BIOSAFETY IN SURGICAL DRESSING ROOMS

BIOSAFETY IN SURGICAL DRESSING ROOMS

1. BIOSAFETY IN SURGICAL DRESSING ROOMS Dr.T.V.Rao MD 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 1

2. Taking care of Wounds a Priority One to be familiar When applying or changing dressings, an aseptic technique is used in order to avoid introducing infections into a wound. Even if a wound is already infected, an aseptic technique should be used as it is important that no further infection is introduced. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 2

3. DRESSING ROOM BIOSAFETY A PRIORITY Position the patient comfortably and make sure the surrounding area is clean and tidy before you start. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 3

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5. Preparing oneself to do Dressing with safety Wash your hands and put on an apron. Clean the trolley using soap and water, or disinfectant, and a cloth. Start at the top of the trolley and work down to the bottom legs of the trolley using single strokes with your damp cloth. Place the sterile dressing/procedure pack on the to p of the trolley. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 5

6. Change the Surgical Bandage Before changing Dressing you must wash your hands. Why? Now that you have your dirty bandage off, it is important to clean your hands again before touching your incision. The bandage and your hands will both have bacteria on them at this point so washing again is essential. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 6

7. Cleaning the Incision Use soap and water to gently clean the incision, you do not have to use antibacterial soap. Do not scrub the incision, remove scabs, or attempt to clean the sutures or staples. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 7

8. Changing a regular dressing over incision Wash your hands before starting the dressing change. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 8

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10. Major principles for wound dressing Use Standard Precautions at all times. When using a swab or gauze to cleanse a wound, work from the clean area out toward the dirtier area. (Example: When cleaning a surgical incision, start over the incision line, and swab downward from top to bottom). Change the swab and proceed again on either side of the incision, using a new swab each time. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 10

11. Work with aseptic methods to change the dressings Open the sterile dressing pack on top of the trolley. Open the sterile field using the corners of the paper. Open any other sterile items needed onto the sterile field without touching them. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 11

12. Disposing the Old Dressing Remove the old dressing by only touching the edges. Throw away the old dressing in the garbage. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 12

13. Wash your hands again. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 13

14. Prepare to take a New Dressing replacing the old dressing Open a sterile dressing package by holding the upper two edges of the package and pull sideways, rather than tearing the package open. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 14

15. Prepare yourself next action to replace the Old dressing Keep the new dressing inside the sterile package until you are ready to put it over your incision. Touch only the edges of the new dressing. Do not touch any part of the dressing that will be on the incision. Tape all sides of the dressing securely. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 15

16. The Nurses should follow the Instructions for Biosafety If there is a drainage tube, be sure to cover this area with the dressing. Follow any special instructions your doctor or nurse gives you. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 16

17. Cleaning and Irrigating the Surgical Wounds When irrigating a wound, warm the solution to room temperature, preferably to body temperature, to prevent lowering of the tissue temperature. Be sure to allow the irritant to flow from the cleanest area to the contaminated area to avoid spreading pathogens. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 17

18. Taking care of the incision site Wash your hands before caring for your incision. Do not apply any creams, salves, ointments or powders unless you have been told to do so. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 18

19. Follow your surgeon's directions for sutures or staples, Steri -Strips® or special dressings. If you had: sutures or staples: they will be removed at your follow-up appointment Steri -Strips (thin paper-like strips over the incision): they will begin to fall off as the incision heals. They do not need to be replaced. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 19

20. After the procedure Fold up the dressing/procedure pack and place all contaminated material in a bag designated for clinical waste, making sure all sharps are removed and disposed of in a sharps container. Remove gloves and place in waste bag. Wash your hands. Clean the trolley with soap and water or disinfectant solution as before. Record (document) on the patient's chart your wound assessment, the dressing change and the care you have given. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 20

21. Monitoring the Wound Report any unusual changes in your wound. Call your doctor if you see signs of infection, or if any strange things occur around the wound. Again, if you have a bad smelling odour coming from your wound, pus coming out of the wound, or excessive amounts of pain, call your doctor. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 21

22. Surgical Wound Monitoring from Home Recent Advances with Technology A smartphone app called Wound Care i s successfully enabling patients to remotely send images of their surgical wounds for monitoring by nurses. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 22

23. Surgical Wound Monitoring from Home Recent Advances with Technology The app was developed by researchers from the Wisconsin Institute of Surgical Outcomes Research ( WiSOR ), Department of Surgery, University of Wisconsin, Madison, with the goal of earlier detection of surgical site infections and prevention of hospital readmissions. The study results appeared on the website of the Journal of the American College of Surgeons . 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 23

24. Teach Dressing management to patients Provide the patient with some dressing management education and answer any questions before you go. Report any changes to a senior nurse or doctor. 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 24

25. The Program crated by Dr.T.V.Rao MD for benefit of Medical, Nursing and Paramedical who care for the dressing rooms Email [email protected] 9/17/2023 Dr.T.V.Rao MD @ Wound dressing 25