FOR FACULTY USE ONLY STUDENT’S NAME DATE TIME LIMIT TO COMPLETE: 15 MINUTES Skills Modules 2.0 Checklist for Wound Care General CHECK/ INITIAL COMMENTS Verify order Patient record Assess for procedure need Identify, gather, and prepare equipment and supplies Dry dressing change (transparent dressings, absorbent pad, antiseptic swabs) Dressing change with irrigation and packing (irrigant solution, large syringe, needle, gauze pads, biohazard bag, absorbent pads, personal protective equipment, scissors, wound measuring guide, cotton-tipped applicators, packing material, forceps, tape, rolled gauze) Apply principles of aseptic practice Hand hygiene Personal protective equipment Disposal of waste Communicate effectively Privacy Patient identification Patient teaching Ensure consent form has been signed Provide for a safe environment Body mechanics Equipment placement Patient safety PAGE 1 www.atitesting.com ©2015 Assessment Technologies Institute ®, Inc. STUDENT _________________________ Skills Modules 2.0 Checklist for Wound Care Demonstrate procedural steps COMMENTS CHECK/ INITIAL Dry dressing change Place supplies at bedside. Raise bed to comfortable working height. Assess pain and administer prescribed pain medication at least 20 minutes beforehand if needed. Prepare supplies. If sterile dressing change, maintain sterile field. Expose site. Place absorbent pad under patient. Measure wound’s dimensions. (If dressing is not transparent, remove dressing first.) Remove and discard dressing. If wound is dry and dressing adheres, wet dressing with normal saline solution. Assess wound. Collect specimens as needed. Cleanse wound with antiseptic swab. Apply appropriate dry dressing to wound. Label dressing if required by facility’s policy. Adjust linens. Make sure patient is comfortable. PAGE 2 www.atitesting.com ©2015 Assessment Technologies Institute ®, Inc. STUDENT _________________________ Skills Modules 2.0 Checklist for Wound Care Demonstrate procedural steps Dressing change with irrigation and packing CHECK/ INITIAL COMMENTS Place supplies at bedside. Raise bed to comfortable working height. Assess pain and administer prescribed pain medication at least 20 minutes beforehand if needed. Prepare supplies. Set up biohazard bag. Expose site. Place absorbent pad under patient. Remove and discard dressing. If wound is dry and dressing adheres, wet dressing with normal saline solution. Remove packing from wound. Assess wound. Measure wound’s dimensions using wound measuring guide and cotton-tipped applicator. Discard guide and applicator. Set up irrigation supplies. Fill large syringe with irrigant solution. Irrigate wound, using gauze pads to catch solution and debris. Pat wound with gauze pads as needed. Discard gauze. Prepare supplies for dressing wound. Use forceps to pack wound gently. Apply gauze pad. Use rolled gauze to keep dressing in place. Apply tape. Adjust linens. Make sure patient is comfortable. Label dressing if required by facility’s policy. Adjust linens. Make sure patient is comfortable. PAGE 3 www.atitesting.com ©2015 Assessment Technologies Institute ®, Inc. STUDENT _________________________ Skills Modules 2.0 Checklist for Wound Care Documentation Document per facility policy — assessment findings CHECK/ INITIAL COMMENTS Onset of wound and mechanism of injury Any chronic conditions affecting wound or preventing healing Any associated symptoms (fever, pain) Location of wound Wound’s dimensions (width, height, depth) Color of wound Any odors from wound Temperature of skin Texture of skin (raised, concave) Any granulating tissue Any tunneling Any eschar or slough Any edema Any bleeding Any drainage and its description (color, consistency, amount, odor) Surrounding skin’s quality Patient’s tolerance of wound care procedure Any vital sign changes indicating wound-related problems Results of ankle-brachial index measurement Irrigation solution used Type of dressing applied Any packing materials Any topical treatments Comments PAGE 4 www.atitesting.com ©2015 Assessment Technologies Institute ®, Inc.
