Wound care -- Irrigation and dry dressing

>BEFORE REMOVING BANDAGE:
1. Medicate for pain
2. Gather supplies
3. Wash hands
4. Ask patient/check chart and id bracelet for

--name
--medical record #
--date of birth
--allergies

5. Don clean gloves; wipe down table & rails w/disinfectant
6. Put supplies IN ORDER OF USE on table
7. Cut tape; write Date, Time, Initials

>REMOVE THE BANDAGE; TOSS IT, ALONG WITH YOUR GLOVES. DON'T FORGET:

--use sterile saline to loosen, if it sticks
--don't make patient see wound
--check for exudate

>DON CLEAN GLOVES; MEASURE WOUND; CHUCK GLOVES AGAIN

>GET READY TO IRRIGATE THE WOUND:
1. Cover the wound temporarily with a gauze pad or ABD
2. Get all your sterile stuff organized:

--open syringe box; use ring to lift up bottle; take out the syringe
--open saline, lip off & pour into syringe bottle
--don clean gloves
--open a gauze sponge or 2

>IRRIGATE THE WOUND:
1. only touch ring & top collar of syringe
2. cleanest to dirty
3. dry w/gauze
4. REMOVE GLOVES

>BANDAGE THE WOUND:
1. Open gauze (1), cover sponges (1), ABD (1)
2. Lastly, open sterile gloves and don
3. Put gauze, then cover sponges, then ABD on wound
4. Tape all 4 sides; make sure date, time and initials are easy to see