POLICIES & PROCEDURES

Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

1.0. Purpose:
1.1. To perform wound dressings aseptically and effectively.
1.2. To prevent unnecessary exposure of the wound and to protect it from contamination.

2.0. Definitions:
2.1. Dressing: It is the application of a sterile protective covering over a wound using the aseptic technique

3.0. Policy Statement:

3.1. All first-time wound dressings that will be performed in Al Rai Medical Complex must be
examined/assessed by at least a General Practitioner or the concerned specialist, even if the initial
dressing has been done in an outside facility other than ARMC.
3.2. Dressings will be performed by a doctor or a qualified competent nurse/ Emergency Medical Service
personnel.
3.3. The type and frequency of dressing shall depend on the doctor’s assessment and orders.

4.0. Procedure:
4.1. Verify the Physician’s order based on the Bilal System and/or against the Wound Care Instruction slip
(for second time dressing) that the patient/relative presents.
4.2. Ensure the receipt matches the ordered type/ size of dressing (i.e. small, medium or large)
4.3. Perform hand hygiene.
4.4. Prepare/ Assemble equipment or supplies needed. Bring out and use appropriate quantity of supplies
according to appropriate sound nursing judgment. (i.e. small wounds need less materials to be used)
4.5. Identify the patient correctly. AL RAI MEDICAL COMPLEX
4.6. Explain the procedure to the patient, family or significant other
4.7. Wear disposable (clean) gloves
DRAFT #1 03-02-2024
4.8. FOR EVALUATION
If the procedure is a re-dressing, carefully remove dressings. It might be useful to wet the edges of
dressings with normal saline or adhesive tape remover to protect the skin or wound from further skin

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 POLICIES & PROCEDURES
Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

damage while removing the soiled dressings.

4.9. Inspect the wound and assess the healing process, look for signs of infection such as unusual drainage
and tenderness, etc. Report to the physician any sign of infection or delayed wound healing.
4.10. Dispose-off soiled dressings as per MOH guidelines.
4.11. Perform handwashing. Don sterile gloves
4.12. Open sterile dressing tray or sterile materials and place on the dressing trolley, preferably over a mayo
trolley. Use an appropriate or ordered antiseptic solution and/or normal saline placed in a sterile basin,
galipot or equivalent instrument.
4.13. Use mixtures of antiseptic dressing solutions as per the type of wound dressing and as per the
physician’s order, clean the wound aseptically:
4.13.1. For sutured wounds: do not apply creams
4.13.2. For other uncomplicated wounds: wash with normal saline. Do not apply undiluted
povidone or any harsh antiseptics.
4.13.3. For complicated wounds, report to the physician for appropriate antiseptics and further
proper management and/or referral.
4.13.4. Normal Saline solution (0.9% Sodium Chloride) is the agent of choice, particularly when
cleaning pressure ulcer wounds, unless otherwise specified by the physician.
4.14. Clean the wound from least contaminated to the most contaminated.
4.15. Apply dressing-of-choice (i.e. sterile gauze, plaster or transparent dressing) over the dressing.
4.16. Remove gloves and dispose-off all disposable items properly. Do not return or use on other patients any
unused or remaining consumable.
AL RAIconsumable/s,
4.17. Do not attempt return to the stocking tray any unused or remaining MEDICAL evenCOMPLEX
if un-opened
or unused.
4.18. Assist patient to comfortable position.
DRAFT #1 03-02-2024
4.19. Perform hand washing. FOR EVALUATION
4.20. Perform any related patient and health education and update/ document in the Bilal System and

POLICY NUMBER: WOUND DRESSING Page 2 of 8

 POLICIES & PROCEDURES
Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

Wound Care Instruction slip. Emphasize the following or to report immediately:

4.20.1.Excessive moisture (skin appears white, puckered, and wet)
4.20.2.Redness, increased pain/swelling, discharge from wound (signs of infection)
4.20.3.Other signs of infection
4.20.4.Surgical stitches: Keep stitches dry and clean. Cover the suture with a sterile plastic
barrier (i.e., transparent dressing) while bathing. Wash the area around the stitches with
a damp washcloth, avoiding the incision/wound.
4.21. Issue the Wound Care Instruction slip to the patient, reminding the next dressing. Tell the patient to
take in pain medication (ordered analgesic tablets) at least 1 hour before attending the next session.
4.22. Document in the Bilal System & in the Wound Assessment & Dressing Record)
4.22.1. Wound assessment/ status
4.22.2. Type of Dressing
4.22.3. Tolerance of patient to the procedure
4.22.4. Patient/ Family Education or instructions that were given

