gauze sponges. Principles of asepsis and clean dressing technique. 9. There are two main types of asepsis – medical and surgical; both require observation of infection prevention principles, but surgical asepsis also includes full sterile barrier precautions. – Necrotic or infected open wounds:• clean with povidone iodine (7.5% scrub solution, 1 part of solution + 4 parts of sterile 0.9% sodium chloride or sterile water). Section 1.1 Basic Dressing Technique. Wound V.A.C. 11. Assemble the required equipment for the planned dressing or procedure. Don sterile gloves using non‐touch technique: 20. Decontaminate your hands. Key points for aseptic technique are outlined in Box 1. (1) Lay a sterile 4 x 4 gauze dressing over the lower part of the wound (figure 4-8, first). 1.2 Managing equipment for the wound dressing procedure The space must be big enough for the dressing pack to be opened on • A sterile dressing/procedure pack • Access to hand washing sink or alcohol hand wash • Non-sterile gloves to remove old dressing • Apron Familiarise yourself with the patient’s plan of care, the reason the patient has a wound and the condition of the wound at the last dressing change. Business Consult. Aseptic technique is fundamental to the prevention of healthcare-associated infections (HCAIs) (Loveday et al, 2014). Wound Closure. You should also check whether the patient requires pain relief before dressings and what cleansing solution and dressing are required for the procedure. Tape the dressing securely in place. 10 Sterile technique. Before use, check packaging is intact and the expiry dates on all products have not already passed. The clinician will use wound management dressings, pharmaceutical and devices in accordance with the manufacturers’ instruction or research protocols. Aseptic technique is a process designed to protect patients during invasive clinical procedures by using infection prevention and control measures to minimise, where possible, the presence of pathogenic micro-organisms (National Health and Medical Research Council, 2019). Practice strict aseptic technique to prevent cross infection to the wound and from the wound. If this is the case, the waste bag can should be placed on the lower shelf of the dressing trolley or, if a trolley has not been used, in an appropriate place by the patient to collect any waste from the dressing procedure. 18. In clinical healthcare settings, a dedicated wipeable dressing trolley or wipeable procedure tray should be available. Figure 4-8. Various definitions and descriptions of dressing technique for wound care exist. RNs remain accountable for those procedures as any delegation of procedures and other aspects of patient care to other healthcare workers, patients, relatives and carers also comes under the remit of RNs; this does not apply to NAs (Nursing and Midwifery Council, 2019). Procedure. If the wound is at this site, cover it with plastic wrap or a sterile dressing. Pick up the sterile cover dressings, holding them only by the corners. Application of the dressing, which will be in contact with the key site, must be performed using a non-touch technique (Fig 4). Remove the dressing daily to inspect and clean around the wound. Position the patient so the wound can be easily accessed and there is minimal chance of contamination of the key site from bedding and clothing. Local signs include:• red, indurated and painful edges• drainage of pus between the sutures, either spontaneously or when pressure is applied on either side of the wound• lymphangitis• sub-cutaneous crepitations around the wound. 9. Application of aseptic technique in wound dressing procedure A consensus document 5 1 Cleaning considerations required when performing a wound dressing procedure 1.1 Cleaning the work area Clean the surface/s to be used for the dressing equipment before and after the procedure. Be applied without touching any key parts or sites, single-use sterile gloves are required the! From any debris found in the paper bag off the old dressing Bites, wound exist... From further harm a surgical or non-surgical wound in or Register a new account join. Trainee under supervision, the name, signature and designation of the (. Care Advisor provider has covered your wound with a wet-to-dry dressing 6, 29-31 exposure risk and dressing. 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