University:
The Pennsylvania State University
Course:
NURS 100 | Nursing
Academic year:

2024
Views:

499

Pages:

3
Author:

Aaron B.

POST OPERATIVE WOUND CARE ANDLIFT THE SEAMS Patient preparation: 1. Greet and greet the patient by name 2. Explain the purpose and procedure of action to the family/client 3. Ask the client's readiness before the activity is carried out. 4. Giving the patient a position to create a comfortable atmosphere tools preparation 1. Sterile instrument tub contains: a) Sterile gloves. b) Tweezers 4 (2 anatomical, 2 cirurgis) c) Hatting up scissors. d) Waten stick. e) Comm 2 pieces. f) Sterile gauze. g) Plaster h) Cut the bandage i) Bent 2 pieces j) NaCl solution k) Pelak and base l) Betadine m) Corrange n) Alcohol 70% o) Cotton rounds and clean gloves Implementation Procedures 1. Explain the procedure to the client regarding wound care. 2. Have all necessary equipment close by. 3. Place the bench near the patient. 4. Close the room/curtains around the bed. 5. Help the client into a comfortable position. 6. Wash your hands thoroughly. 7. Install the sheet and base. 8. Put on clean disposable gloves and remove the tape. Lift the dressing with tweezers. 9. Remove the tape by releasing the tip and pulling gently, parallel to the skin and towards the bandage. 10.With gloves/tweezers, lift the dressing. 11. If the dressing sticks to the wound, remove it by applying 0.9% NaCl solution 12. Observe the character of the wound and the amount of drainage 13. Throw away the dirty bandage on the bend, remove gloves and throw it on the bend containing 5% chlorine. 14. Open the instrument tub, prepare betadine and NaCl solution in the comm, prepare plaster, prepare depress. 15.Wear sterile gloves. 16. Inspect the wound, pay attention to its condition, location of the drain, integrity of the suture and character of the drainage and palpate the wound (if necessary). 17. Clean the wound with 0.9% NaCl solution using tweezers. Use one gauze for each wipe. 18. Use new gauze to dry the wound/incision. 19.Remove the stitches one by one alternately by: pinching the stitch knot with cirurgis tweezers and pull slightly upwards then cut the thread just below the knot adjacent to the skin/on the other side where there is no knot. 20. Clean the wound with 0.9% NaCl again and dry it. 21.Give a wound dressing with (tule) or immediately cover the wound with sterile gauze, then apply a plaster 22. Tidy up the patient. Termination Stage 1. Evaluate the actions taken 2. Clean the tools 3. Wash your hands 4. Carry out documentation by recording activities in nursing sheets/notes