Wound Packing

1.

Review the provider’s orders for types and frequency of dressing changes. verbal

2.

Identify the patient by asking for the name and date of birth. verbal

Perform hand hygiene and don clean gloves. verbal

Observe dressings for the amount and characteristics of drainage( odor, color, amount of drainage). verbal

5

Irrigate wound and measure (wound depth, diameter, and length). verbal

6

Observe wound appearance as well as surrounding skin. verbal.

7

Dispose of gloves

8

Prepare sterile field

9

Gently pack tunneling and undermining first before packing the rest of the wound while maintain sterility( must do undermining, do not have to do tunnelling).

10

Place ABD pad over dry 4-inch x 4-inch pads, if necessary 

11

Secure dressings with tape or Kerlix gauze( for circumferential dressings).

12

Put initials, date, and time on piece of tape then place it on the dressing. verbal.

13.

Perform hand hygiene. verbal

14

Document procedure (wound and surrounding skin
observations, measurements, irrigation, old dressing
observations, type of dressing applied, number of pieces
of gauze in wound, patient tolerance). verbal

15

Maintained sterility throughout procedure