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Procedure 19 Changing A Clean Dressing …

Chapter 5 Wound Care Procedure 19 Changing A Clean DressingProcedure 20 Applying A BandageProcedure 21 Applying A Sterile DressingProcedure 22 Applying A Dressing Around A DrainProcedure 23 Changing Wet-To-Dry DressingsProcedure 24 Applying A Transparent Film DressingProcedure 25 Applying A Hydrocolloid DressingProcedure 26 Pin CareProcedure 27 Removing SuturesProcedure 28 Removing Staples PERFORMANCE REVIEW CHECKLIST Procedure 19 Changing A Clean Dressing Name of Patient Care Technician _____ Date of Program _____ to _____Social Security Number or Identification Number _____Program Code Number (if any) _____S=Satisfactory PerformanceU=Unsatisfactory PerformancePlace a full signature to correspond with each set of initials appearing needed: 2 pairs Clean , disposable exam gloves Cleansing solution Plastic bag for used supplies Clean or sterile gauze pads or other Dressing , as ordered, and according to facility policy Tape or bandage material Initials

PERFORMANCE REVIEW CHECKLIST Procedure 19 Changing A Clean Dressing Name of Patient Care Technician _____ Date of Program _____ to _____

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Transcription of Procedure 19 Changing A Clean Dressing …

1 Chapter 5 Wound Care Procedure 19 Changing A Clean DressingProcedure 20 Applying A BandageProcedure 21 Applying A Sterile DressingProcedure 22 Applying A Dressing Around A DrainProcedure 23 Changing Wet-To-Dry DressingsProcedure 24 Applying A Transparent Film DressingProcedure 25 Applying A Hydrocolloid DressingProcedure 26 Pin CareProcedure 27 Removing SuturesProcedure 28 Removing Staples PERFORMANCE REVIEW CHECKLIST Procedure 19 Changing A Clean Dressing Name of Patient Care Technician _____ Date of Program _____ to _____Social Security Number or Identification Number _____Program Code Number (if any) _____S=Satisfactory PerformanceU=Unsatisfactory PerformancePlace a full signature to correspond with each set of initials appearing needed: 2 pairs Clean , disposable exam gloves Cleansing solution Plastic bag for used supplies Clean or sterile gauze pads or other Dressing , as ordered, and according to facility policy Tape or bandage material InitialsCorresponding Signature of InstructorTitleProcedure GuidelinesS/UDateInitialsS/UDateInitials your beginning Procedure gentle traction on the skin, loosen the tape by pulling the ends toward the wound, and then remove the Dressing .

2 Discard in the plastic and rinse the wound as ordered. If the wound appears abnormal or infected, notify your the gloves and discard in the plastic your up your Dressing supplies and open Clean exam gloves. _____Instructor SignatureDate_____Student SignatureDate up the gauze Dressing , holding it only by the the Dressing over the the Dressing securely in place, or cover with a bandage ( Procedure 20), as your Procedure completion actions. Procedure GuidelinesS/UDateInitialsS/UDateInitials PERFORMANCE REVIEW CHECKLIST Procedure 20 Applying A Bandage Name of Patient Care Technician _____ Date of Program _____ to _____Social Security Number or Identification Number _____Program Code Number (if any) _____S=Satisfactory PerformanceU=Unsatisfactory PerformancePlace a full signature to correspond with each set of initials appearing below.

3 InitialsCorresponding Signature of InstructorTitleProcedure GuidelinesS/UDateInitialsS/UDateInitials applying the Dressing , apply the bandage. Most bandaging materials are conforming, self-adhering gauze. Brand name products, such as Kling and Kerlix , or generic products, such as conforming gauze, are commonly used in health care bandage must cover the Dressing completely. Begin by holding the bandage in your dominant hand. Hold the bandage against the skin with your nondominant thumb, approximately one inch below the the bandage around the extremity two or three times to hold it securely in the bandage from distal to proximal, in overlapping spiral turns.

4 Each turn should overlap 1 2 to 3 4 of the previous turn. The bandage should be snug so it does not fall off. However, it must not be so tight that it restricts blood flow. _____Instructor SignatureDate_____Student SignatureDate the bandage at least one inch above the top of the Dressing . Wrap it completely around the extremity twice, then cut the end. Tape the end to the bandage, not the the circulation distal to the bandage to ensure that the circulation is your Procedure completion actions. Procedure GuidelinesS/UDateInitialsS/UDateInitials PERFORMANCE REVIEW CHECKLIST Procedure 21 Applying A Sterile Dressing Name of Patient Care Technician _____ Date of Program _____ to _____Social Security Number or Identification Number _____Program Code Number (if any) _____S=Satisfactory PerformanceU=Unsatisfactory PerformancePlace a full signature to correspond with each set of initials appearing needed.

