Bandaging

7/18/2019 Bandaging

http://slidepdf.com/reader/full/bandaging-56d5007178e87 1/4

NCM 104 - SKILLS LABORATORY

Bandaging

Bandage - is a material used to provide support either to a medical dressing or an injured part of

the body.

- Bandages, ranging from cloth strips to specialized bandages used for a particular body part, are important components of your first aid kit.

- Very often the word bandage is used to refer to a dressing used on a wound.

- There are various bandaging techniues, each specifically targeting a particular areaor a particular type of ailment.

General Bandaging Objectives

! bandage can be applied for several reasons"

• To secure sterile dressings in place

•To provide compression which controls edema

• To support joints, ligaments or muscles that have been injured, or to prevent injury

• To support areas which are e#posed to e#cessive or repeated stress

• To provide a compression dressing to a wound to help stop bleeding

• To re-shape body contours $e.g. amputation stump%

Bandaging Hints & Tips

&. Be organised.

'. The duration of treatment is a choice for the clinician and will be dependent upon a

number of factors such as the severity of the injury and underlying condition of the

patient and patient(s lifestyle

). The e#tension of the bandage is a clinical choice. *f in doubt, it is advisable that the

e#tension of the bandage should not e#ceed + to avoid over tightening.

. *f the patient complains of undue pain or discomfort the bandage should be removed and

the injury and bandage application re-assessed.+. /hen using adhesive products consider using a protective spray if the patient has

delicate, or sensitive skin.

0. Bandage selection is important, be aware of the recommended indication for a product

and select your bandage accordingly.

JENNIFER S. CRUEL, RN, MN Page 1CLINICAL INSTRUCTOR

http://www.buzzle.com/articles/first-aid/



7/18/2019 Bandaging



1. 2o not use continuous, circumferential wraps of rigid tape as this may adversely affect

circulation.

3. 4#cessive creasing, wrinkling or gaps between bandage wraps should be avoided as this

may affect circulation or may create pressure points, blisters or skin breakdown.

5. /ith adhesive products as you may wish to protect bony areas, or other sensitive areas

with a swab or petroleum dressing.

&. The area to be taped should be supported adeuately in the correct position, and this

position maintained during taping.

Bandage Wrapping - is the process wherein a circular role of bandage is firmly rolled aroundthe limb, most often to support dressing, or stop bleeding.

To wrap the bandage on the limb, hold it transversely in the hand, and start rolling itaround the limb with the outer side of the bandage roll applied to the inner side of the

limb. The bandage has to be rolled from the inner side to the outer side.

Though rare, in some cases, it is rolled upwards from below.

The pressure on the part of the body being bandaged should be uniform.

6nce the rolling is done, the end of the bandage can be secured either by applying a

safety pin or by giving it a slit and tying it around the limb.

Bandaging TechniquesThe use of various bandaging techniues are determined based on the reason for which

bandaging is reuired. The three most commonly used techniues of bandaging are spiraltechniue, ascending spica techniue and diverging spica techniue.

Spiral Bandaging

Spiral bandaging - is the simplest of the roller bandaging techniues.- /hile rolling the bandage, in this method, the turns are done in spiral

method, wherein each turn covers the two-third part of the preceding turn.

Diverging Spica or Reverse Spiral Bandaging

Diverging spica technique - is most often used on body parts with varying circumference.

- !lthough the turns are made in spiral direction in this techniue,the bandage is reversed on itself so that it stays firm on body parts

with varying perimeters


7/18/2019 Bandaging



- 6nce the bandage is secured, after a few spiral binds, the bandageis rolled with the thumb being placed over the lower border of the

bandage on the outer side of the limb.

- 4ventually the bandage is reversed downwards, and after passing

it over the fi#ed thumb it is carried to the opposite side from under

the limb, and rolled in reverse spiral techniue above the preceding bandage wrap.

Ascending Spica or igure !ight Bandaging

Ascending spica - is considered to be the most useful roller bandaging techniue. *n this

method,the bandage is alternately passed upwards and downwards over and under the

limb, roughly resembling the figure 3 with each double turn.

A""#$%G A S#%G

Sling - is used to support an injured part of your body. *t is meant to immobilize the injured body

part.

- !n arm or shoulder that is fractured or dislocated will greatly benefit from a shouldersling. 7earning how to make and apply a shoulder sling is easy8 there is no need to take a

first aid class.

'a(ing and appl)ing a shoulder sling

•

9et a piece of cloth. The width should be roughly + feet. The sides should beappro#imately ) feet in length. ! smaller sized cloth can be used for children. *f you

have a bandana, you can use this instead.

• :ake a triangle out of the cloth. ;old one corner of the cloth and put it on top of the

opposite corner diagonally. ! triangle should form. <ou can also get your trustyscissors $one that can easily cut a cloth% and cut a triangular piece from the original

suare cloth.

• 9ently position the injured person=s elbow on the top of the triangle where the ape#

is located. The wrist should be positioned midway at the bottom of the triangle=s

edge.

• 9et the two end points of the triangle. 6ne should go over the shoulder from the

front and the other should come up from the back going towards the shoulder.

• >ecure these two points. ?se a pin to secure them together or you can make a knot

using both ends. The elbow should form a right angle so make sure to adjust theheight and the knot accordingly.


7/18/2019 Bandaging




Documents

Bandaging