Describe How To Change Your Dressing Essay

I showed the supernumerary nurse the proper way of preparing an NPWT using a non-touch sterile technique, started by slowly cleaning the surrounding skin prior to the application of the pressure dressing. Since it was the first time of the preceptee to perform a pressure dressing, I have provided my preceptee the principles of wound management so that it will reinforce the knowledge of the supervised nurse and skills on the management of wound using NPWT. I also provided the preceptee the protocols and the wound management chart to take note of the type of solutions to be used in managing a surgical wound. We also documented in the progress notes what we have performed, and informed the nurse in-charge on the frequency of dressing change in a week.

Well you probably will most likely clean your cuts and scrapes with cool water. Then, you will use a soft washcloth to clean the surrounding skin around the wounds. Lastly, you will put a bandage or two on the wounds to prevent an infection.

Ice. Never apply ice directly over the skin. Wrap around the ice with layers of towelling.

According to Reeve et al. (2015), one of the most frequently performed procedures in the emergency department is wound cleansing of acute lacerations. The goal of cleaning a

All nurses involved in wound management need to understand the wound-healing process, as this should underpin their care plans. While treatment options will be influenced by the current stage of healing, it is important to note that the stages can vary in length of time and overlap, which can create difficulties in recognition.

When the majority of the wound is not covered by necrotic tissue (at least 75%) our treatment should be focused on selective debridement. With this type of removal we will only be working with the necrotic tissue. Depending on the physicians order we may use this in our treatment. Another important aspect is wound cleansing. Every time the dressing is changed they should clean the wound. We should avoid using hydrogen peroxide, soap, povidone iodine because they could damage the healing process. The recommended solutions are water (drinkable tap or sterile) and normal saline. We should also consider using syringe irrigation to apply the solution. Finally, wound moisture is another important aspect we would need to take into consideration.

If a wound is not managed well, then risk on infection can occur. A wound needs to be properly cleaned and bandaged. Sometimes depending on the wound, it is necessary to allow air to get to the wound to aid in healing. When wounds reach the dermis, that is where more infection risk occurs. The dermis is deeper under the skin where nerves and tissues are. It is important to sterilize, keep hands clean when changing out bandages, and making sure to change out bandages to keep the wound

Depending on the type of wound this may include debridement, swabbing or using fluids to remove debris and necrotic tissue. Some patients may even prefer to shower their wounds with tap water. This should be discussed with the nurse as a preferred and more suitable method for irrigation, as swabbing may damage fragile granulation tissue (Briggs 2008) as cited by Griffiths et al (2001).

• Wash broken skin with soap and water and cover with a clean, dry bandage until

Follow instructions from your health care provider about how to take care of your wound. Make sure you:

Use a dressing that is big enough to go beyond one inch from the wound’s edges.

When burn wounds present to a health care setting, they should be assessed and the provider should decide if it is treatable for their setting, or if a higher level of care is in order. For patients who present with deep partial thickness burns to a localized area such as the arm and hand, an initial cleaning of the wound should be performed. All blisters should be deroofed, and once the wound is cleansed, it should be placed in a hydrocolloid dressing (Zacharevskij et al., 2017). SSD cream should not be placed on these wounds.

• Wash the wound with soap and water daily or as directed by your child’s health care provider. Rinse the wound with water to remove all soap. Pat the wound dry with a clean towel. Do not rub the wound.

• If the wound gets wet, pat it dry with a clean towel. Do not rub the wound.

*Wash: Preventing infection is imperative, so very carefully wash the burned area with mild soap and cool water. Do not peel the skin, scrub it, or pop blisters. Gently pat the skin dry.