Nursing Unintentional Injuries
Niῇa Nerisa Torres
Unintentional injury is a term used to describe an unplanned injury. One may mistakenly refer to unintentional injury as an accident. However, the term accident is more appropriate for events that cannot be predicted or prevented while unintentional injury is an event that can be prevented.
Common unintentional injuries include burns, falls, drowning, and vehicle crashes. Injuries at home and school are also relatively commonn.
There are five factors that can help us prevent unintentional injuries or at least minimize their impact. These are awareness and knowledge on the risks to safety, skill in judging own and other’s abilities when it comes to playing or performing in a given space,
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Remember to always clean the wounds first before applying anything. For small wounds or cuts, there are strip bandages that come in different sizes. Choose an appropriate size of strip bandage for a small wound and apply the bandage firmly. Change it regularly to prevent bacteria and to keep it clean.
For bandaging large wounds, it is advisable to do the following:
• Use a dressing that is big enough to go beyond one inch from the wound’s edges.
• For wounds that expose body tissue, cover with a non-sticky dressing like moistened gauze or plastic. Use adhesive tapes or elastic wrap to secure the cover.
• For wounds in knee or elbow joints, keep the joint immobilized through a bulky dressing.
• Make sure that the bandage is tight but not too tight that blood circulation is already affected. Signs that blood circulation is cut off includes change in skin color, tingling sensation, feeling cold or swelling. Once any of these signs show, loosen the bandage.
Triangular
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• Cut the square diagonally into two halves, creating two triangular clothe.
• Sterilize the bandage using a boiling water or soaking it into hydrogen peroxide or any disinfectant. Dry the clothes before using. o • Iron the triangular bandages for easy use.
Roller Bandage
Roller Bandage is used for bleeding, building pressure towards the wound and keeping the dressing in place. To make a roller bandage, the following steps are encouraged:
• Make the injured person stay in his/her most comfortable position while supporting the affected body part.
• Hold the head end of the bandage while using the tail end to wrap the injured part. Wrap the area slowly to ensure that it is tight enough to hold the gauze or cotton cast padding. After each turn, begin with a lock turn to hold the start of the bandage in place.
• One can begin in the middle part of the affected limb/body part or begin at the bottom part.
• Once done with the bandaging, use an adhesive tape to secure
Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.
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.
Special dressings and bandages can be used to protect and to speed up the healing of pressure sores.
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.
When nursing comes to mind, it is common to think of only acute care nurses working the floor of the local hospital. However, nurses work in a variety of settings, one of which I was able to witness at St. Mary’s wound clinic. Of the five patients that I was able to interact with here, one of the most interesting was the case of a 33-year-old male patient who presented to the clinic with a venous leg ulcer. The ulcer, located on the lateral portion of the lower leg just below the patient’s calf, was draining a significant amount of serosanguinous fluid. Additionally, cellulitis infected the entire calf area, while the skin immediately surrounding the wound
This step is very useful to help limit swelling to the injured area and keeps it from progressing to other parts of the limb. Be careful not to put direct pressure on an eye injury, and watch carefully for coolness or in case of change the color of the skin under the bandage. If any of these symptoms occur, remove the bandage quickly and re-wrap it less tightly. After that raise the injured organ to a level higher than the heart. For example, raise the affected arm or leg by using cushions or pillows to help decrease blood pressure and slow the
It is very important that when a patient needs a dressing changed that it is performed correctly and sterile. The first and foremost important step in any procedure is to perform proper hand hygiene. Next, obtain all necessary items on a Mayo stand. Most items involved in dressings are within a dressing packet that is enclosed until it needs to be used. The patient should be in a comfortable position while the procedure is being done with the area with the dressing on a supported area. The next most important step in any procedure for the medical assistant is to apply gloves. When removing a dressing, loosen the tape and pull from both sides toward the wound. Immediately, place the dirty, soiled dressing into a biohazard waste bag without touching
Take some over-the-counter pain reliever to reduce pain and swelling, such Ibufropen, Aspirin, Naproxen, or
Rest the patient by safely transferring him/her off the field and situate them in a comfortable stance, stabilising the injury to reduce bleeding. The athlete must not use the injured site for a minimum of 48-72 hours as it may cause additional haemorrhage and injury. Next, apply ice accompanied with a form insulating material onto the injured site for 20 minutes every hour for the first 72 hours to decrease pain, bleeding and swelling. Compression involves wrapping the injured area using a bandage, ensuring that it is not too tight or loose. This stabilises the injury and minimises bleeding and swelling. Elevation requires the injured site to be raised above the heart to decrease the amount of bleeding, swelling, throbbing and pain. The injury can be kept elevated using a soft cushion and must be aloft whenever possible. The athlete must be referred to a doctor or a physiotherapist as soon as possible after managing the injury. This will establish the severity and any rehabilitation needed as well as tips on treatment
12. When treating a serious wound, remove any clothing and wash the area around the burn.
There are many different solutions a person can use to clean their wound. Some cleaning solutions include hydrogen peroxide, alcohol wipes, and many other cleaning products. You can find all of these in your local supercenter. First and foremost, you must rid
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.
• Do not use the injured limb to support your body weight until your health care provider says that you can. Use crutches, a scooter, a walker, or a wheelchair as told by your health care provider.
Please be careful when you remove the bandage, the tape lately has been harsh to my skin, and I fear that my skin might tear.
Skin glue is a special type of medical adhesive. It joins the edges of a wound together, while the wound starts to heal underneath. It may be used by practitioners to close wounds instead of other materials, such as sutures and skin staples. The first layer of the skin glue takes a few minutes to dry. It forms a protective barrier over the wound.