Chronic Wound Care Examination

ChronicWoundCareexamination/assessmentprocedures/SOP UNDERSTANDING Chronic wounds areother wounds thatsoarethat difficult to healdoes due not to disruption of wound healing by systemic, local and factors the wound heal according to the normal wound healing time. OBJECTIVE a. Eliminates the cause (pressure, shear, friction, strain, neuropathy) b. Creates and dead maintains environment (prevents infection, wound cleanliness, tissuetheandwound moisture) c. Prevents the entry of germs and dirt into the wound d. Provide treatment to wounds e. Provides a sense of security and comfort to patients f. Evaluate the rate of wound healing PROCEDURE Preparation a. Sterile wound care set b. Sterile gloves c. Tweezers 3 (2 anatomical, 1 sirurgis) d. Scissors (according to the condition of the wound) e. Sterile gauze and gauze dressings f. Kom for antiseptic solution/cleaning solution g. Antiseptic ointment (if needed) h. Cotton sticks / cotton buds i. Prescribed cleaning solution (physiological saline/other) j. Cut out the bandage/plaster k. Disposable gloves l. Tape, binder, or dressing as needed m. Bent n. Perlak padding o. Bag for trash p. Sterile range q. Alcohol swab Procedure: a. PRE-INTERACTION STAGE b. Assess patient needs according to related actions c. Tools are fully prepared d. The device is brought closer to the patient e. Wash your hands properly ORIENTATION STAGE a. Therapeutic greetings are delivered in a friendly manner b. Correctly identify the patient* c. The purpose of the action is conveyed correctly d. Action procedures are conveyed correctly e. Action steps are presented briefly f. The required time is provided g. Give clients the opportunity to ask questions h. The patient's privacy environment is prepared WORK STAGE a. Arrange all the necessary sterile equipment yet) equipment on a trolley near the patient (do not open the b. Place the bend near the patient c. Adjust the client's position, instruct the client not to touch the wound area or sterile equipment d. Install the underlay e. Use clean disposable gloves and remove any tape, ties or dressings with tweezers f. Remove by releasing and pulling parallel to thealcohol skin and towards the the tape bandage. If there isthestilltipplaster on thegently, skin, clean it with cotton g. With sight gloves or tweezers, lift the dressing, keeping the dirty surface out of the client's h. If the dressing sticks to the wound, remove it by applying sterile solution / NaCl Observe the character and amount of drainage in the dressing Discard the dirty dressing on the bend Remove gloves and discard on crook Open the sterile instrument tub Prepare the solution to be used Put on sterile gloves Wound inspection Clean the wound with a prescribed antiseptic solution or physiological saline solution Hold the gauze soaked in the solution with sterile tweezers Use one gauze for one wipe Clean from less contaminated area to contaminated area Movement with progressive pressure away from the incision or wound edge Use new gauze to dry the wound or incision. Wipe as above Give antiseptic ointment if ordered / prescribed, use techniques such as cleaning steps Place dry sterile gauze on the incision or wound Use plaster over the dressing, fix with ties or bandages Remove gloves and throw them away Help the client into a comfortable position TERMINATION STAGE Evaluate responses and actions carried out correctly The patient is well groomed Provide education related to follow-up after the action is taken Tools are neatly arranged The subsequent time contract was submitted correctly Therapeutic greetings are delivered in a friendly manner Wash your hands properly DOCUMENTATION Documentation is written correctly Name of action, result of action, and patient response