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ERP Week 4
Dressing and Bandages
| Question | Answer |
|---|---|
| A dressing refers to; | Sterile materials used to COVER a WOUND |
| Dressings are designed to; | 1.Protect from further injury 2.Keep clean 3.Reduce bleeding 4.Absorb drainage 5.Reduce discomfort 6.Speed healing 7.Reduce cicatrix formation |
| Dressing supplies include; | 1.Gauze sponges Sizes 2x2 3x3 4x4 5x5 8x10 etc 2.Non-adherent pads |
| Dressing application technique; 1 | Introduce yourself |
| Dressing application technique; 2 | Explain the procedure in detail |
| Dressing application technique; 3 | Ask for permission |
| Dressing application technique; 4 | Assemble supplies |
| Dressing application technique; 5 | Wash hands properly |
| Dressing application technique; 6 | Put on exam gloves |
| Dressing application technique; 7 | Remove old dressing and discard in bio bag |
| Dressing application technique; 8 | Irrigate the wound with 1L of NSS or H2O, using a irrigating syringe w/splatter sheild |
| Dressing application technique; 9 | Pat dry with sterile sponges (if ordered) |
| Dressing application technique; 10 | Cleanse skin adjacent to the wound with antiseptic using the - One swipe method (if ordered) |
| Dressing application technique; 11 | Administer topical antibiotic using the - One touch technique (if ordered) |
| Dressing application technique; 12 | Place a sterile non-adhesive pad over the wound using the - One touch technique |
| Dressing application technique; 13 | Place sterile gauze pads (4x4) on top of non-adhering pad using the - One touch method |
| Dressing application technique; 14 | Secure the dressing with a sterile gauze bandage and tape |
| Dressing application technique; 15 | Explain the procedure and give the client detailed written instructions concerning wound care |
| Bandage uses include; | 1.Securing dressing 2.Applying mild pressure 3.Holding splints in place |
| Bandage supplies include; | 1.Sterile gauze 2.Tubular gauze 3.Elastic bandages |
| Sterile, porous clinging gauze materials that adheres to itself, stretches with movement, should; | Conform to the body part it is placed on |
| Common brand names of gauze include; | Kling or Kerlix |
| Tubular gauze is; | Circular in shape and made of a porous stretchy gauze material that can be cut to - Fit on limbs |
| Gauze bandage or tubular gauze can be used to secure an | Eye patch |
| Elastic bandages AKA; | Ace bandages |
| Ace (elastic) bandages are applied as a; | Prophylaxis for excessive edema |
| Ace bandages are how wide? | 2 and 6 inches wide and several feet long |
| A ce bandages can be used to; | Secure gauze bandages and splints |
| Basic bandage wraps include; | 1.The anchor circular turn 2.The spiral turn 3.The figure 8 turn 4.The recurrent turn |
| The anchor circular turn entails; | Circling the bandage around the body part allowing a corner edge to jut out. Fold this edge down over the first turn and cover with a second circular turn of the bandage |
| The anchor circular turn is used at the; | Start of a bandage wrap |
| The spiral turn entails; | Making the initial anchor circle turn and angling each circle of bandage so that every turn overlaps the previous one by - 1/3 to 1/2 the width of the bandage |
| The spiral turn may be used on body parts that; | Increase in size such as forearms, legs, chest, abdomen |
| The figure-eight turn entails; | Making the initial anchor circle turn and turning the bandage at a diagonal to alternately ascend and descend the area making a figure eight around the part |
| The figure-eight turn may be used to; | Secure dressing or apply pressure when a pressure bandage is needed |
| The recurrent turn entails; | Each successive fold is slightly angled and overlaps the previous fold by 2/3 the width of the bandage. It consists of a series of back and forth turns anchored by a circular turn |
| The recurrent turn is commonly used to; | Bandage the head |
| Bandages are secured with; | 1.Tape 2.Clips 3.Pins |
| Adhesive tape os used to; | Hold dressing and/or bandages in place |
| For wounds the MA should document ?what? on the wound tape; | 1.Date 2.Time 3.Initials on the tape |
| Types of adhesive tapes include; | 1.Clear surgical 2.cloth 3.Hypoallergenic clear 4.Paper |
| Paper tape should be used for patients with; | Sensitive skin or thin skin (elderly) |
| After applying a bandage, the circulation of the limb should be assessed; | Distal to the bandage |
| The circulation assessment include; | 1.Color 2.Warmth 3.Capillary refill 4.Pulse 5.Tingling, numbness or discomfort |
| Charting example: | Date/time Nevus surgically removed by Dr.X from Right anterior distal inferior arm followed by insertion of 4 nylon sutures. Surgical site dressed with Neosporin, non-adherent dressing, 4x4 gauze pads, and secured with gauze bandage and tape. |
Created by:
adrouillard
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