Wet to moist dressing change PDF

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Wet to dry dressing...

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Wet-to-moist dressing change Steps:

1. Assess for pain and medicate 30 minutes prior to

Procedure 2. Place the patient in a comfortable position that provide easy access to the wound. 3. Wash hands and apply clean gloves. 4. Loosen the edges of the tape of the old dressing. Stabilize the skin with the other hand while pulling the tape in the opposite direction. 5. Starting with the top layer, lift the dressing from the corner toward the center of the wound. If dressing sticks, moisten with 0.9% (normal) saline before completely removing it. 6. Continue to remove layers until the entire dressing is removed. 7. Assess the type and amount of drainage present on the soiled dressing. 8. Dispose of soiled dressing and gloves in a biohazard bag. 9. Remove the cover of a tray of sterile gauze; moistens the gauze with sterile saline. 10. Apply clean gloves. 11. Gently clean the wound with the saline-moistened gauze by lightly wiping a section of the wound from the center toward the wound edge. 12. Discard the gauze in a biohazard receptacle and repeat in the next section using a new piece of gauze with each wipe. 13. Discard gloves and soiled gauze into a biohazard bag. 14. Establish a sterile field, using a sterile impermeable barrier. 15. Open sterile gauze packs and a surgical pad onto the sterile field. The amount of gauze used will depend on the size of the wound. 16. Moisten sterile gauze with a sterile 0.9% saline solution. 17. Apply sterile gloves. 18. Wring out excess moisture from the gauze before applying. 19. Apply a single layer of moist fine-mesh gauze to the wound, being careful to place gauze in all depressions or crevices of the wound. Use sterile forceps or cotton applicator to ensure that deep depressions or sinus tracts are filled with gauze. 20. Apply a secondary moist layer over the first layer. Repeat this process until the wound is completely filled with moistened sterile gauze. 21. Do not pack the gauze tightly into the wound.

22. Do not extend the moist dressing onto the surrounding skin. 23. Cover the moistened gauze with a surgipad. 24. Secure the dressing with tape 25. Dispose of gloves and sterile field materials in the biohazard waste 26. Wash your hands and place the patient in a comfortable position...