Bandaging

roller bandage, triangular bandage, tailed bandage,
principles, application

1. BANDAGING Sharon Treesa Antony Junior Lecturer Govt. College of Nursing Kottayam

2. Uses Secure dressings Control bleeding Support and immobilise limbs Reduce swelling in an injured arm

3. Types Roller bandage Triangular bandage Tailed bandage

4. Principles of bandaging Before applying a bandage, reassure the casualty and explain clearly what you are going to do. Make the casualty comfortable , in a suitable sitting or lying position

5. Keep the injured part supported while you are working on it. Ask the casualty or a helper to do this. Always work at the front of the casualty and from the injured side where possible.

6. Apply bandages firmly , but not so tightly that they interfere with circulation to the area beyond the bandage Leave the fingers, or toe on a bandaged limb exposed, if possible, so that you can check the circulation, afterwards.

7. Use reef knots to tie bandages, ensure that the knots do not cause discomfort, and do not tie the knot over a bony area/ injured part as it causes discomfort and pressure. Tuck the loose ends under a knot if possible.

8. Regularly check the circulation in the area beyond the bandage. If necessary unroll the bandage until the blood supply returns and reapply it more loosely

9. Face the casualty except for capelin and eye bandage Hold the head of the bandage in left hand while bandaging the right limb Begin and end the bandaging with 2 circular turns

10. A bandage should never be applied over a wound; it should be used only to hold in place the dressing which covers a wound Bandage from distal to proximal ( below to upward part of the limb) Bandage from inner side to outer side ( medial to lateral)

11. While taking turns, cover 2/3 rd of the previous turn leaving 1/3 rd of the bandage uncovered Take turns parallel with one another

12. Application of triangular bandage

13. Parts of a triangular bandage Base Apex/Point Extremity Extremity

14. Triangle bandage of forehead / scalp Arm sling : 2 types Elevation sling Triangle bandage of chest or back Triangle bandage of foot

15. Application of roller bandage

16. Width of roller bandage 1 inch for finger and toes 1.5 to 2 inches for hand 2-2.5 inches for forearm and foot 3-4 inches for upper arm, thighs and leg 4 inches for breast spica , shoulder 6 inches for axilla and trunk

17. parts Head: the portion that is rolled Tail: unrolled portion Borders: 2

18. Different turns used CIRCULAR TURN: To fix the bandage at the beginning and at the end. Can be used bandage head and trunk.

19. Spiral turn To bandage a part with slightly increasing width or a cylindrical part ( forearm, leg, fingers)

20. Reverse spiral To bandage a part that has uneven width.(forearm, calf, thigh) After taking a simple spiral, apply a reverse turn when the part increases in size

21. Figure of eight It is done in the shape of figure ‘8’ Mainly used for ankle, foot, elbow Bandage is applied obliquely up and down alternatively

22. Spica Used for joints where one part is at an angle with the other it is modified figure of ‘8’ Used for shoulder, thigh, groin, hip etc

23. Divergent spica : for flexed joints Recurrent turn: used to cover an extremity or stump completely

24. Application Recurrent bandage of head One eye bandage Bandage of both eyes Bandage of jaw Spica of shoulder Figure of eight of foot Finger bandage Recurrent bandage of stump Bandage of hand Spica of foot

25. T- bandage T shaped A vertical strip of material sewn or pinned to the centre of a horizontal strip Used for bandaging perineum, scalp, ear, eye

26. Double T bandage Made by sewing 2 vertical strips of material to the centre of a horizontal strip about 4 inches apart. Used to hold dressings on the chest, back and perineum

27. Four tailed bandage Made of a piece of material 4 to 6 inches wide and about 30 inches long. Cut each end about 12 or 14 inches down its middle, leaving the centre piece about 12 0r 14 inches in length Used to hold dressings on the jaw, nose, and back of the head.

28. Many tailed bandage/ binder Similar to 4 tailed bandages Ends are cut into desired number of tails about 16 inches in length and the middle portion which is not cut is about 20 inches in length Used to support abdomen after delivery

29. THANK YOU