5 1 pair disposable exam gloves 1 pair sterile gloves Cleansing solution Plastic bag for used supplies Sterile gauze pads or other Dressing Tape or bandage material InitialsCorresponding Signature of InstructorTitleProcedure GuidelinesS/UDateInitialsS/UDateInitials your beginning Procedure gentle traction on the skin, loosen the tape by pulling the ends toward the wound, and then remove the Dressing . Discard it in the plastic and rinse the wound as ordered. If the wound appears abnormal or infected, notify your the gloves and discard in the plastic your hands. _____Instructor SignatureDate_____Student SignatureDate up your sterile field and prepare sterile Dressing supplies.

6 Arrange the field so that you do not have to cross over it when reaching for the tape, if used. Place on the edge of the overbed table, if permitted by your facility sterile up sterile dressings , holding them only by the corners. Center them over the the Dressing securely in place, or cover with a bandage ( Procedure 20). You may remove your gloves to apply the tape or bandage, if your Procedure completion actions. Procedure GuidelinesS/UDateInitialsS/UDateInitials PERFORMANCE REVIEW CHECKLIST Procedure 22 Applying A Dressing Around A Drain Name of Patient Care Technician _____ Date of Program _____ to _____Social Security Number or Identification Number _____Program Code Number (if any) _____S=Satisfactory PerformanceU=Unsatisfactory PerformancePlace a full signature to correspond with each set of initials appearing needed.

7 1 pair disposable exam gloves 2 pairs sterile gloves Gown, mask, and eye protection if copious drainage or splashing of blood or body fluids is anticipated Plastic bag for used supplies Cleansing solution Small sterile bowl (optional) Sterile forceps (optional) Sterile towel or drape Sterile cotton applicators (optional) Sterile gauze pads or other dressings Sterile pre-cut drain gauze Tape or bandage material InitialsCorresponding Signature of InstructorTitleProcedure GuidelinesS/UDateInitialsS/UDateInitials your beginning Procedure gentle traction on the skin, loosen the tape by pulling the ends toward the wound, and then remove the Dressing .

8 And rinse the skin surrounding the incision, as ordered. If the wound appears abnormal or infected, notify your supervisor. Visually check the drain to ensure that it is attached to the skin securely. Avoid disturbing the drain at this time. Cleanse only the the gloves and discard in the plastic your up your sterile field and prepare sterile Dressing supplies. Pour liquid solution into the sterile basin, if necessary. Arrange the field so that you do not have to cross over it when reaching for the tape, if used. Place on the edge of the overbed table, if permitted by your facility sterile the incision itself, as ordered. Use a sterile applicator or gauze sponge.

9 Wipe from cleanest to less Clean , in a single downward stroke. Discard the applicator or gauze sponge. If another is needed, use a second applicator. Avoid contaminating the solution with a used the dry with a gauze sponge, if the area surrounding the drain. Use a circular motion, beginning at the center and working outward. Handle the drain as little as possible. Lift it using a sterile applicator or your at least two layers of pre-cut drain gauze, or as ordered. Cover with two layers of uncut your gloves are visibly contaminated with drainage, remove them, wash your hands, and reapply new sterile gloves before proceeding. Procedure GuidelinesS/UDateInitialsS/UDateInitials _____Instructor SignatureDate_____Student SignatureDate up the sterile cover dressings by holding them only by the corners.

10 Center them over the wound and drain, or dress each area separately, according to location and physician s the Dressing securely in your Procedure completion actions. Procedure GuidelinesS/UDateInitialsS/UDateInitials PERFORMANCE REVIEW CHECKLIST Procedure 23 Changing Wet-To-Dry dressings Name of Patient Care Technician _____ Date of Program _____ to _____Social Security Number or Identification Number _____Program Code Number (if any) _____S=Satisfactory PerformanceU=Unsatisfactory PerformancePlace a full signature to correspond with each set of initials appearing needed: 1 pair disposable exam gloves 1 pair sterile gloves Gown, mask, and eye protection if copious drainage or splashing of blood or body fluids is anticipated Plastic bag for used supplies Cleansing solution Sterile normal saline Small sterile bowl Sterile towel or drape Sterile gauze pads or other dressings Tape or bandage material InitialsCorresponding Signature of InstructorTitleProcedure GuidelinesS/UDateInitialsS/UDateInitials your beginning Procedure gentle traction on the skin, loosen the tape by pulling the ends toward the wound, and then remove the Dressing .


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