Help with the steps of wound care
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Hi, can someone help me remember the steps to the following procedure, changing a wet to dry dressing with wound measurement using a cotton tip applicator, irrigation with a Toomy syringe, and packing a tract? I need to write a plan of care and it has been awhile.
Specifically, I can't remember when to take off the non sterile gloves and go with the sterile ones? Is it after removing the old dressing and before measurement, or after measurenment?
Or, is it after measuring and after irrigating. (since you have to dry the surrounding skin before the sterile packing and new dressing begins)
Or do you measure, then sterile gloves, then irrigate, pack, apply wet to dry, then, being done with the sterile part, dry the skin which would contaminate your gloves but it wouldn't matter at this point.
Briefly, I have:
position patient with basin and padding
open and position supplies
apply non sterile gloves
remove old dressing
measure wound
irrigate
dry skin with 4x4's
apply sterile gloves
pack wound
abd then sucure
Rearrange these steps if you think they are out of order, maybe add your rational so I understand the reason. Thank you!