Throw away your sterile gloves - page 2
I recently attended a wound care class. The instructor lectures all over the country on wound care,and has lots of credentials. Any way,she said wound care does not require sterile tecnique,its a... Read More
Sep 4, '02Joined: Apr '02; Posts: 4,738; Likes: 104Learn to appreciate the difference between a clean and contaminated wound. A contaminated wound will not heal, and it is a that point when one needs to concern oneself with the bacterial counts, otherwise a healthy wound flora is good.
Sep 4, '02From: NY, US ; Joined: May '02; Posts: 4,130; Likes: 91exactly, adrie....
greentinged drainage doesn't automatically mean infection...
also, cultures are only beneficial if done properly...
Sep 4, '02Occupation: Utilization Review, prior Intake Mgr Home Care Specialty: 40 year(s) of experience in Home Care, Vents, Telemetry, Home infusion ; From: PA, US ; Joined: Oct '00; Posts: 27,548; Likes: 13,755Other paramaters to think about:
1. Depends on the clinical setting: hospital, SNF or own home
2. Length of time of wd: Fresh post op vs 3 month old wound; > 1 yr wound
3. RE culture -what's Pts clinical status: Febrile or not ; Stable status vs unstable, chronic wound NOT healing would tend to reculture 3-6 month interval
4. Home care: Sterile gloves for any cath care otherwise clean; CHANGE pair after removal of old drsg, don clean; change again when going to different site etc.
Sep 4, '02Occupation: Mental health nurse Joined: May '02; Posts: 73; Likes: 10If we are doing wet to dry floor gloves to remove and sterile gloves to pack. We always need to wear sterile gloves to reinforce post op dressings also. All other wounds floor gloves changing gloves after removing old dressing. We still culture wounds to see which antibiotic to use and to see if the patient needs to be placed on MRSA precautions. Based on the guidelines.
Sep 4, '02Occupation: LTC Joined: Mar '01; Posts: 3,254; Likes: 53I will continue to use sterile gloves for gaping, deep packed wounds until otherwise just like I was taught and just to be sure. Superficial clean wounds is another story. If the wound has a foul odor, puss, reddened and just looks infected, we'll continue to culture. That's the way it's always been and that's the way it'll always be. How else are you going to know if MRSA or VRE is present... if the wound isn't healing? That's one way I suppose...hmmmm very interesting ohbet.
Sep 4, '02Occupation: med/surg RN- mostly med Joined: Nov '01; Posts: 189; Likes: 12I agree, clean gloves for superficial wounds. I see a lot of nurses use only clean technique for wet to dry dressings... their theory is that the patient will not use sterile technique when they go home. I don't know... It just doesn't make sense to me to pack more hospital germs into and already sick patient... sterile technique for me...
Sep 4, '02Joined: Apr '02; Posts: 4,738; Likes: 104This is all very confusing. Who knows of some good literature to back up these practices? What data is this new trend based on?