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Dressing and Bandages

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Answer
A dressing refers to;   Sterile materials used to COVER a WOUND  
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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  
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Dressing supplies include;   1.Gauze sponges Sizes 2x2 3x3 4x4 5x5 8x10 etc 2.Non-adherent pads  
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Dressing application technique; 1   Introduce yourself  
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Dressing application technique; 2   Explain the procedure in detail  
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Dressing application technique; 3   Ask for permission  
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Dressing application technique; 4   Assemble supplies  
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Dressing application technique; 5   Wash hands properly  
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Dressing application technique; 6   Put on exam gloves  
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Dressing application technique; 7   Remove old dressing and discard in bio bag  
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Dressing application technique; 8   Irrigate the wound with 1L of NSS or H2O, using a irrigating syringe w/splatter sheild  
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Dressing application technique; 9   Pat dry with sterile sponges (if ordered)  
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Dressing application technique; 10   Cleanse skin adjacent to the wound with antiseptic using the - One swipe method (if ordered)  
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Dressing application technique; 11   Administer topical antibiotic using the - One touch technique (if ordered)  
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Dressing application technique; 12   Place a sterile non-adhesive pad over the wound using the - One touch technique  
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Dressing application technique; 13   Place sterile gauze pads (4x4) on top of non-adhering pad using the - One touch method  
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Dressing application technique; 14   Secure the dressing with a sterile gauze bandage and tape  
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Dressing application technique; 15   Explain the procedure and give the client detailed written instructions concerning wound care  
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Bandage uses include;   1.Securing dressing 2.Applying mild pressure 3.Holding splints in place  
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Bandage supplies include;   1.Sterile gauze 2.Tubular gauze 3.Elastic bandages  
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Sterile, porous clinging gauze materials that adheres to itself, stretches with movement, should;   Conform to the body part it is placed on  
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Common brand names of gauze include;   Kling or Kerlix  
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Tubular gauze is;   Circular in shape and made of a porous stretchy gauze material that can be cut to - Fit on limbs  
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Gauze bandage or tubular gauze can be used to secure an   Eye patch  
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Elastic bandages AKA;   Ace bandages  
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Ace (elastic) bandages are applied as a;   Prophylaxis for excessive edema  
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Ace bandages are how wide?   2 and 6 inches wide and several feet long  
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A ce bandages can be used to;   Secure gauze bandages and splints  
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Basic bandage wraps include;   1.The anchor circular turn 2.The spiral turn 3.The figure 8 turn 4.The recurrent turn  
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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  
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The anchor circular turn is used at the;   Start of a bandage wrap  
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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  
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The spiral turn may be used on body parts that;   Increase in size such as forearms, legs, chest, abdomen  
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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  
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The figure-eight turn may be used to;   Secure dressing or apply pressure when a pressure bandage is needed  
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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  
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The recurrent turn is commonly used to;   Bandage the head  
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Bandages are secured with;   1.Tape 2.Clips 3.Pins  
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Adhesive tape os used to;   Hold dressing and/or bandages in place  
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For wounds the MA should document ?what? on the wound tape;   1.Date 2.Time 3.Initials on the tape  
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Types of adhesive tapes include;   1.Clear surgical 2.cloth 3.Hypoallergenic clear 4.Paper  
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Paper tape should be used for patients with;   Sensitive skin or thin skin (elderly)  
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After applying a bandage, the circulation of the limb should be assessed;   Distal to the bandage  
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The circulation assessment include;   1.Color 2.Warmth 3.Capillary refill 4.Pulse 5.Tingling, numbness or discomfort  
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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.  
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