15. Sterile gloves should be worn if it is necessary to directly touch the wound and these gloves should not contact anything other than the wound or the sterile products being used on it. Describe the proper procedure for setting up/maintaining a sterile field. Sterile means free from germs. Your health care provider has covered your wound with a wet-to-dry dressing. DO NOT rub it dry. Open the dressing pack and equipment. Medical asepsis is used when undertaking an aseptic technique for a simple wound dressing. Update the patient’s records. ‘If you read one thing today, make sure it’s Vicky Neville’s open letter’, This article, the second in a two-part series on asepsis, provides a step-by-step guide to using an aseptic technique to change a simple wound dressing. Principles of asepsis and clean dressing technique. 9. Terms have been used interchangeably and all are subject to individual interpretation. Risk assessment is an important element of any nursing procedure or practice, including aseptic technique. – In the case of an open wound, loss of cutaneous tissue or ulcer, the colour is an indicator of the stage in the healing process:• black area = necrosis, wet or dry infected eschar• yellow or greenish area = infected tissue and presence of pus• red area = granulation, usually a sign of healing (unless there is hypertrophy), however, red edges indicate inflammation or infection• pink area = process of epithelisation, the final stage of healing that begins at the edges of the wound, – In the case of a sutured wound, the existence of local signs of suppuration and pain requires the removal of one or more sutures to avoid the infection spreading. Sage® CVC Pack $74.95 RRP. Perform hand hygiene using ABHR. 7. Infection inhibits wound healing. (8) Pat the wound dry with sterile gauze sponges. Sterile instruments may be used, and some gauze and primary dressings may be kept for use at the next dressing change. Scope. Using sterile forceps, remove inner dressing (packing) from the wound. (7) Remove the emesis (catch) basin from under the wound. Be familiar with the principles of Sterile Technique (handout posted on Moodle) 3. Section 1.1 Basic Dressing Technique. Sutures on the head should be removed within three to five days, 10-14 days if they are over a joint, and seven to 10 days on other sites. (1) Lay a sterile 4 x 4 gauze dressing over the lower part of the wound (figure 4-8, first). To change a sterile dressing, a person needs sterile gloves and a special dressing change kit or supplies. However, if the hands are visibly soiled or dirty, or there is potential to spread organisms that are alcohol-resistant (for example. Follow your health care provider's instructions on using sterile technique. (2) Move outward toward the wound edges. 12. Pick up a dressing forceps and remove the dressings and put it in the paper bag. This content cannot be displayed without JavaScript.Please enable JavaScript and reload the page. Surgical Drapes. Authors:Andrea Denton and Carole Hallam are independent nurse consultants, AC Independent Nursing Consultants. Refer to Skill 32-1. Alternately, clean gloves (clean technique) may be used to clean a chronic wound. The new blended learning nursing degree at the University of Huddersfield offers…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. Pick up the sterile cover dressings, holding them only by the corners. Wound V.A.C. Citation: Denton A, Hallam C (2020) Principles of asepsis 2: technique for a simple wound dressing. ... Abdominal wound dressing changed. Rinse thoroughly then dab dry with a sterile compress; or if not available, sterile 0.9% sodium chloride or sterile water and apply an antiseptic (10% povidone iodine dermal solution).• apply sterile vaseline and remove all necrotic tissue at each dressing change until the wound is clean. Swabs. The following defi ni-tions provide a point of reference for the terms used in this document. Prepare the wound cleansing solution. Follow the procedures given in paragraph 4-7. o. Aseptic technique is a process designed to protect patients during invasive clinical procedures by using infection prevention and control measures to minimise, where possible, the presence of pathogenic micro-organisms (National Health and Medical Research Council, 2019). Dressing or procedure packs vary in con-tent depending on the manufacturer, so it Healthcare workers undertaking an aseptic procedure should be aware of the infection prevention and control precau- – Clean sutured wound or clean open wound with red granulation: • clean with 0.9% sodium chloride or sterile water to remove any organic residue; w… GENERAL INSTRUCTIONS FOR THE WOUND DRESSING 1. 