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Nurses for Wound Dressing Services at Home
Our nurse performs a wound dressing change, they follow strict aseptic techniques, including hand hygiene and sterile fields, to assess the wound, clean it gently, apply an appropriate sterile dressing (like moist-to-dry for some wounds), protect the surrounding skin, and document findings, all while monitoring for infection and ensuring patient comfort. The process involves checking the old dressing, preparing supplies, cleaning from "clean to dirty," applying new dressing materials (e.g., saline-moistened gauze), securing it, and documenting everything.
Nurses Roles in Wound Dressing Services at Home
1. Inform and consent patient
2. Perform hand hygiene
3. Clean surfaces to ensure you have a clean safe work surface
4. Perform hand hygiene
5. Open and prepare equipment, peel open sterile equipment and drop onto aseptic field if used (dressing pack, appropriate cleansing solution, appropriate dressings, stainless steel scissors, tweezers or suture cutters if required)
6. Perform hand hygiene, use gloves where appropriate
7. Remove dressings, discard, and perform hand hygiene
8. Clean and assess the wound (wound and peri wound should be cleaned separately if washing the patient)
9. Perform procedure ensuring all key parts and sites are protected
10. Perform hand hygiene and change gloves if required
11. Apply new dressings
12. Apply fixation if required
13. Perform hand hygiene
14. Dispose of single-use equipment into waste bag and clean work surface
a. Single-use equipment: dispose after contact with the wound, body or bodily fluids (not into aseptic field)
b. Multiple-use equipment: requires cleaning, disinfection and or sterilisation after contact with the wound, body or bodily fluids
c. Stainless steel scissors that do not come into contact with the wound, body or bodily fluids can be re-used for the sole purpose of cutting that patient’s unused dressings. Scissors should be cleaned with an alcohol or disinfectant wipe before and after use
Who Needs Wound Dressing Services at Home
People needing wound dressing at home include those recovering from surgery, individuals with chronic conditions like diabetes or pressure sores (bedsores), burn victims, the elderly or immobile with skin breakdown, and those with deep cuts or post-surgical infections needing professional care to prevent infection and promote healing in comfort.
What are the nurse's responsibilities in wound dressing?
Assess tissue condition, wounds, drainage, and pressure injuries.
Cleanse and irrigate wounds.
Apply a variety of wound dressings.
Obtain a wound culture specimen.
Use appropriate aseptic or sterile technique.
Explain procedure to patient.
Why is dressing important in nursing?
The aim of a dressing is to promote healing of the wound by providing a sterile, breathable and moist environment that facilitates granulation and epithelialization. This will then reduce the risk of infection, help the wound heal more quickly, and reduce scarring.
What are the four goals of wound care?
Wound healing occurs in four stages, haemostasis, inflammation, proliferation and remodelling, and the appearance of the wound will change as the wound heals. The goal of wound management is to understand the different stages of wound healing and treat the wound accordingly.
How offen need tochange the wound dressing at home?
Your home health nurse or provider will usually give you a wound dressing change schedule. It’s crucial to follow it, even if the wound appears to be getting better. Skipping changes or waiting too long can slow healing or lead to infection. Use clean, sterile materials and handle them with care.
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