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A. Definition
Wound care is a series of activities carried out to treat wounds to prevent trauma to the
skin of the mucous membrane or other tissues. The series of activities included wound
cleaning, dressing, dressing dressing, fixing bandages, acts of giving comfort which included
cleaning the skin and drainage areas, irrigation, drainage disposal, bandage installation (Briant,
2007).
B. Aim
1. To clean wounds
2. Prevent the entry of germs and dirt into the wound
3. Give treatment to wounds
4. Giving patients a sense of security and comfort
5. Evaluate wound healing rates
C. Indication
1. New wounds and old wounds
2. Postoperative injury
3. Clean wounds or dirty wounds
D. Procedure
1. Patient preparation
Identify patients to ensure action is taken on the right client
Explain the purpose of the procedure and rational action (informed consent)
Describe the position, time taken and some discomfort and side effects
2. Tools preparation
A set of sterile wound care, consisting of:
Tweezers 3 (2 anatomical, 1 sirurgical)
Scissors (adjusting wound conditions)
Small com 2 (antiseptic solution / cleaning solution)
Verband scissors
Sterile gauze and sterile gauze
Sterile gloves
PPE (mask and apron)
Antiseptic ointment (if needed)
Cleaning solution prescribed (0.9% NaCl)
Clean gloves
An alcohol swab
Plaster, binder, or bandage as needed
Crooked
Avoid and base
Bags for trash
3. Work steps
repare the tools and materials used
Keep the tools close to the patient
Close sampiran
Therapeutic communication
Adjust the position of the patient
Open each tool and material to be used & pour 0.9% NaCl solution into a small comm
Put on a lazy sling
Place the bent near the patient
Washing hands
Use a clean hand towel and remove the tape, tie or wrap with tweezers
Remove the tape by removing the tip and pulling it slowly, parallel to the skin and
pointing at the dressing. If there is still a patch on the skin, clean it with alcohol cotton
Dispose of the dirty dressing in the crooked
Remove the gloves and dispose of them in a crooked manner
Open a sterile instrument tub
Use a sterile handchoon
Wound inspection
Clean the wound with 0.9% NaCl
Hold the gauze soaked in the solution with sterile tweezers and use one gauze for one
stroke
Clean from less contaminated areas to the contaminated area.
Movement with progressive pressure away from the incision or the edge of the wound.
Do it until the wound is clean
Paste the gauze soaked with 0.9% NaCl (moist gauze) in the area of the wound that
has been given
Stack with dry gauze to cover the wound area, then use tape on top of a dressing,
fixation with ties or bandages
Remove the glove and throw it in place
Adjust the position of the patient
Finish the tool
Evaluate patient response
Washing hands
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