Im not sure if this should go under infection control or wound care because its kind of both. Im a LPN student and today one of my patients I took care had a dressing changed by ortho. He's 89, and his skin is very frail, his wound is 3 deep incisions on his left thigh, he has Montgomery straps and the wound is packed with 4 4x4s (used to be beta-dyne) now Sterile saline. covered with 2 4x4, and a another heavy dressing on top of that. Sorry i dont remember the name.
Ne Who, Ortho came in today because he is 3 days post op, they changed the dressing horribly! First instead of un-doing the strings on the Montgomery they ripped it off, not even using any unisolve, or alcohol to loosen the adhesive ( he has a skin tear below already from some tape that was ripped off) Then using the same gloves they used to take off the old dressing, they packed the wound. Then they tried to re stick the Montgomery strap back on, and it was very obvious she didn't want to be there doing it, and when it wouldnt stick she tried to tape it down instead of putting a new one on. I was livid! I let my instructor and the charge nurse know what i had witnessed and when the PA was question she came back saying it was not a sterile procedure, there for no need to sterile technique. I've never heard of this, when your packing a wound not being a sterile technique. Any who i just wanted feedback from some one else. I know i did the right thing by alerting the right people because now there going to look into how many other dressings have been changed by this PA and her minions. On a VERY IMPORTANT side note, He is on isolation for MRSA.