This document discusses surgical wound dressing. It defines a surgical wound and different types of dressings used including semi-permeable film, foam, hydrogel, hydrocolloid and alginate dressings. The purpose and principles of wound dressing are explained. The preparation needed for surgical wound dressing is described along with the articles and equipment required. The step-by-step procedure for surgical wound dressing is demonstrated along with safety considerations and documentation requirements.
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
if you like this kindly give your comment and share to others for a education purpose. and follow to my account on slide share to know the update. i tried to give the all information in this slide in detailed. in hope its helpful for you all.
How to manage wound and do dressing. the aim of a dressing is to promote healing of the wound by providing a sterile, breathable and moist environment that facilitates granulation and epithelialization. This will then reduce the risk of infection, help the wound heal more quickly, and reduce scarring.
The basic principles for the management of a wound or laceration are:
Haemostasis.
Cleaning the wound.
Analgesia.
Skin closure.
Dressing and follow-up advice.
Wound Assessment -
Identify the location of the wound.
Determine the cause of the wound.
Determine the stage of the wound.
Evaluate and measure the depth, length, and width of the wound.
Measure the amount of undermining and tunneling.
Evaluate the wound bed.
Dr. Ummay Sumaiya
ICU DOCTOR
| IQARUS | Medical Treatment Facility / IQARUS - Cox’s Bazar - Bangladesh | Mail: Ummay.Sumaiya@iqarus.com
Gowning and gloving technique Presented By Mohammed Haroon Rashid At Florence...Haroon Rashid
This Topic presented by Mohammed Haroon Rashid From Basic B.Sc Nursing Final Year students in Florence College of nursing Limtara dhamtari. This topic presented on workshop on the date 13 sep 2019.
if you like this kindly give your comment and share to others for a education purpose. and follow to my account on slide share to know the update. i tried to give the all information in this slide in detailed. in hope its helpful for you all.
How to manage wound and do dressing. the aim of a dressing is to promote healing of the wound by providing a sterile, breathable and moist environment that facilitates granulation and epithelialization. This will then reduce the risk of infection, help the wound heal more quickly, and reduce scarring.
The basic principles for the management of a wound or laceration are:
Haemostasis.
Cleaning the wound.
Analgesia.
Skin closure.
Dressing and follow-up advice.
Wound Assessment -
Identify the location of the wound.
Determine the cause of the wound.
Determine the stage of the wound.
Evaluate and measure the depth, length, and width of the wound.
Measure the amount of undermining and tunneling.
Evaluate the wound bed.
Dr. Ummay Sumaiya
ICU DOCTOR
| IQARUS | Medical Treatment Facility / IQARUS - Cox’s Bazar - Bangladesh | Mail: Ummay.Sumaiya@iqarus.com
Dressing procedure for nursing officer working in health care settinganjalatchi
The objective of dressing wounds is to promote healing. The procedure includes cleaning, disinfection and protection of the wound while respecting the rules of hygiene.
Preparation and draping of the surgical site(ORT).pptxGEDIONZERIHUN1
Learning objectives
At end the this session, the trainees will be able to:-
Explain potential problems of inadequate preparation of the surgical site
Discuss the implications of chemical and mechanical actions of preparing the patient.
Show how a patient is draped using sterile technique
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
1. SURGICALWOUND
DRESSING
MODERATOR:- Ms. MADHAVI VERMA
READER
COLLEGE OF NURSING
INSTITUE OF LIVER AND BILIARY SCIENCES
PRESENTED BY:- ANJALI ARORA
M.SC NURSING-1ST YEAR
COLLEGE OF NURSING
INSTITUTE OF LIVER AND BILIARY SCIENCES
2. CONTENT
• Define the surgical wound.
• State the meaning of dressing
• Enlist the types of dressing
• Discuss the purpose of surgical wound dressing
• Explain the principles of wound dressing
• Describe the preparation needed for surgical wound
dressing
• List the articles needed for the procedure
• Explain and demonstrate the procedure of surgical wound
Dressing.
3. INTRODUCTION
The skin maintains our internal environment while
protecting us from the external environment.
A break in the continuity of the skin surface is the first
step in the formation of a wound and provides a potential
portal of entry for infection.
A wound can be as simple as a surface abrasion, or it can
be an extensive, life-threatening destruction of tissue
4. SURGICAL WOUND
• Surgical wounds are one which is produced for a specific
purpose, usually under aseptic precautions or it is a
wound resulting from therapy.
6. DRESSING
• A dressing is a sterile pad or compress applied to wound
to promote healing and protect the wound from further
harm.
• Dressing is used to have direct contact with a wound but
bandage is used to hold a dressing in place.
7. TYPES OF DRESSING
Semi-permeable film Dressing.
Semi-permeable foam Dressing.
Hydrogel Dressing.
Hydrocolloid Dressing.
Alginate Dressing.
8. SEMI-PERMEABLE FILM DRESSING.
This dressing is a transparent film made up of
polyurethane.
It allows the movement of water vapour, oxygen, and
carbon dioxide into and out of the dressing.
