Name: Jan Elmer L. Labesores
CI: Angelito P. Abao, RN, MN
Date: January 31, 2021
Section: 1A group 2
Wound Care Dressing
Definition:
Wound dressing refers to covering wounds with woven pads to facilitate wound healing.
It also provides a moisturized environment for appropriate cell migration thereby resulting in
minimal scar tissue formation.
Purposes:
1.
2.
3.
4.
To promote wound healing by primary intention
To prevent infection
To assess the healing process
To protect the wound from mechanical trauma
Principles:
1. To perform medical hand washing before and after the procedure
2. To make sure that all equipment are disinfected and free from contamination
Equipment:






Sterile glove or clean glove
Sterile gauze
Adhesive tape or plaster
Bandage scissors
Picking forceps
Dressing forceps






Dry cotton balls
Cotton balls with alcohol
Cotton balls with betadine antiseptic
Cotton balls with betadine cleanser
Cotton balls with sterile water
Waste receptacle
Procedure with Rationale:
STEPS
1. Explain the procedure to the
patient.
2. Secure equipment and bring to
bedside.
3. Wash hands.
RATIONALE
Providing information foster
cooperation and allays anxiety
Organization facilitates
accurate skill performance
To cleanse hands from any
pathogens.
4. Undo materials securing the To prevent risk of
dressing. Lift dressing off by contamination.
touching the outside portions
only. If soiled use forceps
5. If dressing adheres to wound, To provide easier removal of
Ret
Dem
1
2
3
moisten with sterile water or
NSS or hydrogen peroxide.
Remove dressing using dressing
forceps when completely loose.
6. Drop soiled dressing into
waste receptacle/kidney basin for
later burning. If hands were used
for removing soiled dressings,
wash hands.
7. Clean wound aseptically using
dressing forceps from the center
to the outer portion using cotton
balls with:
a. phisohex or betadine cleanser
b. sterile water or NSS
c. betadine solution
8. Cover wound with sterile
dressing and secure with
adhesives.
9. Make patient comfortable and
tidy the unit.
10. Wash hands
dressing and prevent trauma on
wound.
To
prevent
spread
microorganisms
contaminated dressings.
of
by
To ensure proper cleaning of
the wound.
a. To cleanse and disinfect the
skin
b. To lift bacteria and debris
from the wound
c. To kill germs and stop
infection and for faster wound
healing.
To protect wound from
contamination
To ensure the patient’s
continued safety
To prevent the spread of
infection
11. After care of equipment. To reduce the risk of
Soak dressing forceps in 5% contamination and to prepare
Lysol solution for 30 minutes, for next use
then, wash with soap and water,
rinse then dry. Send to CSR for
sterilization.
12. Chart. Site of wound, Documentation provides
character of wound/discharges, coordination of care.
treatment given if any (e.g.
ointment used) and reaction of
the patient.
Ability to answer questions:
A.
B.
Total Score
Equivalent Grade
*with patient
Final Grade
Signature of CI
Signature of Student
Bibliography:
Berman, A., Snyder, S. J., & Frandsen, G. (n.d.). Kozier & Erb's Fundamentals of Nursing:
Concepts, Process, and Practice (Tenth ed.).