LESSON 4: Procedures Used in Wound Care
4-10. PROCEDURE FOR IRRIGATING A WOUND
This section gives the procedures for performing a routine wound irrigation using sterile techniques. Irrigation of a wound prior to an operative treatment is discussed in section III.
a. Verify Wound Irrigation Order. Check the Doctor's Orders, Therapeutic Documentation Care Plan, or check with the supervisor to ensure that a wound irrigation is to be performed. Your instructions will specify the type and amount of solution to be used to irrigate the wound.
b. Wash Hands. Perform a patient care handwash.
c. Assemble Equipment and Supplies.
Figure 4-10. Asepto syringe.
d. Identify the Patient. Ask the patient his name and check the patient's identification bracelet, bedcard, or other identification. This is done to ensure that you perform the procedure on the correct patient.
e. Explain the Procedure to the Patient. Simply tell the patient what you are going to do and why.
f. Provide Privacy. Place a screen or curtain around the patient, or close the door if the patient is in a room.
g. Position the Patient. Place the patient in a position that provides for maximum exposure of the wound without causing unnecessary exposure of the patient's body. Make sure that there is adequate lighting of the wound area.
h. Position the Protective Pad. Assist the patient, as necessary, to raise his body. Place protective pad directly under the wound. The pad will protect the bedding. After the pad is in place, assist the patient to return to the desired position.
i. Mask, If Needed. A mask may be needed to protect the wound from contamination by microorganisms from your respiratory system. Once you have begun the irrigation, do not touch or adjust your mask since this action could transfer microorganisms from you to the wound or from the wound to you. To don the mask, place the mask on your face and pull the elastic over your head.
j. Remove Soiled Dressings, If Any. See paragraphs 4-5f through k.
k. Wash Hands. Perform a patient care handwash.
l. Prepare Irrigation Equipment.
m. Irrigate the Wound.
n. Apply Sterile Dressing to Wound. Follow the procedures given in paragraph 4-7.
o. Perform Concluding Procedures.
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