STANDARD OF PROCEDUR DREESING

PUAN ROHAYATI SAFEE KLINIK PENJAGAAN LUKA,HRPZ II

KANDUNGAN
DEFINATION - ASEPTIC WOUND DRESSING

DEFINATION OF DREESING
OBJECTIVE GENERAL PRINSIP ASEPTIC WOUND

DRESSING WOUND DRESSING PROSEDUR REFERENCE.

ASEPTIC WOUND DRESSING

Aseptic technique is the effort taken to keep patients

as free from hospital micro-organisms as possible (Crow 1989). It is a method used to prevent contamination of wounds and other susceptible sites by organisms that could cause infection. This can be achieved by ensuring that only sterile equipment and fluids are used during invasive medical and nursing procedures. Ayliffe et al. (2000) Read more: http://www.surgeryencyclopedia.com/knowledge/Asep tic_technique.html#ixzz285PNNvBg

DRESSING

Dreesing is the application

of fluid to aid removal of exudates, debris, slough and contaiminated .

OBJECTIVE
TO ENSURE NURSES PERFORM

WOUND DRESSING USING PRINCIPLES OF ASEPTIC TECHNIQUE. TO ASSESS THE CARING COMPONENT DURING DRESSING TO DOCUMENT FINDING ACCURATELY AND COMPLETELY IN PATIENTS

GENERAL PRINCIPLES OF ASEPTIC WOUND DRESSING

PREVENTION OF INFECTION

- HAND HYGINE SEPTIC TECHNIQUE DURING DRESSING COVER THE WOUND INFECTED OR DIRTY WOUND SHOULD BE DONE

CLEANNING OF WOUND SWAB FROM CLEAN TO DIRTY AREA

MINIMIZE FUTHER DAMAGE
APPLY NON ALLERGENIC DRESSING SECURE THE DRESSING APPROPRIATELY SO

AS NOT IMPAIR BLOOD CIRCULATION

PROMOTE HEALING DIET,MEDICATION

DRESSING PROCEDUR
INFORM PATIENT OF PROCEDURE.

PROVIDE PRIVACY
CHECK PATIENTS RECORCD AND ASSESS

WOUND. ENSURE ADEQUATE ANALGESIA PRIOR TO PROCEDURE.

 PERFORM HAND HYGINE

SOAP AND WATER ALCOHOL HAND RUB

PERSONAL PROTECTIVE
WEAR PROPER PERSONAL PROTECTIVE

EQUIPMENT (PPE) BEFORE DRESSING

MASK APRON GLOVE

EQUIMENT DRESSING
TROLLEY DREESING

DRESSING SET
SOLUTION MATERIAL DRESSING CLINICAL WASTE BIN/ GENERAL WASTE BIN ** CHECK EXPIRY DATE

PROCESS DRESSING
PERFORM HAND HYGIENE.

WEAR GLOVE
LOOSEN THE EXISTING DRESSING BUT DO

NOT REMOVE IT.

OPEN SET
PERFORM HAND HYGIENE

OPEN THE 1ST LAYER OF DRESSING SET.

APPLY ASEPTIC TECHNIGUE WHEN OPENING

STERILE SET.

REMOVE DRESSING
REMOVE LOOSEN SOILED DRESSING WITH

FORCEP DISCARD USED FORCEP INTO RECEIVER PERFORM WOUND ASSESSMENT

OPEN 2ND LAYER DRESSING

PERFORM HAND HYGINE .

OPEN THE 2ND LAYER OF DRESSING SET.

MAINTAIN STERILE FIELD WHICH INCLUDE:
ENSURE BODY OR ANY PART OF CLOTTING DOES NOT

TOUCH STERILE FIELD. HANDS DO NOT CROSS STERILE FIELD AT ALL TIME.

STEP DRESSING
SOLUTION HAND HYGIENE- WEAR GLOVE STERILE

SQUEEZE SWAB

DREESING
CLEAN THE AREA CLEAN AND TO DIRT

COVER THE WOUND AFTER DRESSING

 CLEAR TROLLEY.

DOCUMENT WOUND FINDING

USE THE PRINCIPAL TIME:
T- FOR TISSUE I- FOR INFECTION M- MOIST E- EDGE

DATE, TIME
DATE CHANGE DRESSING

REFERANCE
NICOL,M : (2008) ASEPTIC DRESSING

TECHNIQUE MINISTRY OF HEALTH MALAYSIA, (2010) POLICIES AND PROCEDURES ON INFECTON CONTROL 3. NURSING DIVISION, MINISTRY OF HEALTH, (2011)NATIONAL NURSING AUDIT.VERSION4.