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