Wound Care: Sterile Dressing Changes Essay

Module Title Wound Management Module code NURS09106 Banner No B00209786 Tutor Vicky Wilson Assignment Assignment 2 Word Count 3222 Submission Date 3rd May 2011 Introduction. The following assignment will take the form of a case study. The subject is a 79-year-old sikh gentleman, who will be known as patient X. Patient X only speaks English as his second language. Patient X has developed a wound on his right hip after being admitted a few days previously, after suffering from a stroke. Patient X has a history of a mild stroke and has slow mobility and uses the aid of a frame to mobilise. Patient X is obese, a heavy smoker and now

Keep your workspace free of all unnecessary materials 3. There are five recommendations for dressing properly in a lab environment. Name two of these recommendations. (2 pt)

I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made

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.

• Combine hourly rounding with scheduled tasks. • Devote effort to focus on patient’s need for help with toileting, pain level, and positioning.

Situation: Week 4 of skills lab: Today we were learning how to do sterile gloving and ungloving.

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

D daily inspection, date on the dressing, documentation this is a very important step not just for the nurse caring for the patient at the moment but other healthcare team members. Daily inspection of the site should be done to prevent damage or further damage if there was to be an issue with the site. Putting dates on the dressing is also important because the dressing should be changed every 7 days to prevent infection and break down of the dressing. Documentation is also key in insuring patient safety, what time the IV was inserted, the gauge, IV fluids and how the patient responded to the procedure.

NATA states that “woven and nonwoven gauze for clinically infected abrasions, avulsions, blisters, incisions, lacerations, or punctures. Woven, nonwoven, and impregnated gauze for puncture wounds that have cavities. Wound-closure strips with superficial, linear lacerations and postoperative incisions under minimal static and dynamic tension. Woven gauze with superficial to full-thickness abrasions, avulsions, blisters, incisions, and lacerations to achieve wet-to-moist debridement. Woven and non-woven gauze, non-adherent pads, and adhesive strips or patches for superficial to partial thickness abrasions, avulsions, and blisters and superficial-thickness incisions, lacerations, and punctures as a temporary dressing and on irregular body surfaces.” Once the dressing is completed, it is important to observe the wound for any signs of infection such as fever, foul-smelling wound drainage, swelling, redness, warmth and delayed wound healing. According to the NATA’s position statement, “the patient should be monitored for the development of adverse reactions stemming from the use of some cleansing solutions, topical antimicrobial agents, and non-occlusive and occlusive dressings. The individual must also be observed for rash, eczematous reaction, vesicles, white discoloration, tenderness, nodularity, burning, pruritus, or systemic reactions such as urticaria and anaphylaxis”. To

Today, I went with wound care. The wound care nurses see a number of patients. First, they compile a list of patients for the day. Then, split the patients amongst themselves. The priority patients are new patients for wound care. Each patient is seen once a week unless there are complications. If I remember correctly, wound vac patients are seen three times a week: Monday, Wednesday, and Friday. Also, the wound care nurse will see those patients’ who’s wounds are little more complicated more often throughout the week.

One hundred percent of my students showed mastery of the following objectives; students will be able to identify was to prevent the spread of illness,

abdominal dressing. The nurse rolls R.T. side to side to remove the soiled surgical linen,

When a health care provider is designing an educational program to clearly articulate objectives to engage both patient as well as their families, the learning objective should be written in behavioral terms defining specific learning outcomes the participant is expected to accomplish at the completion of the learning activity. The learning objective should clearly state the purpose, the procedure, and the outcome (nhnurses, n.d). By providing the patient the purpose of the learning objective they will have a better understanding of why they are needing to fulfill the objectives that you proposed. It is important for the health care provider to state or demonstrate the step by step procedure because it guides the patient and their family on how to properly execute the activity.

I did a lot of going into the clinic on my breaks and observing a lot of different students for about 5 minutes each so I did see a variety of stages of patient education and oral hygiene instruction. Prior to the charting lecture I was wondering why they were putting Vaseline on teeth. Now it makes sense, to protect the restorations from the disclosing solution. Most of the time the students had their large teeth typodont and large toothbrush out. I saw one student demo a tooth brushing technique to a patient then she had the patient demo it back to make sure they understood. I thought that was a great idea.

Classroom training offers an opportunity for activity-based learning. Activity based learning includes information search, guided discussion, role, play, demonstrations, jigsaw design, training videos & DVDs, and games. Each of these activities is discussed below.