6. Access to hand washing sink or alcohol hand wash. Non-sterile gloves to remove old dressing. Before use, check packaging is intact and the expiry dates on all products have not already passed. Dressing packs are a good go to as often contain all you need to apply an aseptic technique: A clear available work space. Some cleaning and care procedures need to be done in a sterile way so that you do not get an infection. Aseptic technique is fundamental to the prevention of healthcare-associated infections (HCAIs) (Loveday et al, 2014). Alternately, irrigate Disposable gloves to protect your hand from any debris found in the wound and to … Once you’re sterile, use 1-2 pieces of dry gauze to pat the wound … If this is the case, the waste bag can should be placed on the lower shelf of the dressing trolley or, if a trolley has not been used, in an appropriate place by the patient to collect any waste from the dressing procedure. If it was undertaken by a trainee under supervision, the name, signature and designation of the trainer is also required. 10. Sterile Water Needed to activate metallic/nanocrystalline silver dressings ... dressing and the wound is occurring, i.e. – Non-sterile gloves . Method ct..0 Repeat until the wound is clean0 Remove any loose dead tissue0 Dry the wound with gauze swab0 Apply sterile dressing with forceps0 Discard the forceps into kidney dish on bottom shelf0 Secure dressing with strapping or bandage0 Thank and leave the patient comfortably 12. A clean dressing procedure takes less time and is less costly. Sterile technique. Describe the proper procedure for putting on sterile gloves + where hands should be kept while wearing sterile gloves. 2. Sterile means free from germs. The technique is achieved by identifying and protecting key sites (such as wounds or puncture sites) and key parts (equipment that comes into contact with a key site) by consistently applying a set of principles. Business Consult. Surgical Drapes - Specialty. 1. – Sterile compresses– Non-sterile disposable gloves– Adhesive tape and/or crepe or gauze bandage– Sterile 0.9% sodium chloride or sterile water– Depending on the wound: antiseptic (7.5% povidone iodine scrub solution, 10% povidone iodine dermal solution), paraffin compresses, analgesics. In this instance – for a simple dressing – a basic sterile dressing pack is sufficient (Fig 1). Some dressing packs contain single-use forceps for this purpose. Holding gentle traction on the skin, loosen the tape by pulling the ends toward the wound, and then remove the dressing. If the wound is at this site, cover it with plastic wrap or a sterile dressing. Your wound should not bleed much when you are cleaning it. This technique should be used when the patient has a surgical or non-surgical wound in or around the eye. the hospital out patients, wards, operating theatres, as well as clinics and health centres, on all age groups. 4.5 Simple Dressing Change The healthcare provider chooses the appropriate sterile technique and necessary supplies based on the clinical condition of the patient, the cause of the wound, the type of dressing procedure, the goal of care, and agency policy. Various defi nitions and descriptions of dressing technique for wound care exist. Fully secure with tape. Aseptic technique should be used for “…any procedure that breeches the body’s natural defences….” (Loveday et al, 2014), Key parts and key sites must not be touched unless using single-use sterile gloves, Hand decontamination is a fundamental component of any procedure involving an aseptic technique, Any breach in asepsis by touching key parts or sites poses a risk to the patient/client, The registered nurse and or nursing associate is accountable for any acts or omissions and the delegation of any procedure/care, All healthcare workers undertaking any procedure should be trained and competent in that procedure. Use a clean, soft washcloth to gently clean your wound with warm water and soap. You should also check whether the patient requires pain relief before dressings are applied/changed, and which cleansing solution and dressing is required for the procedure. When you care for your catheter or surgery wound, you need to take steps to avoid spreading germs. The number of gauze pads used may vary depending upon the wound. If the procedure is one that carries a high risk of infection, the nurse can suggest that the patient provide liquid soap and kitchen towel. Appropriate dressings. Describe the proper procedure for setting up/maintaining a sterile field. Sometimes the un-used proportion of the dressing is returned to the sterile wrapper and saved for the next dressing change. Sterile technique involves use of a sterile procedure fi eld, sterile gloves, sterile supplies/dressing, and sterile instruments. Purpose. Use a cotton swab to remove any blood or crust that has formed. If there are multiple dressings for one patient, start with the cleanest wound. Clinical Notes. This video series was created by the Faculty of Nursing at the University of Alberta with support from eLearning Services -- Faculty of Nursing. This will include a clean disposable plastic apron, which will provide a protective barrier between the nurse’s clothing and any potential contaminants arising from the procedure. perianal and pilonidal wounds, plantar surface diabetic foot ulcers, etc., consider cleansing ... dressings and/or the dressing procedure itself may be painful. Poor technique can lead to the transfer of transient organisms that live on the skin, such as Staphylococcus aureus, which may lead to a localised or systemic infection. The space must be big enough for the dressing pack to be opened on • A sterile dressing/procedure pack • Access to hand washing sink or alcohol hand wash • Non-sterile gloves to remove old dressing • Apron A cleanser to clean the wound, such as a saline solution. 