Wound

Cleansing

Sunandar Fatwa, S.ST., MM

WOC(ET)N
Wound Cleansing
SUNANDAR FATWA, S.ST., MM., WOC(ET)N
Sunandar Wound Care Center
D. III Keperawatan di Poltekkes Depkes Jambi 2002
D. IV Keperawatan Medikal Bedah di Poltekkes Kemenkes Bandung
2011
Magister Manajemen di STIE Indonesia Malang 2014

RSUD Puri Husada Tembilahan

Stikes Husada Gemilang Tembilahan - Riau

WCET Kuala Lumpur 2018

Goes to Asean Wound Summit Jakarta 2022

 Outline
01 Introduction
When is Wound Cleansing
02 Necessary
Commond Wound Irrigation
03 Agents

04 Ten Top Tips : Wound Cleansing

05 Procedure: Wound Cleansing

06 Reference
Wound bed preparation begins with cleansing and
requires attention to both cleansing agent and the
technique.

The approach to cleansing and the appropriate agent

are determined by the stage of healing as determined
by the wound assessment.
Wound cleansing helps optimize in the healing
environment and decreases the potential for
infection. It lossens and washes away cellular debris
such as bacteria, exudate, purulent material and
residual topical agents from pervious dressings. Most
wound should be cleansed initially and at each
dressing change.

Introduction
When is wound cleansing necessary ?

Show signs visibly

Present with contaminated Visibly contain
of
slough with faecal debris
infection material

Brown A (2018) When is wound cleansing necessary and what solution should be used?
Nursing Time(online) 114:9, 42-45.
Common Wound
Irrigation Agents
 Ten Top Tips: Wound Cleansing

05
04 When :

Why : 03 What : Infected and non

02 How : Surfactants healing/stalled
wounds
01 Solution
delivery
Why : Types of
solutions and
goal of
and their techniques
cleansing
efficacy for
adequate
cleansing
 Ten Top Tips: Wound Cleansing

10
09
How : 08 Does
07 How : Managing temperature
matter ?
06 Personal
protection
The Pain
When : The
sequence and patient
After
of safety
debridement
care cleansing
Procedure: Wound Cleansing

2 Remove the cover

Prepare 1 dressing

3 Remove gloves and

perform hand hygiene

5
4 Put on new clean gloves
Cleans the wound using
wound cleanser
 Procedure: Wound Cleansing

Clean the peri-wound skin 7 Perform a wound

6 assessment

8 Remove gloves and

perform hand hygiene

10
Perform hand hygiene and 9 Take wound photos
put on new gloves,
continues wound care
(British Cloumbia Provincial Nursing Skin & Wound Comitte
Procedure : Wound Cleansing 2018)
 Reference
1. Doughty, Dorothy B and Mcnichol, Laurie L. “Core
Curiculum WOUND MANAGEMENT”. Wolters Kluwer
2. Brown A (2018) When is wound cleansing necessary and
what solution should be used? Nursing Time(online)
114:9, 42-45.
3. (British Cloumbia Provincial Nursing Skin & Wound
Comitte Procedure : Wound Cleansing 2018)
4. Walcott, Randall and Fletcher Jacqui. The Role of Wound
Cleansing in the Management of Wounds. 2014. Wound
International 2014 (Vol 1 Issue.
www.woundinternational.com