STANDARD OF PROCEDUR DREESINGPUAN ROHAYATI SAFEE KLINIK PENJAGAAN LUKA,HRPZ II

KANDUNGAN DEFINATION - ASEPTIC WOUND DRESSING

DEFINATION OF DREESING OBJECTIVE GENERAL PRINSIP ASEPTIC WOUND

DRESSING WOUND DRESSING PROSEDUR REFERENCE.

ASEPTIC WOUND DRESSING Aseptic technique is the effort taken to keep patients

as free from hospital micro-organisms as possible (Crow 1989). It is a method used to prevent contamination of wounds and other susceptible sites by organisms that could cause infection. This can be achieved by ensuring that only sterile equipment and fluids are used during invasive medical and nursing procedures. Ayliffe et al. (2000) Read more: http://www.surgeryencyclopedia.com/knowledge/Asep tic_technique.html#ixzz285PNNvBg

DRESSING

Dreesing is the application

of fluid to aid removal of exudates, debris, slough and contaiminated .

OBJECTIVE TO ENSURE NURSES PERFORM

WOUND DRESSING USING PRINCIPLES OF ASEPTIC TECHNIQUE. TO ASSESS THE CARING COMPONENT DURING DRESSING TO DOCUMENT FINDING ACCURATELY AND COMPLETELY IN PATIENTS

GENERAL PRINCIPLES OF ASEPTIC WOUND DRESSING PREVENTION OF INFECTION

- HAND HYGINE SEPTIC TECHNIQUE DURING DRESSING COVER THE WOUND INFECTED OR DIRTY WOUND SHOULD BE DONE

CLEANNING OF WOUND SWAB FROM CLEAN TO DIRTY AREA MINIMIZE FUTHER DAMAGE APPLY NON ALLERGENIC DRESSING SECURE THE DRESSING APPROPRIATELY SO

AS NOT IMPAIR BLOOD CIRCULATION PROMOTE HEALING DIET,MEDICATION

DRESSING PROCEDUR INFORM PATIENT OF PROCEDURE.

PROVIDE PRIVACY CHECK PATIENTS RECORCD AND ASSESS

WOUND. ENSURE ADEQUATE ANALGESIA PRIOR TO PROCEDURE.

PERFORM HAND HYGINE

SOAP AND WATER ALCOHOL HAND RUB

PERSONAL PROTECTIVE WEAR PROPER PERSONAL PROTECTIVE

EQUIPMENT (PPE) BEFORE DRESSING MASK APRON GLOVE

EQUIMENT DRESSING TROLLEY DREESING

DRESSING SET SOLUTION MATERIAL DRESSING CLINICAL WASTE BIN/ GENERAL WASTE BIN ** CHECK EXPIRY DATE

PROCESS DRESSING PERFORM HAND HYGIENE.

WEAR GLOVE LOOSEN THE EXISTING DRESSING BUT DO

NOT REMOVE IT.

OPEN SET PERFORM HAND HYGIENE

OPEN THE 1ST LAYER OF DRESSING SET. APPLY ASEPTIC TECHNIGUE WHEN OPENING

STERILE SET.

REMOVE DRESSING REMOVE LOOSEN SOILED DRESSING WITH

FORCEP DISCARD USED FORCEP INTO RECEIVER PERFORM WOUND ASSESSMENT

OPEN 2ND LAYER DRESSING PERFORM HAND HYGINE .

OPEN THE 2ND LAYER OF DRESSING SET. MAINTAIN STERILE FIELD WHICH INCLUDE: ENSURE BODY OR ANY PART OF CLOTTING DOES NOT

TOUCH STERILE FIELD. HANDS DO NOT CROSS STERILE FIELD AT ALL TIME.

STEP DRESSING SOLUTION HAND HYGIENE- WEAR GLOVE STERILE

SQUEEZE SWAB

DREESING CLEAN THE AREA CLEAN AND TO DIRT

COVER THE WOUND AFTER DRESSING

CLEAR TROLLEY.

DOCUMENT WOUND FINDING USE THE PRINCIPAL TIME: T- FOR TISSUE I- FOR INFECTION M- MOIST E- EDGE

DATE, TIME DATE CHANGE DRESSING

REFERANCE NICOL,M : (2008) ASEPTIC DRESSING

TECHNIQUE MINISTRY OF HEALTH MALAYSIA, (2010) POLICIES AND PROCEDURES ON INFECTON CONTROL 3. NURSING DIVISION, MINISTRY OF HEALTH, (2011)NATIONAL NURSING AUDIT.VERSION4.