here is the procedure of performing a wet-to-dry dressing fyi: hope it will help.
1, check md's order. obtain necessary supplies, e.g. barrier gloves, appropriate tape, necessary sterile dressings (2x2s, abd), sterile ns, sterile applicators, sterile gloves, measuring device, and so forth.
2. introduce self. hand hygiene and identify patient with 2 identifiers--full name and date of birth. provide privacy and explain procedure to patient.
3. assess patient's need for pain medication 30 minutes prior to dressing change. assess patient's knowledge of procedure and if appropriate to participate. assess if patient at risk for impaired wound healing.
4. clean off overbed table to use as clean field. assess need and wear appropriate personal protective equipment. hand hygiene. position and drape patient.
5. apply clean barrier gloves. remove tape and dressing, taking care not to dislodge drains or tubes. properly dispose of dressing.
6. inspect wound and observe drainage on dressing.
7. assess and measure wound--depth, width, length, tunneling, drainage, surrounding skin, wound bed, using sterile applicator and measuring device.
8. remove and dispose of gloves properly. hand hygiene.
9. open sterile supplies using surgical asepsis
10. pour cleansing solution (normal saline) over gauze. apply sterile gloves.
11. wring out excess ns and fluff dressing before loosely packing woven-mesh gauze directly onto wound bed. gauze is not to touch surrounding skin.
12. use sterile applicator to ensure dead spaces are loosely packed with gauze.
13. apply secondary dressing over wet gauze. secure dressing with tape.
14. date, time and initial dressing change on tape.
15. dispose of all supplies. remove and dispose of gloves properly.
16. hand hygiene. reposition patient for comfort.
17. ask patient if discomfort noted during procedure.
18. document with focus note.
19. report findings & unexpected outcomes such as unusual bleeding, delayed wound healing or signs of dehiscence or evisceration to your nurse and md.