FIRST AID

DRESSING

PRESENTED BY,
MRS. SHINI M
NURSING TUTOR
PNS
 DEFINITION: DRESSING

 Material applied to
wound with or without
medication to give
protection and assist in
wound healing.
 PURPOSE OF DRESSING

To decrease
purulent
To promote To prevent wound
To apply
wound undue drainage(dre To provide
medication to
granulation contaminatio ssing comfort
the wound
and healing n of wound material
absorbs the
drainage)
 IDEAL DRESSING

Absorbent
, remove
excess
exudate.
Leak-proof,
Maintain
prevent
moist
passage of
environment
organism to
.
wound.
They
should :
Prevent
trauma to Aid tissues
underlying to remove
healing necrotic
granulation material.
tissue.
Promote
healing.
Continue…..

Maintain temperature & gaseous

Allow easy pain free dressing
exchange
Odorless
change
Cosmetically acceptable & comfortable
I
n
e
x
p
e
n
s
i
v
 TYPES OF DRESSING

 Gauze dressings.
 Non antiseptic dressing.
 Antiseptic dressing.
 Wet dressing.
 Pressure dressing.
 Self adhesive transparent dressing.
In case of Burns Wound
1. Open dressing
2. Closed dressing
 ARTICLES FOR DRESSING

STERILE TRAY CONTAINING CLEAN TRAY CONTAINING

• Artery forceps • Cleaning solution prescribed

• Scissors • Sterile saline
• Small bowl • Prescribed solution for dressing
• Safety pin wound Adhesive or non-allergic
• Non-toothed thumb forceps tape
• Cotton balls • Sterile gloves (1 pair)
• Gauze pieces • Plastic bag for waste disposal
• Pads • Pad drum with sterile dressing
• Gloves, mask & gown pads and gauze pieces
• Towel or pad and mackintosh
• Kidney tray
• Cheatle forceps
 PROCEDURE

Position the patient comfortably

Wash hand thoroughly

Put on gown, gloves ,mask etc. as necessary

Open the sterile tray. Spread the sterile towel around the wound

Pickup the dissecting forceps and remove the dressing and put it in the paper bag.

Discard the dissecting forceps in the bowl of lotion

 Continue…..

Note the type and amount of drainage present.

Ask the assistant to pour small amount of cleansing solution into the bowl.

Clean the wound from center to periphery, discarding the used swab after each
stroke.

After cleaning dry the wound with dry swab.

Apply medication if ordered

Continue…

Apply sterile dressings Gauze piece first then cotton pads

Remove the gloves and discard it.

Secure the dressing with bandage or tapes

 BURN’S WOUND DRESSING
OPEN METHOD ADVANTA DISADVAN CLOSED ADVANTAG DISADVANTAGES
GES TAGES METHOD ES

The antimicrobial Increased Increased Gauze dressing is Decrease in Mobility limitations

cream is applied visibility of chance of impregnated with evaporative
with a gloved hand the wound hypothermia antimicrobial fluid and heat
and the wound is cream and applied loss from
left open to the air to the wound. wound surface
without gauze
dressing.
The cream is
reapplied as Freedom for Gauze dressing Wound assessment is
needed. joint aids in limited
mobility debriment