open wound drsg Flashcards
(16 cards)
wound 1
assess (3)
wound pt assess (3)
need
check rx
pain + last analgesia
wound care assess 1
need for wound care
need for wound care
soiled or routine
wound care assess 2
check rx for drsg type
wound care assess 3
pain + last analg
wound care 2
prep (13)
wound care prep (13)
equip (10)
hh, ppe prn
intro + id pt
explain + consent
privacy, comfort
clean gloves
remove soiled
assess drsg (3)
assess wound (14)
position pad + basin under wound
dispose gloves + drsg according to pol
hh
precut hypafix + label
wound care equip (10)
sterile glove
clean glove
wound care kit
30-60ml syr
irrig tip
hypafix
4x4/drsg
sterile ns
kidney basin
dispo pad
wound care assess drsg (3)
exudate, type of exudate, % soiled
wound care assess wound (14)
location
shape
size
tissue in
exudate
undermining
tunneling
pain pres
infection ssx
color
odor
periwound
wound edge
devit tissue
wound care 3
drsg change (10)
wound care drsg change (11)
open field
add mtl (4)
ensure space to open gloves
apply sterile gloves
connect irrig tip, draw ns, irrigate from clean > dirty
clean + dry surrounding tissue
reassess wound
apply drsg + hypafix 2-3 cm around
discard mtls
remove gloves + hh
BED
wound care mtl to add to field (4)
ns
syringe
tip
gauze/drsg
wound care 4
doc (4)
wound doc (4)
clt resp
aspect of wound + prev drsg
irrig
type of new drsg