Carrying out dressings
Consider how dressings are carried out according to approved standards.
The first stage is preparatory
- The dressing room is being prepared for work: wet cleaning and bactericidal irradiation are carried out.
- Before starting dressings in the office, the nurse will wash and sanitize hands according to approved standards.
- The nurse puts on sterile work clothes. Gloved hands are treated with a sterile swab or cotton ball moistened with a skin antiseptic.
- Sterile bix is treated twice with a napkin with disinfectant and opened.
- The dressing table is disinfected and covered with a sterile sheet (one-time or bix). A disinfected oilcloth or plastic wrap is placed on top of the sheet.
Direct dressings
- We cut the old bandage with scissors, the ends of which are directed in the direction that is safest for the patient and the nurse. Waste material is dumped into a container with a disinfectant solution. Leave the napkin on the skin.
- We take out the first clip from the individual package. With a cotton ball with an antiseptic solution, we toilet the skin area on which the dressing is performed.
- We remove the napkin left from the old bandage from the skin and discard it in the disinfectant solution. The first tweezers are also immersed in a container with a disinfectant solution for used tools.
- We take out the second tweezers, take a sterile ball with them, moisten it in an antiseptic and treat the wound.
- If you need to remove the stitches, we take out the third tweezers, scissors and remove the stitches.
- With the second and third tweezers we apply an aseptic bandage on the wound surface.
- We fix the bandage with a bandage or cleol.
- Waste materials and tools are immersed in containers with a disinfectant solution, closed with lids and exposed.
- After each dressing, wipe the surface of the oilcloth with a rag soaked in a disinfectant solution.
- after disinfection, we collect the used dressing material in special yellow plastic bags (class B waste). After filling, the bags should be sealed tightly and removed from the compartment for disposal.
- Every 2 hours, the dressing room should be subjected to current wet cleaning using a disinfectant, ventilation and bactericidal irradiation. In this case, it is necessary to replace the sterile sheet on the dressing table.
Dressings should be separated for clean and purulent wounds. For this, the so-called clean and purulent dressings are isolated. If this is not possible, clean dressings are performed first. After each dressing of patients with signs of suppuration or with purulent wounds, the sheet on the dressing table is replaced. Therefore, it is better to use disposable underwear.
The nurse must carry out dressings according to the schedule approved by the head of the department. The schedule is posted in a conspicuous place - on the office door, or near it.
