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Throw away your sterile gloves

Nurses   (3,585 Views 20 Comments)
by ohbet ohbet (Member) Member

7,106 Profile Views; 386 Posts

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 clean procedure. The only thing to remember is that any equipment and supplies you take into the room to do the wound treatment must stay in the room.

Well thats news to me. I was taught to use sterlie tecnique for wounds.All the texts also say to use sterile gloves.

She also said its unneccesary to culture wounds.

Is this how you perform wound care,using only clean gloves? and do you still culture wounds?

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68 Posts; 1,738 Profile Views

I'll use clean gloves for superficial wounds, incisions, etc., but for anything deeper than an abrasion, I use sterile technique! This is how I was taught, how everyone I work with does it (including the wound team) and what the books I've read say. Maybe something new is coming down the pike, who knows. I don't understand how it's not necessary to culture wounds? Obviously, if it's a clean wound with no signs of infection, we don't culture, but we always culture everything if we suspect the patient has an infection somewhere. Don't know if this helps much, but that's what I do.

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455 Posts; 6,670 Profile Views

I agree with dazed (superficial - clean, deep, open or gaping - sterile). I'd say that it is necessary to culture wounds. If you don't know which bacteria is causing the infection, you can't know which antibiotic to use to treat it.

Linda

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635 Posts; 4,265 Profile Views

at our facility, we use only clean gloves to do treatment for pressure ulcers and such. they do however still culture to see what we are up against as far as infection goes. if you don't know what it is, it's kinda hard to treat it properly.

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839 Posts; 11,985 Profile Views

i do homecare and sterile wound care is a rarity..theory being, it's their own environment=their own germs....caths, neph tube dressingchanges, picc/central line dressing changes remain sterile...

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renerian is a BSN, RN and specializes in MS Home Health.

5,693 Posts; 15,266 Profile Views

WE use clean gloves for all wound care and sterile for central lines. That is it.

renerian

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NurseLKY has 5 years experience and specializes in Med/Surg.

48 Posts; 1,949 Profile Views

Our wound nurse says the same thing. The wound is not clean so there is no need for sterile gloves. She never uses them. I haven't seen anyone die from an infection.

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427 Posts; 7,378 Profile Views

Sterile gloves with the exceptiohn of stage I and II pressure ulcers. Don't need to culture? Big difference in treatment for a unifected wound vs. a vre or mrsa wound don't you think?

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live4today is a RN and specializes in Community Health Nurse.

5,099 Posts; 22,694 Profile Views

I was also taught to use sterile technique when performing wound care....especially deep wound care. Interesting??? :)

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811 Posts; 12,952 Profile Views

I too was taught to use sterile technique with all wound care. (This was just 4 years ago). About a year ago, I was virtually blown away when I was helping our hospital's cert. wound/ostomy/skin care RN.She told me that only clean technique is needed with most wounds. She is very up to date in her knowledge, and I do trust her. However,we were changing a VAC dressing (vacuum assisted closure) of a HUGE abdominal wound. This wound was GIGANTIC and DEEP. We used CLEAN gloves only. :eek:

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