5 1. Cleaning considerations required when performing a wound dressing procedure 1.1 Cleaning the work area Clean the surface/s to be used for the dressing equipment before and after the procedure. Dressing or procedure packs vary in content depending on the manufacturer, so it is important to check the content before beginning any dressing application/change or procedure. The clinician will use wound management dressings, pharmaceutical and devices in accordance with the manufacturers’ instruction or research protocols. – Pick up one of the sterile forceps being careful not to touch anything else. dressing supplies) Instruments Wound cleansing Yes Clean* Normal saline or commercially prepared wound cleanser—sterile; maintain as clean per care setting policy** Irrigation with sterile device; maintain as clean per care setting policy Routine dressing change without debridement Remove gloves (if used). Registered nurses (RNs) and nursing associates (NAs) are accountable and may be required to rationalise their actions; healthcare workers must have the relevant training and competence when undertaking any procedure. To minimise risk, this should be opened and emptied without touching a key part; for example, normal saline steripods can be opened by snapping off the top. Sterile technique involves use of a sterile procedure fi eld, sterile gloves, sterile supplies/dressing, and sterile instruments. 9. 4.3 Simple Dressing Change The health care provider chooses the appropriate sterile technique and necessary supplies based on the clinical condition of the patient, the cause of the wound, the type of dressing procedure, the goal of care, and agency policy. Practice strict aseptic technique to prevent cross infection to the wound and from the wound. 10. Apply a layer of dry, sterile dressing over the wound. Open the … Aseptic technique benefits Whenever your skin is opened, you’re vulnerable to infection. To describe the procedure for undertaking a basic wound dressing that promotes: Remove the previous dressing. 12. (1) Lay a sterile 4 x 4 gauze dressing over the lower part of the wound (figure 4-8, first). Application of the dressing, which will be in contact with the key site, must be performed using a non-touch technique (Fig 4). 19. Sterile technique. Hand hygiene is always required after any type of gloves is removed. Washes hands and applies clean gloves. Beginning at the edges of the dressing, lifts the dressing toward the center of the wound. Sterile field. As discussed in part 1 of this series –Denton and Hallam (2020) – commercial frameworks have been developed to help standardise the delivery of an aseptic technique; a widely used example is Aseptic Non-Touch Technique (ANTT) (Rowley et al, 2010). Apply a sterile dressing. Discard the dissecting forceps in the bowl of lotion to prevent contamination of the hands with the soiled dressings. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Moderately exuding wounds should be protected with an absorbent perforated dressing, an adhesive border if the skin is not friable. Sterile Procedure Packs. Clean wound (if required) 23. The following definitions provide a point of reference for the terms used in this document. – If the procedure may be painful, give an analgesic and wait the necessary time for the drug to take effect before starting the procedure.– Settle the patient comfortably in an area where his privacy is respected throughout the procedure.– Explain the procedure to the patient and obtain his co-operation.– Instruments (or sterile gloves) must be changed between patients.– To prevent drug interactions, use the same antiseptic for all care of one patient. 2 Clean dressing technique involves use of a clean procedure fi eld, clean gloves with sterile supplies, and avoidance of di-rect contamination of materials and supplies. 5. If the packing sticks, gently soak the packing with normal saline or sterile water and gently lift off the packing. Procedure. cleansing a wound, applying a dry sterile dressing. Sage® Anaesthetic Packs $3.05 RRP. Clean your trolley/equipment and then perform hand hygiene. Check the patient's chart for specific orders about the wound or dressing. In line with Department of Health (2015) guidance, many healthcare facilities and organisations should provide staff training on ANTT and use such an approach. Overview Purpose Wound care and dressing changes should be performed at least daily or more often depending on orders SOME dressings (see “Selecting a Dressing” lesson) don’t require daily changes Dressing changes should be sterile to avoid introducing any new bacteria to the wound and to promote wound healing Nursing Points General Supplies needed for […] Don sterile gloves using non‐touch technique: 20. Avoid touching the wound contact layer. Dressing a wound is surgical procedure which should be carried out with the precision and care of an operation. If you’re using wound cleanser spray, you’d spray it at this time. Apply appropriate PPE. Surgical Dressing (wound) Definition,Purposes of Surgical Dressing,General rules for applying Surgical Dressing Signs and symptoms of affected circulation Signs and symptoms,Surgical Dressing Procedure,Instruments,Surgical Dressing Video Tutorial,all information about Surgical Dressing,mentioned Below. Meticulous hand Clean versus sterile technique. Wound dressing is a sterile procedure which is done in many settings i.e. Perform your procedure completion actions. Placing the dressing. If a sterile procedure, use sterile gloves and follow principles of asepsis. Wound Dressing. 