1
Q
Describing the wound
A
Verbalises:
- Size -
- Appearance -
- Tissue type -
- Surrounding skin -
- Exudate -
- Odour -
2
Q
What are the important notes when cleaning a wound?
A
- Choose the correct approach
based on the shape of the
wound. - Round - Going in circles
- Straight - Going straight
- No dabbing or tapping, circular motions only
- Use one gauze swab, in one
direction only (with gravity) - Do not dry the wound, only dry
the surrounding skin.
3
Q
Cleaning the wound
A
Action - Clean the wound from clean to dirty then only dry the periwound with dry gauze.
Speech - “I will now clean the wound, ensuring that I clean from clean to dirty. I won’t retrace where I wipe, moving in only one direction with each swab. When drying, I’ll use the two gauzes to only dry the periwound area, not the wound.”
4
Q
Applying the new bandages
A
Action - Apply the primary bandage
Action - Apply the secondary bandage with tape.
5
Q
Document
A
- Verbalise documentation of the wound assessment and dressing change.
Speech - “After I change the dressing, I will complete the necessary documentation, including filling out the dressing change record with the date, time, my signature, and when the next wound change is scheduled.”
6
Q
Therapeutic Communication
A
- “Okay, Jack, all done! Are you feeling comfortable?”
- “Are you still in pain? Here’s your call bell—let me know if you need anything. Is there anything else I can do for you before I go?”
- Hand Hygiene
