Agency policy will determine the type of wound cleansing solution, but sterile normal saline and sterile water are the solutions of choice for cleansing wounds and. Successful completion of the sterile technique module is required prior to this module. Remember to explain procedures to patient and have all packages open before you begin. Recognizes and verbalizes action if contamination occurs.
Getting started aging and disability services administration 1 welcome to nurse delegation for nursing assistants. Appropriate solution for cleaning the wound, if needed. Clean versus sterile technique when changing wound dressings. In the event of multiple wounds, each wound is considered a. Mosbys pathophysiology memory notecards rn nurse student, doctor and nurse, im a nurse. In spite of the fact that this property has been utilized to unbridle exudative, tainted, and. Using forceps or sterile gauze, gently remove the wound fillerpacking from the wound. No previous studies have compared the sterility and cost of clean versus sterile dressing materials. Watch, learn and practice changing a sterile dressing during lab practice. The space must be big enough for the dressing pack to be opened on. Wound irrigation and packing1030 saskatoon health region.
A search of the literature was performed by a trained university librarian, which resulted in 473 articles that examined any age group that dealt with application of a wound dressing using either sterile or nonsterile technique. A clear available work space, such as a stainless steel trolley. Each organization will have emergency policies and procedures to follow in the case of a dislodged fresh tracheostomy tube. Nancy morgan, cofounder of wound care education institute, combines her expertise as a certified wound care nurse with an extensive background in wound care education and program development as a nurse. Pn students application of the sterile dressing change and wound cleaning. Evidence indicates that the use of clean technique for acute wound care is a clinically effective intervention that does not. A sterile dressing is a form of absorbent cotton fabric that is generally bonded on both sides so that it does not stick to the wound or area. Investigating nurses dressing change techniques american nurse.
Cleaning a wound and applying a dry, sterile dressing continued comments 12. Change q7 days and prn use gauze dressing for oozing site and change daily. Applies sterile normal saline from bottle or prefilled syringe onto sterile gauze or cotton balls using sterile technique 17. Choose from 158 different sets of sterile dressing flashcards on quizlet. Wash your hands thoroughly with soap and warm water before and after each dressing change. Clean aseptic technique should be used to change nonsterile dressings. Because of this, we strongly recommend that you receive training by a healthcare professional familiar with central line care and maintenance. Plain gauze has been used as a primary dressing but willstick to all but clean, engraved wounds. Ohio university school of nursingtracheostomy care and suctioning check. Cleanse the wound bed prior to application of new dressing. Chapter 5 wound care procedure 19 changing a clean dressing. Sterile dressing change youtube nursing procedures. Learn sterile dressing with free interactive flashcards. Precautions if the dressing is not easily removed, soak with sterile saline or water until it is removed without difficulty.
How to change a surgical wound dressing healthy essentials. In this video the nursing student has been asked to break the sterile technique. Sterile dressing change youtube nursing procedures, nclex. Remove your gloves and dispose of them in an appropriate waste receptacle.
A notouch clean technique can be used instead of sterile technique for chronic wounds. Sterile to sterile rules involve the use of only sterile instruments and materials in dressing change procedures and avoiding contact between sterile instruments or materials and any nonsterile surface or products. This final article in the series on care of patients with a tracheostomy outlines the procedure for changing a tracheostomy. Does the use of clean or sterile dressing technique affect the. Dressing traysterile or clean instruments, as per facility protocol sterile cottontipped applicator skin protectant product as needed e. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Apr 11, 20 sterile dressing change procedure updated february 20 this video series was created by the faculty of nursing at the university of alberta with support from elearning services faculty of nursing.
Sterile dressing change procedure updated february 20. Skill 321 cleaning a wound and applying a dry, sterile. Sterile dressing techniques for management of chronic. Assessment of the external condition of the dressing will influence the supplies assembled to carry out the procedure. Figures and tables can be seen in the attached printfriendly pdf file of the complete article in the files section of this page. Check the patients chart for specific orders about the wound or dressing. Follow along with this nursing howto video to learn how to do a sterile dressing change. Obtains sterile central line dressing kit and mask for patient. By nancy morgan, rn, bsn, mba, woc, wcc, dwc, oms each month, apple bites brings you a tool you can apply in your daily practice. Sep 22, 2016 sterile dressing change procedure old version duration. Author dan higgins, rgn, enb100, enb998, is senior charge nurse, critical care, university hospitals birmingham nhs foundation trust.
