tầm cao

WOUND MANAGEMENT
(1 hour)

SUSANNAH SANCHEZ

http://duytan.edu.vn
 Learning objectives

 Demonstrate the principle and purpose of the

dressing a wound using the aseptic non-touch
technique.

 Present and strictly follow the technical process

of changing wound bandages.
 Content

1. Classification of wounds
 1. Classification of wounds

Clean Wounds: As a surgical wound that is not

infected:

- Does not show inflammation.

- The treatment progresses well.

- pithelization, or in the stage of premature skin.

 1. Classification of wounds

Infected Wounds
 The wound has signs of inflammation (swelling,
heat, redness, pain, oozing fluid)
 If the infection lasts, there is pus or necrosis
 1. Classification of wounds

Necrosis, pseudomembranous
1. Classification of wounds
 1. Classification of wounds

What are benefits of wound dressing changes ???

 1. Classification of wounds

Eliminate stagnant Helps maintain proper

substances, secretions, moisture on the surface
blood, reduce risk or of the wound
improve infection status

Assessing the extent of

injury and progress of the Avoid tissue growing
wound into the old bandage
Wound compression effects

Apply medicine, support treatment

Protect and prevent impact damage

Absorb fluid, help keep the wound dry.

2. Wound management process
 2. Wound management process

 How to open the sterile dressing package

2. Wound management process
2. Wound management process
 2. Wound management process

 Tools
2. Wound management process
2. Wound management process
2. Wound management process
 2. Wound management process

How to Clean Stitches

 From top to bottom and inside and out.
 Wash each stitch only.
 From top to bottom and inside and out.
 Rolling (if necessary).
 Wash back inside and out, let wound dry.
 2. Wound management process
How to Clean Stitches

- From top to bottom and inside

and out
- Wash each stitch only
- From top to bottom and inside
and out
- Rolling (if necessary)
- Wash back inside and out
- Let wound dry
 2. Wound management process

Removing Stitches

- From top to bottom and inside

and out
- Wash each stitch separately
- Pick up dry cotton placed next to
the wound
- Using kelly and cutting scissors
only cuts the right technique
- Wash back inside and out
- Let dry
2. Wound management process
 2. Wound management process

• Apply the medication to the wound (if indicated).

• Apply gauze to cover the wound, fix the adhesive tape

firmly
 2. Wound management process

• Clean dirty tools and bandages.

• Put patients at a comfortable posture, advise patients
• Record on care cards.
 2. Wound management process

Drain tubes are used in the wound to:

• Helping secretions easily escape.
• To avoid filling the mouth of the wound.
• Take care of drainage wounds to clean
the wound and drain it to clear the wound
quickly.
 2. Wound management process

- Normal drain tube (2 lines).

 2. Wound management process

- T-shaped tube (Kehr tube) used to drain bile ducts.

 2. Wound management process

A soft rubber tube is inserted into a gauze inside, a

rubber tube has a hole
• Rubber tube.
• Long gauze or long cloth wire
 2. Wound management process

- Wash from top to bottom and inside and out.

- Wash each tube separately.
- Wash from top to bottom and inside and out.
- Wash the skin around the leg of the drainage tube 3 to
5cm wide.
- Wash the drainage tube body: up to 5cm from the leg
of the tube.
- Let dry.
 2. Wound management process
DRAIN TUBE REMOVAL
• clamp with kelly (about 3cm from the tube feet).
• Cut the thread to keep rubber or tube rubber.
• Remove the tube gently, avoiding rotating the tube.
• If you notice problems when you withdraw, you must
report them to the doctor.

•
 2. Wound management process

• Use absorbent gauze and clean the fluid in the tube

placement hole
• Antiseptic to remove the drain
• Apply gauze and tape.
 2. Wound management process

changing bandages of an infected wound

• Infected wound has stitches

• Open infection wound

• Bacterial wound with holes, probe

2. Wound management process

NaCl 0.9% Povidine

 2. Wound management process

- Meche (ribbon gauze) used for deep wounds

 2. Wound management process

- Wash the outer skin of wound: wash from the outer

to the edge of wound in a spiral many times to clean.
- Remove kelly 1 into the bucket of solution presept.
 2. Wound management process

- Wash from the inside to the outer edge of the wound

with the second sterile Kelly , spiraling until clean.
- Use dry cotton to press the edge of the wound to
clean.
- Wash from the inside out to the edge of the wound.
 2. Wound management process

- Antiseptic outside the wound with povidine solution:

starting from the edge of the wound, antiseptic from
inside to outside in a spiral, permeable.
2. Wound management process
 2. Wound management process

- Perform the same steps as you would to clean an

infected wound
-Cut the length of the meche appropriate to the
wound.
- Use sterile forceps to pick up ribbon gauze/meche
soaked in 0.09% normal saline
- Pack Meche/ribbon gauze neatly into the wound.
 2. Wound management process

- Using Kelly to insert ribbon gauze into wound cavity

in zigzag shape, leave a tail outside the wound.
- Antiseptic outside the wound with povidine solution:
- Starting from the edge of the wound, antiseptic from
inside to outside in a spiral and blotting.
https://www.youtube.com/watch?v=mWKA6wzmsgI
THANK YOU!