13- Bandaging

Primary/Contact

Secondary/Intermediate

Tertiary/Outer

List the three basic layers of a Modified Robert Jones Bandage (soft padded).

Debrides tissue

Delivers medication

Transfers wound exudate

Forms occlusive seal

Minimizes pain

Prevents excessive loss of body fluids

What is the function of the primary layer of a Modified Robert Jones Bandage?

Absorbs & stores deleterious agents

Retards bacterial growth

Pads wound from trauma

Splints wound to prevent movement

Holds primary bandage layer in place

What is the function of the secondary layer of a Modified Robert Jones Bandage

Holds other bandage layers in place

Protects against external bacterial colonization

Cosmesis (aesthetics)

What is the function of the tertiary layer of a Modified Robert Jones Bandage?

Wound in area inaccessible by standard bandaging techniques

When would it be appropriate to apply a tie over bandage to your patient

Bandages start at toes (leave middle 2 exposed) & go up limb to avoid swelling

Keep limb in physiologic position - Do NOT apply w/ limb in full extension

Overlap 1/3 to 1/2 the width of your wrap

Apply firm even pressure during application

Identify underlying structures

List the "rules to remember" when bandaging a small animal patient. (Some listed)

elbow/stifle

Fracture MUST be below the ____________________ to utilize the Modified Robert Jones Bandage (VERY IMPORTANT)

1) Adherent

2) Non adherent

3) Occlusive

4) Semi-Occlusive

Four types of primary layers discussed in lecture (VERY IMPORTANT)

Primary

If there is no wound what layer of the Modified Robert Jones Bandage will you typically not use?

distal - proximal

When applying a Modified Robert Jones Bandage you should wrap from _____________ to ____________.

30% - 50% (Emphasized 50% greatly)

What overlap should you leave when wrapping a limb for bandaging?

Dry-Dry

Wet-Dry

What two types of adherent bandages are no longer recommended?

Tie over bandage

This is an example of a

Modified Robert Jones Bandage

This is an example of a

Schroeder-Thomas Splint

This is an example of

Spica Splint

What bandage is used for immobilization of shoulder?

a Spica Splint

This is an example of

Ehmer Sling

Rhymes with femur - What is this?

Velpeau Sling

What is this sling?

open

Never cast a ____________ fracture.

shoot radiographs -- Must have >50% overlap of fracture ends

What must you do after splinting?

only fractures where should get casts?

distal to elbow/stifle

most commonly used primary layer

semi occlusive