Management of chronic wounds this document is a collaborative effort of the association for professionals in infection control and. In st john, new brunswick, clean dressings have been used instead of sterile dressings for years, with no apparent ill effects. Active wound care is performed to remove devitalized andor necrotic tissue to promote healing of a wound on the skin. Sterile technique involves meticulous hand washing, use of a sterile field, use of sterile gloves for application of a sterile dressing, and use of sterile instruments. Document the dressing change, including the appearance of the wound and the type of dressing applied, in the patients medical record. Sterile to sterile rules involve the use of only sterile instruments and materials in dressing change procedures. A sterile dressing is different from a bandage, in that a bandage is designed to hold a dressing in. This course is designed to help prepare you to accept nursedelegated tasks. If used, set aside or discard forceps as they are now contaminated. If it is sticking to your skin, wet it with warm water to loosen it. Techniques for aseptic dressing and procedures ncbi. Introduce sterile water or normal saline into the dressing and let it set for 15 30 minutes. This study was completed to determine whether there were differences between sterile versus clean dressing change technique for open surgical wounds in the postoperative period with respect to 1. Adequate humidification and fluid intake will help keep secretions.
Aarp health insurance plans pdf download medicare replacement pdf download medicare benefits pdf download medicare part b pdf download sterile dressing change cpt code. If wound filler or packing material adheres to the wound, soak the packing with sterile normal saline or sterile water before removing. The writing group did not consider the following issues when formulating recommendations. Place a sterile dressing for 2448 hours thorough hand hygiene and sterile supplies for wound dressing change control blood glucose feb 21, 20 principles of surgical asepsis updated duration. Place a sterile dressing for 2448 hours thorough hand hygiene and sterile supplies for wound dressing change control blood glucose sterile dressing change. Places patient in a semifowlers position if tolerated.
Dons sterile gloves without contaminating or recognizing contamination a. Central line dressing change a central line picc, port, hickman or other tunneled catheter dressing change is a sterile procedure. After removing the dressing, note the presence, amount, type, color, and odor of any drainage on the dressings. Procedure checklist changing central iv dressings check. Maintenance and removal of central venous catheters. Medicare financial sterile dressing change cpt code. Ensure an adequate seal around the dressing to prevent cooling of the wound bed and contamination. Sterile dressing change procedure old version duration. Skill 321 cleaning a wound and applying a dry, sterile dressing. Explains the procedure to patient and places a mask on patient. Sterile to sterile rules involve the use of only sterile instruments and materials in dressing change procedures and avoiding contact between sterile instruments or materials and any non sterile surface or products. Apply the tape without tension, gently but firmly stroking the surface to maximize adhesion. Place soiled dressings in the appropriate waste receptacle.
When applying or changing dressings, an aseptic technique is used in order to avoid introducing infections. Does the use of clean or sterile dressing technique affect. Apr 11, 20 sterile dressing change procedure updated february 20 apr 11, 20 sterile dressing change procedure updated february 20. Nonsterile dressing change glucometer testing gastrostomy feedings ostomy care straight clean urinary catheterization. Opens sterile dressing supplies and sterile gloves using sterile technique. Sutures on tunneled lines should be removed from the insertion site in 1014 days and exit site in 68 weeks. Welcome to nurse delegation for nursing assistants. Dressing change with mechanical, chemical, or enzymatic debridement yes clean sterile. Sample procedure for nonsterile dressing change wound. Place a sterile dressing for 2448 hours thorough hand hygiene and sterile supplies for wound dressing change control blood glucose pdf qllx\1erile dressing cll. Sample procedure for nonsterile dressing change wound care. Clean or sterile gauze pads or other dressing, as ordered, and according to facility policy.
Billing and coding guidelines gsurg051 wound care cms. A sterile dressing is different from a bandage, in that a bandage is designed to hold a dressing in place while the sterile dressing is the gauze or. An external file that holds a picture, illustration, etc. How to do a sterile dressing change in nursing first aid. Obtain sterile central line and arterial line dressing tray, plus dressing, sterile gloves and cavilon dressing change steps. Open picccentral line dressing change kit andor supplies using sterile technique don sterile gloves per protocol. Moisten with sterile saline if the wound bed appears dry before removal of the dressing. Skill 81 cleaning a wound and applying a dry, sterile dressing. Consider placing a single layer, wide meshed, nonadherent dressing adaptic or mepitel prior to foam placement. The number of gauze pads used may vary depending upon the wound.
Description nonsterile dressings protect open wounds from contamination and absorb drainage. Consult the care plan to determine the type of dressing required, frequency of change. After setting up the sterile field, don procedure gloves for removing the old dressing and cleaning the wound as long as procedure gloves do not touch anything wet using procedure gloves after cleaning the incision and drain site. Dressing tray sterile or clean instruments, as per facility protocol sterile cottontipped applicator skin protectant product as needed e. Smith is admitted to the icu following a motorcycle accident traumatic brain injury compound open fracture of femur, rib fractures. It is used as wound care to promote the healing of an injury and to prevent more harm to the area. Apr 26, 2020 a sterile dressing is a form of absorbent cotton fabric that is generally bonded on both sides so that it does not stick to the wound or area. Central venous access devices dressing change approved by npc 05172012 3 10. Document your findings does not count in allotted time.