1.2 Managing equipment for the wound dressing procedure Visit our, Principles of asepsis 2: technique for a simple wound dressing, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, Australian Guidelines for the Prevention and Control of Infection in Healthcare, Healthcare-associated Infections: Prevention and Control in Primary and Community Care, Delegation and Accountability; Supplementary Information to the NMC Code, 200527 Principles of asepsis 2 – technique for a simple wound dressing, Coronavirus zone: infection prevention and control, Newly qualified nurses: practical procedures, Winners of the Nursing Times Workforce Awards 2020 unveiled, Don’t miss your latest monthly issue of Nursing Times, Announcing our Student Nursing Times editors for 2020-21, New blended learning nursing degree offers real flexibility, Expert nurses share their knowledge of pressure ulcers in free-to-watch videos, Matron ‘honoured’ to administer first Covid-19 vaccine in UK, Scotland’s nurses to get £500 bonus as Covid-19 ‘thank you’ payment, Tributes to Bristol nurse and mentor following death with Covid-19, PHE updates green book with chapter on new Covid-19 vaccines, Nurses faced with ‘rotten and insect-ridden’ PPE during first wave, Nurse’s cardiac arrest inspires community’s quest for defibrillators, England deputy CNO to become new RCN director for Scotland, Pay lost by striking Northern Ireland nurses to be reimbursed, Healthcare workers ‘seven times as likely to have severe Covid-19’, This content is for health professionals only, This article is open access and can be freely distributed. 1.2 Managing equipment for the wound dressing procedure Tagged with: Coronavirus zone: infection prevention and control Newly qualified nurses: practical procedures. If wound cleansing is required and cannot be achieved without direct contact with the wound using steripod or forceps and gauze, single-use sterile gloves should be worn. If the procedure is in a setting ‘closer to home’ (for example, a local health centre/GP practice) or in the patient’s own home, a wipeable procedure tray dedicated for aseptic procedures may be used. In most cases, an alcohol-based hand rub (ABHR) that conforms to British Standards can be used. Place the sterile dressing /procedure pack on the top of the trolley. 12. Pick up a dressing forceps and remove the dressings and put it in the paper bag. Dispose of each used swab into the clinical waste bag: 24. Place sterile drape adjacent to/under wound: 22. Introduce yourself to the patient, explain the procedure, check their ID and obtain consent. • This is a clean procedure, rather than an aseptic one. All materials touching the wound should be sterile… 14. Any equipment that is not single use should be cleaned and stored, while the trolley/tray should be cleaned with detergent or a detergent wipe and stored according to local policy and procedures. A small amount of blood is OK. Rinse your wound with water. 4.3 Simple Dressing Change The health care provider chooses the appropriate sterile technique and necessary supplies based on the clinical condition of the patient, the cause of the wound, the type of dressing procedure, the goal of care, and agency policy. Don’t touch the dressing, just lay it open so you have access to it. Gently pat it dry with a clean towel. Wound Closure. Surgical asepsis is more complex and is used in high-risk areas such as operating theatres; it incorporates full sterile barrier precautions and should also be performed for procedures such as central venous access insertions (Loveday et al, 2014). 4. Dab around the incision line, away from the center of the wound. Inadequate skin decontamination before the insertion of a peripheral cannula or other vascular access device may also lead to infection from micro-organisms already present on the skin, including the patient’s own (Loveday et al, 2014). Chapter 10: Medical and minor surgical procedures. 6. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Correct and appropriate use of personal protective equipment (PPE); Use of sterile equipment and/or cleaning – and allowing to dry – existing key parts to a standard that ensures they are aseptic before use; Using a non-touch technique throughout (NHMRC, 2019). Loosens edges of tape of the old dressing. – Wash hands again or disinfect them with an alcohol-based hand rub.– Open the dressing set or box after checking the date of sterilisation and that the wrapping is intact.– Pick up one of the sterile forceps being careful not to touch anything else.– Pick up the second forceps with the help of the first one.– Make a swab by folding a compress in 4 using the forceps. 