It also plays an additional role in autolytic debridement
(removal of dead tissue).
9.
10. SEMI-PERMEABLE FOAM DRESSING.
This dressing is made up of foam with hydrophilic
properties and outer layer of hydrophobic properties with
adhesive borders.
The hydrophobic layer protects the wound from the
outside fluid contamination. Meanwhile, the inner
hydrophilic layer is able to absorb moderate amount of
discharge from the wound. Therefore, this type of
dressing is useful for wound with high amount of
discharge and for wound with granulation tissue.
Secondary dressings are not required.
11.
12. HYDROGEL DRESSING.
• This dressing is made up of synthetic polymers such
as methacrylate and polyvinyl pyrrolidine. It has high
water content, thus provides moisture and cooling effect
for the wound. The dressing is easy to remove from the
wound without causing any damage.
13.
14. HYDROCOLLOID DRESSING.
This type of dressing contains two layers:
Inner colloidal layer and outer waterproof layer. It contains
gel forming agents such
as carboxymethylcellulose, gelatin and pectin. When the
dressing is in contact with the wound, the wound
discharge are retained to form gel which provides moist
environment for wound healing.
It protects the wound from bacterial contamination,
absorbs wound discharge, and digests necrotic tissues.
15.
16. ALGINATE DRESSING
This type of dressing is made up of either sodium or
calcium salt of alginic acid.
This dressing can absorb high amount of discharge from
a wound. Ions present in the dressing can interact with
blood to produce a film that protects the wound from
bacterial contamination.
17.
18. PURPOSE OF SURGICAL WOUND
DRESSING
• To prevent infection.
• To assess the healing process
• To protect the wound from mechanical trauma
• To promote wound healing by primary intention
19. PRINCIPLES OF WOUND DRESSING
1.Microorganism are present in the environment, on the
articles and on the skin. Pathogenic organisms are
transmitted from the source to the new host directly or
directly
2. Bacteria travel along with the dust particles.
3. Cleaning an area where there is less number of
organisms, before cleaning an area where there are more
organisms, minimize the spread of organisms to the clean
area.
20. Cont…
4) A break in the skin and mucus membrane acts as the
portal of entry for the pathogenic organisms.
5) Respiratory tract harbours micro organisms that can
enter the wound Nutrients and oxygen are carried to the
wound via blood stream and are essential for collagen
formation.
6 )Moisture facilitates growth and movement of
microorganisms
21. Cont..
7) Fluid moves downwards as a result of gravitational pull.
8) Fluids move through materials by capillary action
9) Unfamiliar situations produce anxiety.
10) Systematic ways of working saves time, energy and
material
22. GENERAL INSTRUCTIONS
Practice strict aseptic technique to prevent cross infection
to the wound and from the wound.
Wash hands thoroughly before and after the procedure
and Use masks, sterile gloves and gowns.
Check the diagnosis and the general condition of the
patient.
Check the physician’s orders for the type of dressing to
be applied and the specific instructions, if any, regarding
the cleansing solutions, removal of sutures, drains and
the application of medications etc.
23. GENERAL INSTRUCTIONS …cont
Check the nurse’s records to find out the general
condition of wound
Dressings are not changed for at least 15 minutes after
the room has been swept or cleaned.
Avoid talking, coughing and sneezing when the wound is
opened.
During the procedure the nurse works carefully to avoid
contaminating the patient’s skin, clothing and bed linen
with soiled instruments and dressings
All the soiled dressings and contaminated instruments
should be carefully collected and disposed safely.
24. GENERAL INSTRUCTIONS …cont
Cleaning the wound should be done from the cleanest
area to the less clean area
If the dressings are adherent to the wound wet it with
saline.
Before doing the dressing, inspect the wound for any
complications such as dehiscence and evisceration.
Avoid meal timings.
Give an analgesic prior to the painful dressing, if
indicated.
25. SAFETY CONSIDERATIONS
Perform hand hygiene.
Check room for additional precautions.
Introduce yourself to patient.
Confirm patient ID using two patient identifiers.
Explain process to patient; offer analgesia, Bathroom, etc.
Listen and attend to patient cues.
Ensure patient’s privacy and dignity.
Assess patient’s ABC/oxygen/suction based needs
26. ARTICLES REQUIRED
• A sterile tray containing:
• Artery foeceps-1
• Dissecting forces-2
• Scissors-1
• Small bowls-2
• Cotton balls, gauze pieces cotton pads etc. as necessary
27. ARTICLES REQUIRED…. cont
• An unsterile tray containing:-
• Sterile dressing set
• Cleaning solutions as necessary.
• Ointment and powders as ordered.
• Sterile gloves
• Clean gloves
28. ARTICLES REQUIRED…. cont
• Mask
• Surgical gown
• Swab sticks in a sterile container
• Transfer forceps in a sterile container
• Bandages, binders, pins, adhesive plaster, and scissors
• Kidney tray and paper bag.
• Mackintosh and towels.
• Laundry bags.