5.0. Attachments:
5.1.Wound Assessment and Dressing Record
5.2.Wound Care Instruction slip

6.0. References:
6.1. Kozier, Barbara, et al. Fundamentals of Nursing, 10th edition. 2015.

AL RAI MEDICAL COMPLEX

DRAFT #1 03-02-2024
FOR EVALUATION

POLICY NUMBER: WOUND DRESSING Page 3 of 8

 POLICIES & PROCEDURES
Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

Attachment 5.1 Wound Assessment and Dressing Record

TO FOLLOW

AL RAI MEDICAL COMPLEX

DRAFT #1 03-02-2024
FOR EVALUATION

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 POLICIES & PROCEDURES
Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

Attachment 5.2 Wound Care Instruction slip

Front page

WOUND CARE INSTRUCTION SLIP

Ple a se b rin g th is p a p e r e ve ry tim e yo u g o fo r wo u n d c le a n in g . ΡϭέΟϟ΍
ϑ ϳυϧΗϟΎ
Ϭϳϓ
ΏϫΫΗΓέϣϝϛϲϓ
Δϗέϭϟ΍ ϩΫϫέΎ
ο Σ·ϰΟέϳ

Na m e MRN
Dre ssing De ta ils: Physic ia n:
Da te Tim e Da te Tim e Da te Tim e Da te Tim e

MD o r RN ID #

In itia ls o r Sig n
Ke e p the wo un d d re ssin g d ry/ c le a n Ke e p the wo un d d re ssin g d ry/ c le a n Ke e p the wo un d d re ssin g d ry/ c le a n Ke e p the wo un d d re ssin g d ry/ c le a n
In struc tio n s: ______________________________ ______________________________ ______________________________ ______________________________
C h e c k b a c k p a rt Ne xt d re ssin g : ________________ Ne xt d re ssin g : ________________ Ne xt d re ssin g : ________________ Ne xt d re ssin g : ________________
PA TIENT’S C O PY. Fo r p a tie nt e d u c a tio n / instru c tio n s a nd re fe re n c e / c o u ntin g p u rp o se s o n ly.

AL RAI MEDICAL COMPLEX

DRAFT #1 03-02-2024
FOR EVALUATION

POLICY NUMBER: WOUND DRESSING Page 5 of 8

 POLICIES & PROCEDURES
Nursing Services
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Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