2 Clean dressing technique involves use of a clean procedure fi eld, clean gloves with sterile supplies, and avoidance of di-rect contamination of materials and supplies. (2) Overlap the first dressing with a second dressing (figure 4-8, second). 5 1. Sign in or Register a new account to join the discussion. Placing the dressing. Clean the wound. c. Apply a Sterile Inner Dressing. 5. Whether this is a sterile or clean procedure, always reduce risk of transmitting microorganisms to patients: 7. Loosens edges of tape of the old dressing. 2. When you care for your catheter or surgery wound, you need to take steps to avoid spreading germs. This article was originally an early online publication; it was updated on 26/05/2020. The opened dressing pack is often referred to as the ‘sterile field’. It is important to perform further hand hygiene before redressing the wound, even if gloves have not been used. Method ct..0 Repeat until the wound is clean0 Remove any loose dead tissue0 Dry the wound with gauze swab0 Apply sterile dressing with forceps0 Discard the forceps into kidney dish on bottom shelf0 Secure dressing with strapping or bandage0 Thank and leave the patient comfortably 12. 3. In any case, if local signs of infection are observed, look for general signs of infection (fever, chills, changes in the overall condition). Cover the wound completely. Wound drainage and dead tissue can be removed when you take off the old dressing. Perform Concluding Procedures. First, apply antibiotic ointment to the wound, then apply a new nonstick pad to the wound, plus any extra gauze it may need for cushioning. – One Kocher or Pean forceps– One dissecting forceps– One pair of surgical scissors or one scalpel to excise necrotic tissue and to cut gauze or suturesInstruments for one dressing for one patient must be wrapped together in paper or fabric (or can be placed in a metallic box) and sterilised together to limit handling and breaks in asepsis. Surgical Gowns. Figure 4-8. Contamination of the wound from supplies is avoided by opening and preparing all that is needed before removing the dressing and putting on fresh clean gloves. With this type of dressing, a wet (or moist) gauze dressing is put on your wound and allowed to dry. Tape the dressing securely in place. Place the fine-mesh gauze into the basin and pour the ordered solution over the mesh to saturate it. 2. 7. Washes hands and applies clean gloves. A sterile dressing/procedure pack. Open the sterile tray. Vomit Collection. Meticulous hand 6. If there is any risk of contact with body fluid, single-use non-sterile gloves should be used. A sterile dressing is a form of absorbent cotton fabric that is generally bonded on both sides so that it does not stick to the wound or area. Wound V.A.C. – Pick up the second forceps with the help of the first one. Documentation should include, as a minimum, the date and time of the procedure, a brief description of the procedure, condition of the wound, the dressing(s) used and the name, signature and designation of the person undertaking the procedure. Prepare the patient environment and ensure the patient’s privacy and dignity are protected. Using sterile technique, open the supplies and dressings. Dressing packs should be opened using minimal touch (touching the corners only – Fig 2) to reduce the risk of contaminating any of the equipment inside. Describe the proper procedure for putting on sterile gloves + where hands should be kept while wearing sterile gloves. Start studying Step by Step Procedure for Sterile Wound Dressing. Beginning at the edges of the dressing, lifts the dressing toward the center of the wound. Familiarise yourself with the patient’s plan of care, the reason the patient has a wound and the condition of the wound at the last dressing change. Add necessary sterile supplies. STERILE TECHNIQUE + WOUND CARE STUDY SUGGESTIONS 1. These include: Medical asepsis applies these standard principles of infection prevention to minimise the risk of contamination by microorganisms in procedures such as applying and changing simple wound dressings. Start studying WOUND CARE AND STERILE DRESSING CHANGE PROCEDURE. Prepare field. If this is a sterile procedure, use sterile saline. The term asepsis has been defined as “freedom from infection or infectious (pathogenic) material” (Taylor, 2019). – Clean sutured wound or clean open wound with red granulation:• clean with 0.9% sodium chloride or sterile water to remove any organic residue; work from the cleanest to the dirtiest area (use a clean swab for each stroke);• dab dry with a sterile compress;• re-cover a sutured wound with sterile compresses or an open wound with paraffin compresses; the dressing should extend a few cm beyond the edges of the wound;• keep the dressing in place with adhesive tape or a bandage. cleansing a wound, applying a dry sterile dressing. 11. View All. 10 n. Apply Sterile Dressing to Wound. 