Wound Dressing

Aseptic Wound Dressing Procedure

1. DRESSING
PROCEDURE
Prepared by:
SRN NOORHAZAMIN
NURSING EDUCATION SERVICES

2. INTRODUCTION

Effective wound dressing
promotes wound healing and
lead to early discharge and thus
save cost.

3. OBJECTIVES
To ensure nurses perform wound dressing
using aseptic technique.
 To assess the caring component during
dressing.
 To document wound findings after the
procedure in the appropriate patient’s
records.

4. STANDARD
 Nurses perform wound dressing using
aseptic technique.
 Nurses exhibit the caring component
during dressing.
 Nurses document wound findings in the
appropriate patient’s records.

5. PURPOSE
 To protect the wound from mechanical
injury.
 To protect the wound from microbial
contamination.
 To provide or maintain moist wound
healing.

6. PURPOSE
 To provide thermal insulation.
 To absorb drainage or debride a wound or
both.
 To prevent haemorrhage (when applied as
a pressure dressing or with elastic
bandage).

7. PURPOSE
 To splint or immobilize the wound site
and thereby facilitate healing and prevent
injury.

9. GAUZE
 Used in minor wound.

11. TULLE
 Doesn’t stick to wound surface. It is
best used for patient with sensitive
skin.

13. SEMI PERMEABLE
 Composed of sterile sheet, it is
transparent which can allow to check
on the wound regularly. Suitable for
shallow wound.

15. HYDROCOLLOIDS
 It is available in many forms and can
cover larger wound.

17. HYDROGELS
 Composed mainly of water in a
composite network.

19. HYDROfIBRE
 Soft non-woven pad that interacts
with wound drainage. It provides a
moist environment for deep wounds that
needs to be sealed yet air can penetrate.

22. ASEPTIC WOUND
DRESSING
 S1
 Greet and acknowledge patient.

23. ASEPTIC WOUND
DRESSING
 S2
 Inform patient and explain
procedure and assess pain.

24. ASEPTIC WOUND
DRESSING
 T3
 Prepare trolley for dressing.

25. ASEPTIC WOUND
DRESSING
 S4
 Provide privacy to patient.

26. ASEPTIC WOUND
DRESSING
 S5
 Place patient in comfortable
position.

27. ASEPTIC WOUND
DRESSING
 T6
 Perform hand hygiene (hand rub).

28. ASEPTIC WOUND
DRESSING
 T7
 Wear mask and hand rub.

29. ASEPTIC WOUND
DRESSING
 T8
 Open outer layer of dressing set.

30. ASEPTIC WOUND
DRESSING
 T9
 Discard soiled dressing.

31. ASEPTIC WOUND
DRESSING
 T10
 Perform hand hygiene (hand wash).

32. ASEPTIC WOUND
DRESSING
 T11
 Open inner layer of dressing and add
necessary items using non touch
technique.

33. ASEPTIC WOUND
DRESSING
 T12
 Perform hand hygiene (hand wash).

34. ASEPTIC WOUND
DRESSING
 T13
 Wear sterile glove (optional) and
prepare swabs.

35. ASEPTIC WOUND
DRESSING
 T14 Perform dressing
T14.1Maintain sterile field.
T14.2Correct aseptic technique
while performing dressing.
T14.3Apply and secure
appropriate wound dressing.

37. ASEPTIC WOUND
DRESSING
 T15
 Perform hand hygiene (hand wash).

38. ASEPTIC WOUND
DRESSING
 D16 Document findings
D16.1Wound size and depth.
D16.2Nature of wound :
Swelling, dirty, clean, slough,
gangrene, healing process.
D16.3Nature of discharge :
Smell, color, serous, bloody,
pus.