Back page

Wo und Ca re Ho me Pro g ra m Instruc tio ns ΡϭέΟϟΎ

ΑΔϳΎ
ϧόϠ
ϟϲϟί ϧϣϟ΍ΞϣΎ
ϧέΑϟ΍
Wa tc h fo r the fo llo wing sig ns: Ӻʪ˹Ӻʩ ˵ʪԜ ߝщӸӺ
ߝԥӺʪӺՆ˹ʩ
ߝՆ ˚˹ ԥ ʩ :
To o m u c h m o isture (skin a p p e a rs w h ite , p u c ke re d , a n d  ߝߝߝߝ )՟щͦ
Ωщͦ
ߝԣߝߝ ˹ ԝ գ՟Ӻգ˺
˹ԝգ ߝʧʪЯ֑ ˛ ߝ՟ ψЊ˚Ӻ ʩ ˛դ
ߝգ Ω˚˺
դӺԝӺ кψӺ ʩ ߝԣ ԝ ߝψ֑̎ ҤӺ ʩ
գ˚кχգ (
w e t)  ԣߝ /ߝߝߋߝ
ʩωʩψќʵ ߝ ߋ ߝԚͿ χդ ˹ Ӻ ʩ
ԝ˵Ԛդ˹Ӻ
ԛߝӺ՟ߝߝߋߝԜ ӸӺ ʱʩ ߝ՟ Ψʪ֒ ω ߝ ߋ ߝχʩψԜ Ϳ ʩ
Re d n e ss, inc re a se d p a in / swe llin g , d isc h a rg e fro m րգΩщӺ ʩʪԜ ߝӺ Ӻ ʪъ )ߝ
˵Ԝ (ͼψͦ
ʩ Ӻ
w o u n d (sig n s o f in fe c tio n )  ˷ߝӺߝߝߝʪͦ ӺߝӺցߝӺӷߝӺԛߝ с;Ӻ ʩ ߝʩΪʵ ߝиҍќ ߝїʪͦ Ӻ ʩ ߝІʪЊ
Sw itc h to d ry g a u ze o n ly if yo u n o tic e to o m u c h դ˛Ӻ кψԝӺ ʩψ֑̎
ԣߝ ߝ ҤӺ ʩ
m o istu re  րգΩщӺʩ ʪߝԜ
Ԝ Ӻ ʪъ ߝ˷ сͿ
Ӻ˷ߝͿ դ Ӻ ߝʩΪʵ ߝң˚֑ ˚к ߝψ˚Ηʱ
դӺߝߝߝ
No tify yo u r d o c to r if sig n s o f in fe c tio n a re n o te d
ωψёӺʪ˛ʪԤ
ψͧψͧ ψͦщӺ
ψͧߝԤ ӺͿ ʩՠ֑ Ϳ ʩψͧ
ߝωψђ
Ԣߝց
ψͧ ߝցߝդߝψͼߝӺ ߝߝӸъ ߝ֎ դ ˹ ;֒
ߝͼ ψͦ Ӻ ʩ ߝԢ ʪҥ ߝʩΪʵ
:
If ha ve surg ic a l stitc he s - Ca ring fo r yo ur stitc he s: • ʪͧԥћ֑ сգߝʪͧ
ќʪͧ ߝωψёӺ ʩ ߝց Ӹъ ߝрќʪͿ
ߝӺցߝߝͿ
 Ke e p stitc h e s d ry a n d c le a n • ߝߝߝգߝԚߝԜ
˹ ˹ ˹֑ ˹ ϸӺߝ
Ԥ̏ ߝϸӺӺՆߝԛߝ ʩΩ֑ щ˛ ߝңъʩχΪ ߝ֏ ҍ˛ʩ ߝգ ʱ ߝԚ ʪ
 C o ve r w ith p la stic wh ile b a th in g o r ke e p a rm a w a y ʧʪԜӺʩ ъԣߝ
fro m the w a te r • ͼ ψͦ Ӻ ʩ /ҌЊ
˺ Ӻʩ̆Ԥͦ
ߝԤͦ˺ գգߝߋߝԝ
ߝ ߋ ߝՠߝԤ
ӸӸ˚ԝ
ԜߝӺߝՠ
ߝԜћЊԤ
ӺߝԤԜԜ
˛Ӻӷߝϸ
ߝωψёӺ ʪ˛ ߝՠ й֑ ;Ԝ Ӻ ʩ ߝՠ ҍйԤ Ԝ Ӻ ʩ ߝӷ ϸ ђʩ
 Wa sh th e a re a a ro un d the stitc h e s w ith a d a m p
w a sh c lo th , a vo id ing th e inc isio n / w o u n d :ϯήΧ΃ΕΎϤϴϠόΗ
O the r instruc tio ns: _____________________________________________________
_______________________________________________ _____________________________________________________

PA TIENT’S C O PY. Fo r p a tie nt e d u c a tio n / instru c tio n s a nd re fe re n c e / c o u ntin g p u rp o se s o n ly.

AL RAI MEDICAL COMPLEX

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POLICY NUMBER: WOUND DRESSING Page 6 of 8

 POLICIES & PROCEDURES
Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

SIGNATORY BOX

Prepared by: Date Signed:

…………………………………………..
Ryan Mendoza-Ecunar
Nurse Supervisor
Reviewed by: Date Signed:

…………………………………………
Dr.
Emergency Physician
Concurred by: Date Signed:

…………………………………………
Dr. Tareq Saleh
Medical Director
Approved by: Date Signed:

………………………………………….
Mr. Jaber Ghazi bin Adah Al-Baqmi
Chief Executive Officer

AL RAI MEDICAL COMPLEX

DRAFT #1 03-02-2024
FOR EVALUATION
REVIEW/REVISION REVISION NUMBER SUMMARY OF CHANGES NAME OF PROPONENT

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 POLICIES & PROCEDURES
Nursing Services
a

Title: WOUND DRESSING

Date: Effectivity: Revision: New

Supersedes: NA Review Date: No. of Pages: 6

DATE

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