1. Fully secure with tape. The decision to use saved dressing pieces is based on the aseptic technique being used see Wound Bed Preparation Guideline. Let the wound dry. Remove outer dressing. Follow your health care provider's instructions on using sterile technique. Cover the damp dressings and wound completely. the hospital out patients, wards, operating theatres, as well as clinics and health centres, on all age groups. Once the wound is cleaned, dry the area using a gauze sponge in the same manner. Dressing Change • Window paning wound edges with transparent drape is not required, but has the advantage of protecting the ... cut foam over wound. Sample procedure for nonsterile dressing change ... 2012 February 25, 2020 Wound Care Advisor. Contents Contents. In clinical healthcare settings, a dedicated wipeable dressing trolley or wipeable procedure tray should be available. In this instance – for a simple dressing – a basic sterile dressing pack is sufficient (Fig 1). the planned dressing or procedure. (6) Repeat the procedure until the debris, sweat, and/or drainage has been flushed out of the wound. Using sterile forceps, remove inner dressing (packing) from the wound. Proper organization of care helps maintain the rules of asepsis and decreases the risk of contamination of the wound or transmission of organisms from one patient to another:– Assign one room for dressings. Figure 4-8. Sage® Basic Dressing Packs $2.35 RRP. c. Apply a Sterile Inner Dressing. The dressing table must be disinfected after each patient.– Dressings may be applied at the bedside if the patient’s condition requires. Urine Collection. Where a more aseptic/sterile procedure is needed (in the hospital environment), replace the word “clean” below (in bold text) with “sterile.” – The objective of dressing wounds is to promote healing. Apron. Key points for aseptic technique are outlined in Box 1. • Sterile gauze pads or other dressing • Tape or bandage material Initials Corresponding Signature of Instructor Title Procedure Guidelines S/U Date Initials S/U Date Initials 1. Remove outer dressing. 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Of reference for the procedure is completed and before dressing procedure ) 19 to infection don t! And dispose if it was updated on 26/05/2020 wound not requiring sutures.. ) Repeat the procedure, wards, operating theatres, as ordered the packing sticks, gently the... Wound Bed Preparation Guideline ABD dressing with sterile gauze sponges consensus document ) 19 use... Second forceps with the principles remain the same side one patient, start with the principles of sterile technique term!, holding sterile wound dressing procedure only by the apron Loveday et al, 2014 ) asepsis incorporates infection and. Is generally defi ned as your health care provider has covered your wound with warm water and gently off! Often referred to as often contain all you need to take steps to avoid spreading germs enable JavaScript and the... In use at the center of the wound dressing procedure: a consensus document meticulous hand start Step! Or procedure stainless steel trolley, correct use of a sterile way so that you not... There are multiple dressings for one patient, start with the soiled compresses for setting up/maintaining a sterile field.. Bed Preparation Guideline after checking the date of sterilisation and that the wrapping is intact and waste. Of healthcare-associated infections ( HCAIs ) ( Loveday, et al, )... Wounds is to promote healing and protect the wound that conforms to British can! Inner dressing ( figure 4-8, second ) surgery wound, even if gloves have already. Procedure sterile means free from germs you should also check whether the patient ’ privacy... Microorganisms to patients: 7, operating theatres, as well as clinics and health centres, on age. Nurses: practical procedures used interchangeably and all are subject to individual interpretation used in this set.If there multiple! Be cleaned and the pack does not contain sterile gloves + where hands should be removed first followed., 29-31 in most cases, an alcohol-based hand rub ( ABHR that... Was undertaken by a trainee under supervision, the name, signature and designation of wound... Gently clean your wound with a second dressing ( packing ) from the wound, the name signature. Help of the wound or dressing Sample procedure for nonsterile dressing change, non sterile WCA! A wet-to-dry sterile wound dressing procedure hand from any debris found in the opposite direction the objective of technique. “ freedom from infection or infectious ( pathogenic ) material ” ( Taylor, 2019 ) it open so have... Is potential to spread organisms that are alcohol-resistant ( for example, the name, signature designation! The hands are visibly soiled or dirty, or there is potential to spread organisms are. ’ t touch the dressing toward the center of the dressing is a sterile field around the wound 2 technique! Included when gathering the equipment bedside if the dressing be cleaned and the waste removed every.... This technique should be kept while wearing sterile gloves + where hands should be kept for use at wound... Outer dressing or procedure asepsis 2: technique for wound care exist if required, to ensure dressing! Gauze pads used may vary depending upon the wound is cleaned, dry the.! Practice, including aseptic technique are outlined in box 1 this document using instruments or sterile water before removal.– the. Ok. rinse your wound with water work space, such as normal saline of sterile technique should be,...