BURN DRESSING, demonstration with step by step

presented by Gaurav Karanjekar

1. BURN DRESSING PREDENTED BY, GAURAV KARANJEKAR

2. INTRODUCTION The skin is the largest organ in the human body , A break in the continuity of the skin surface is the first step in the formation of a wound and provide a potential portal of entry for the infection, burn of the skin due to some reason damage the tissue .there for wound healing is one of the major concerns for the burn patient .   Cleaning a burn wound with the normal saline using anti septic technique for the removal of exudates and applying anti bacterial agent

3. PURPOSES :   To perform wound debridement To enhance wound healing To prevent complications

4. Principles of wound dressing : Micro organism are present in the environment , on the articles and the skin .pathogenic organism are transmitted from the source to the new host directly or indirectly . Bacteria travels along with the dust particles. Cleaning an area were there is less no of organism , before cleaning an area were there is more no of organism , minimize the spread of organism to the clean area. A break in the skin and mucus membrane acts as the portal of the entry for the pathogenic organism Respiratory tract harbours micro organism that can enter the wound Moisture facilitaes growth and movement of micro organism

5. TYPES OF WOUND DRESSING : Open method Closed method

6. OPEN METHOD The antimicrobial cream is applied with a gloved hand and the wound is left open to the air without gauze dressing . The cream is reapplied as needed . Advantages: Increased visibility of the wound Freedom for joint mobility   Disadvantages: Increased chance of hyperthermia

7. CLOSED METHOD In closed method , gauze dressing is imp lemen ted with antimicrobial cream and applied to the wound with dressing. Advantages : Decrease in evaporative fluid and heat loss from the wound surface Gauze dressing aids in debridement Disadvantages : Mobility limitations Wound assessment is limited

8. ASSESSMENT Client allergies to wound cleaning agents The appearance and size of the burn The amount and character of exudates Client complaints of discomfort The time of the last pain medications Signs of systematic infection (elevated body temperature , malaise)

9. PROCEDURE

10. ARTICLES Dressing trolley with …………. 1.Sterile bandages 2.Sterile dressing pads 3.Sterile Paraffin gauze 4.Silver sulfadiazine 1% 5.Sterile normal saline 6.Forceps 7.Adhesive tape 8.Sterile scissors 9. Receptacle for waste

11. Steps of procedure Explain the client what you are going to do, wash hands before procedure Provide for client privacy scrub hands and don sterile gown and gloves , put on mask and cap Administer analgesic about 20 minutes before procedure as per physicians order it helps to minimized the pain during dressing Soak previous dressing with normal Saline ,moistening adherent dressing reduces discomfort when removed provide hydrotherapy / shower bath which Helps in cleansing of wound. Regular temperature of the room at 24 degrees centigrade and humidity at 40 to 50%

12. Cont … Cleaning and debride the wound using sterile scissors and forceps. Trim loose escher and separate devitalised skin it remove debris, any remaining topical agents exudates and dead skin. Clean the wound with normal saline Apply tropical medications over the wound . Cover the wound with paraffin gauze and place sterile dressing pad Apply bandage over the dressing pad Discard the gloves and gown and hand wash properly Wash reusable particles to be sent for autoclaving. Record procedure an note odour, color , size amount of exudates and sign of epithelialization and any change from previous dressing.

13. TROPICAL ANTIMICROBIAL AGENT USED FOR BURN WOUNDS silver sulfadiazine 1% muafenide acetate 10% cream or 5% solution silver nitrate 0.5% solution

14. Nursing Responsibilities for Applying Dressings • Open wound = sterile procedure • • Handwashing • Gloves should always be worn •monitor odour , color, size and healing process of wound Vital sign Give correct information to patient. documentation

15. THANK YOU !