Quote from rehabwoundnurse
Any type of packed dressing should be performed with sterile technique! This person just didn't want to be there and was taking it out on the patient!
Sorry, but that's just not true. All wounds, excepting (possibly) only those directly from the OR, have some level of bacterial colonization. For this reason, wound care, and most particularly wound care at the bedside, is rarely a sterile procedure.
It is ALWAYS, however, a clean procedure, and as pointed out prior to me, at the very least gloves should be changed between removal of the old dressing and placing of the new one. Most appropriately, new gloves before you begin, new gloves after removing the old dressing, and new gloves after cleansing (before placing the new dressing) is optimal.
Having said all of that, there is now evidence to support sterile dressing change procedure on post-op care of a closed incision until complete epithelialization occurs, because you do not want to "trap" bacteria underneath a closed wound. But unless you are going to physically sterilize an open wound, sterile technique is not generally needed.