The Student Nurse's Bible by Peter Conway - HTML preview

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Chapter Five

How to perform a simple dressing change

Check the doctors order and identify the patient. Explain the procedure.
Wash your hands.
Assemble your supplies. A simple dressing change is a clean procedure, not a sterile one unless your facility requires it to be.
Don gloves. Assess the dressing and remove. If the dressing is stuck apply a small amount of saline solution to soak it loose. Observe for drainage and odour if any.
Cleanse the wound as directed usually with normal saline solution.
Observe the wound for healing. Measure the length and with anatomically.
Remove gloves wash your hands again don clean gloves Apply new dressing and secure with tape.
Remove gloves. Double bag all dressing materials and trash. Dispose per facility policy. Wash your hands.
Document procedure including description of wound size shape colour drainage odour periwound area and how the patient tolerated the procedure.

What you need

Gloves
Bandage scissors Dressing materials Tape measure
Sterile swab.