wound Care

1

Look @chart, order, policy, 2 identifiers, procedure, allergies privacy

2

Position trash & hand hygiene

3

Raise bed, lower rails

4

Position patent , apply gloves and goggles

5

Expose dressing; privacy and work space

6

Remove tape toward wound

7

Remove dressing; Tacco; remove packing

8

Observe for size, granulation, necrotic, slough, door and palpate for edema redness,tenderness und dispose of gloves

9

Open kit, remove field onto table

10

Empty contents

11

Grab saline o check expiration

12

Don sterile gloves

13

Organize supplies

14

Clean suture - assess size, approximation -drainage clean and dry

15

Pack open wound - fluff two top one dry and ABD then remove gloves and tape with date time and initial

16

Reposition lower bed and raise siderail

17

Hand hygiene and dispose

18

Document/chart tolerations and procedure