Component Task: Wound Dressing with an Assistant

REQUIREMENTS

Top shelf

• 2 kidney dishes with a cover (one containing cotton wool balls and gauze) 
• A probe 
• 2 galipots(one of the cleaning lotion and the other for the lotion used in dressing the wound) 
• Dressing forceps (2)/A pair of Sterile gloves if the dressing will be done with the hands 
• Dissecting forceps (2) ( insituations where the hand is used in cleaning the wound only one dissecting forceps will be required to pick the last layer of old dressing on the wound after washing of hands)
  

Bottom shelf

• Mackintosh and towel  
• Receptacle for soiled dressing 
• Lotions for dressing e.g. povidone iodine, normal saline, hydrogen peroxide 
• Face mask 
• Scissors 
• Bandage  
• Face mask 
• Disposable gloves 
• Plaster
  

COMPONENT TASK

1. Explain procedure to patient and ensure privacy. 
2. Put on mask, prepare and take trolley to bed side. 

1. Washes and dries hands and wears sterile gloves or uses sterile forceps. 
2. Removes soiled dressing using dissecting forceps and discards. 
3. Ask for assistant for. 
   
   • Put patient in desire position 
   • Protect bed cloths and expose area. 
   • Pour out lotion into gallipots 
   • And remove plaster or bandage
4. Cleans wound with swabs soaked in normal saline using sterile forceps / worn sterile gloves starting from the inner part of the wound to outer region using one swab at a time. 
5. Cleans wound with series of swabs until clean. 
6. Applies sufficient sterile dressings and secures into position with a plaster or bandage. 
7. Informs patient about state of wound, thanks and makes him comfortable in bed.Discards trolley, decontaminates used items and removes gloves. Washes and dries hands and removes screen. 
8. Documents and reports state of wound.