surgical dressing in community set up

1. CHAPTER-96
SURGICAL DRESSING IN COMMUNITY SET UP
Introduction
It is sterile procedure after the surgery or skin or mucus membrane tear due to accidents.
Definition:
A dressing is a sterile pad or compress applied to a wound to promote healing and protect the wound
from further harm. A dressing is designed to be in direct contact with the wound, as distinguished from a
bandage, which is most often used to hold a dressing in place. Many modern dressing are self-adhesive.
Purpose
1. To remove and dispose of soiled dressing
2. To cleanse area around the wound
3. To apply the sterile dressing
4. To prevent further infection
5. To promote wound healing process
6. To prevent foul smell
7. To make pleasant odur
Principles
1. All article must be sterile
2. Hands must be thoroughly to follow the surgical hand washing
3. Boil the instrument before performing the procedure
4. Sterile the instruments
5. Wipe the wound away from the central part of wound while cleaning the skin
6. Known about the anatomy, physiology of skin layers
7. Boil the cotton and cloth using for dressing at least 5 minutes

6. Equipment :
 Paper bag
 Kidney tray
 Scissor for plaster cutting
 Suture removal scissor for removal of suture
 Artery forceps straight and curved
 Thumb forceps toothed and non-toothed
 Sterile dressing pad, gauze piece and cotton
 Bandage roll
 Micro-pores
 Bowl for keeping the antiseptic solution
 Spirit, hydrogen peroxide, betadine
 Hand washing articles
PROCEDURE

7. Clean the cut :
Soak the gauze or cloth in the saline solution or water,and gently dab or wipe the skin with it. Gently pat
the area dry using a clean towel or a pad of tissues, but nothing fluffy such as a cotton wool ball, where
strands of material can get stuck to the wound. Apply a sterile dressing, such as a bandage or plaster.
Removing ofdry blood off your skin:
Soak the gauze or cloth in the saline solution or soapy water,and gently dab or wipe the skin with it. Try
to remove all drainage and any dried blood or other matter that may have built up on the skin. Do not
use skin cleansers,alcohol, peroxide, iodine, or soap with antibacterial chemicals.
Gauze dressing:
Medical gauze,a bleached white cloth or fabric used in bandages, dressings,and surgical sponges, is the
most widely used wound care dressing. Commonly known as “4×4s,” gauze is made from fibers of
cotton, rayon, polyester, or a combination of these fibers.
Purpose ofa wound dressing:
The main purposes of a surgical dressing when used to cover a wound healing by primary intention are
to control any postoperative bleeding, absorb exudate if anticipated, ease pain and provide protection for
newly formed tissue.
1. Assemble the supplied and equipment at patient side either keep on table or stool
2. The work area may be arranged while thing are boiling
3. Explain the procedure to the patient
4. Remove the bandage and outer dressing with forceps
5. Wash hands thoroughly with soap and water
6. Clean the area with gauze piece in circular motion
7. Clean always from centralto periphery
8. Use one one swab for each stroke and discard into paper bag
9. Apply the medicine or ointment if available
10. Apply the gauze piece over the ointment
11. Place the dressing pad over the gauze piece
12. Wrap the bandage roll over the dressing pad not too tight or not too loose
13. Cut the end of roll bandage and place micro-pore over it for hold the dressing in position
14. Instruct the patient to protect the dressing from wetting and soiling
15. Advise the patient to come to centre for obessing or any s/s observed.
16. Wash the hand throughly
17. Discard the used dressing materilal with burning method
After Care
1. Remove all article from procedure site
2. Wash the articles
3. Boil the article
4. Clean the articles and wipe with cotton swabs

8. 5. Clean the article with spirit cotton swabs
6. Replace the articles into sterile compartment
7. Wash the hands and replace the hand washing articles
8. Record the procedure with date and time
Recording And Reporting The Procedure :
Name of the person:…………………………………………………………………………..
Age/sex:……………………………………………………………………………………..
Type of procedure :……………………………………………………………………………..
Date /time:……………………………………………………………………………………….
Remarks:…………………………………………………………………………………………
Procedure performed by :………………………………………………………………………..
Procedure supervised by :…………………………………………………………………………..
Plan for next visit:…………………………………………………………………………………..