29. PREPARATION OF PATIENTAND
ENVIRONMENT
Identify the patient and explain the procedure to win the
confidence and co-operation.
Provide privacy with curtains and drapes.
Apply restraints in case of children.
Shave the area if necessary to remove the hairs.
Place the patient in a comfortable and relaxed position
depending on the area to be dressed.
Give proper support to the body parts if the patient has to
raise and hold it in position for a considerable time.
30. PREPARATION OF PATIENTAND
ENVIRONMENT cont…
Adjust the height of the bed for the comfortable working of
the doctor or nurse to do the dressing.
Bring the patient to the edge of the bed.
Call for assistance if necessary e.g., to do the unsterile
procedure, to transfer sterile supplies etc.
Protect the bed with a mackintosh and towel
Untie the bandage or adhesive and remove them.
Turn the head of the patient to one side, that the patient
may not see the wound and so get worried about it.
31. PROCEDURE
1) Wash hands and observe other appropriate infection
control procedures.
2) Provide for client privacy.
3) Remove binders and tape.
Remove binders, if used, and place them aside.
If adhesive tape was used, remove it by holding down
the skin and pulling the tape gently but firmly toward the
wound. Pressing on the skin provides counter traction
against the pulling motion.
32. PROCEDURE
4) Remove and dispose of soiled dressings
appropriately.
• Put on clean disposable gloves and remove the outer
abdominal dressing or surgical pad.
• Lift the outer dressing so that the underside is away from
the client's face. The appearance and odor of the
drainage may be upsetting to the client.
• Place the soiled dressing in the moisture-proof bag
without touching the outside of the bag.
33. PROCEDURE
• Remove the under dressings, taking care not to dislodge
any drains. If the gauze sticks to the drain, support the
drain with one hand and remove the gauze with the other.
• Assess the location, type (color, consistency), and odor of
wound drainage, and the number of gauzes saturated or
the diameter of drainage collected on the dressings.
• Discard the soiled dressings in the bag as before.
• Remove gloves, dispose of them in the moisture-proof
bag, and wash hands
34. PROCEDURE
6) Setup the sterile supplies.
Open the sterile dressing set using surgical aseptic
technique.
Place the sterile drape beside the wound.
Open the sterile cleaning solution and pour it over the
gauze sponges in the plastic container.
Put on sterile gloves.
35. PROCEDURE
7) Clean the wound, if indicated
Clean the wound, using your gloved hands or forceps and
gauze swabs moistened with cleaning solution.
Use a separate swab for each stroke and discard each
swab after use.
If a drain is present, clean it next taking care to avoid
reaching across the cleaned incision. Clean the skin
around the drain site by swabbing in half or full circles
from around the drain site outward, using separate swabs
for each wipe.
Support and hold the drain erect while cleaning around it.
Dry the surrounding skin with dry gauze swabs as
required.
36. PROCEDURE
• 8. Apply dressing to the drain site and the incision
While applying the gauze make sure that there is no loose
detached thread getting into the wound, where they cause
inflammation and provide a site for infection.
Apply the sterile dressings one at a time over the drain
and the incision Place the bulk of the dressings over the
drain area and below the drain, depending on the client's
usual position.
.Apply the final surgical pads, remove gloves, and
dispose of them. Secure the dressing with tape or ties.
37. PROCEDURE
9) Document the procedure and all nursing assessments.
“If it’s not documented, it hasn’t been done,” and this
holds true for wound care
Clear, concise, and accurate documentation is an essential
part of wound care in all settings.
38. AFTER THE PROCEDURE.
Fold up the dressing/procedure pack and place all
contaminated material in a bag designated for clinical
waste, making sure all sharps are removed and disposed
of in a sharps container.
Remove gloves and place in waste bag.
Wash your hands.
Record (document) on the patient's chart your wound
assessment, the dressing change and the care you have
given.
Provide the patient with some dressing management
education and answer questions before you go.
Report any changes to a senior nurse or doctor
39.
40. NURSES’ NOTES
• Documentation of the care given includes the following
components:
Date and time
Interventions performed
Wound characteristics, including the amount and type of
drainage
Wound odor
Patient’s pain level during and after the treatment
Interventions to relieve pain and the effectiveness of the
interventions
Patient’s level of anxiety before, during, and after treatment
Patient’s reported level of comfort with applied dressings
Supplies used .
41.
42. CONCLUSION
Patients with a systemic condition and an infectious
wound or a wound at increased risk for infection will require
close monitoring.
The decision may be made to do daily or twice-daily
dressing changes
43. BIBLIOGRAPHY
1. Barbara kozier,Glenora, Audrey Berman,Shirlee Snyder.
Fundamentals of nursing.7ed.Pearson Education;962-967.
2. Potter, Perry. Basic nursing.5ed.Elsevier ; 866-874.
3. Susan C Dewitt. Fundamental concept and skills for
nursing.3ed.Elsevier;789-793.
4. Principles and practice of
nursing.Nancy.4ed.NRBrothers;3-58.
5.http://www.nursingceu.com/courses/491/index_nceu.html