Published Sep 26, 2008
MvbRn, ASN, BSN
348 Posts
So Tuesday is skills check off for wet-to-dry dressing change and I am having a little trouble coming up with what to say during check off. After we remove the old dressing we must state:
Redness, Edema, Exudate, Dehesciena, Approximation and state if there are staples or sutures.
I want to make it simple, but I want to come up with something simple that will get me through this evaluation.
After the skill is done and we have passed we write what we will put in the chart so I would also like to keep the wording simple.
Any tips?
Thanks in advance.
MAcc2ADN
89 Posts
Hey there!
I just typed my cheat sheet up for practicing this weekend. Let me see if I can attach it...
Here's what I am studying. My documentation phrase is at the bottom. I was told not to stress too much about what I say, more about staying sterile.
wet 2 dry.pdf
SixFive
55 Posts
So Tuesday is skills check off for wet-to-dry dressing change and I am having a little trouble coming up with what to say during check off. After we remove the old dressing we must state:Redness, Edema, Exudate, Dehesciena, Approximation and state if there are staples or sutures. Any tips?Thanks in advance.
put what is applicable in the ( ) below. Your list doesn't mention the old dressing, but I think that's important. Also chart if the wound is 'hot' or warm. Also describe the wound bed. I would also chart if there is an odor or lack of odor. For approximation, if you have a wet-dry dressing, it's obviously not approximated. A non surgical wound is open, while a surgical wound would be dehisced.
If this is a non-surgical wound, chart like this...
Wet to dry dressing change to the coccyx (or wherever it is) completed with (sterile or clean technique) using (whatever you made the dressing wet with; normal saline, 1/8th strength Dakins, etc.). Old dressing with (minimal, moderate, copious) (serous, serosanguinous, bloody, purulent) drainage. Wound bed (is red, has yellow slough, has necrotic areas. ((There are lots of things you can chart here; how specific do you need to be? You can be very technical including measurements.))) Redness (or no redness) present (describe where if present like distal, proximal, lateral to the wound etc.) and (1+, 2+, 3+, 4+ /I like to use scant or mild if this is allowed and it's very little) edema. (Foul or no) odor present.
for a surgical wound, add in staples or sutures (and if you are required list how many there are) and where the wound is dehisced.
a final product would like this...
Wet to dry dressing change to the coccyx completed with sterile technique using Normal Saline soaked gauze and covered with an ABD pad. Old dressing with minimal bloody drainage. Wound bed is beefy red. Redness present in the proximal skin surrounding the wound and surrounding skin has 2+ edema. There is no foul odor.
good luck!
Thanks so much for the responses! I am not really into acting and we have to do a lot of that I always feel so nervous before and then it just seems like it all comes together was the eval starts.