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ERP Week 4

Dressing and Bandages

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