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Sierra Schaller Mahl

on 9 October 2013

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Transcript of Copy of Untitled Prezi

Performing a Wet to Dry Dressing Change
by Sierra L. Schaller-Mahl, RN

Instructions to Remove Dressing
Instructions to Insert New Dressing

Measure the wound
is it getting bigger or is it healing and reducing in size (if the wound looks deeper or dried out call your physician)
Take note of any:
drainage - note the color and amount (call your physician if drainage increases)
Video Demonstration
Adam, Inc. . (2013, March 22). Wet to dry dressing changes. Retrieved from MedlinePlus: http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000315.htm

AllYouWantTV. (2009, May 6 ). Hand Washing Technique - WHO Approved. Retrieved from

CETL1. (2009, January 13). Putting on sterile gloves. Aseptic Dressing Technique. Retrieved from

x24lubina. (2009, October 12). WET to dry dressing (courtesy of ATI). Retrieved from
By the end of the presentation, the patient will be able to:

Know the purpose of a wet to dry dressing change
List the materials that need to be present prior to the start of the dressing change
Describe the steps taken to change the dressing
Feel comfortable demonstrating a wet to dry dressing change
Demonstrate proper hand washing before beginning dressing change and after old dressing is removed prior to inserting new gauze

Gloves (non sterile or sterile)
Clean (or sterile) Pad to place items on
Sterile Gauze (to be opened onto clean pad)
Bottle of Clean Water (and soap if permitted)
Clean Basin
Cleansing solution ordered by physician to clean wound site (ex: Betadine)
Tape (to secure dressing when complete)
Measuring Tape
Any securing devices ordered
Dry Dressing Pad to cover wound once gauze is changed
Wash your hands (prevent infection)

When Preparing to move old dressing - first lightly soak gauze with either Sterile water or sterile saline- this will soften the dressing to prevent new tissue from coming out with the (old) debridement tissue

If the dressing change is painful, take pain medication 1 hour prior to beginning dressing change
A Wet to Dry Dressing change is meant to remove dead tissue and old drainage when the packing is removed during the dressing change
Wash your hands
Put on gloves (preferably sterile gloves) (see video below)
Second begin cleaning the wound from the inside of the wound to the outer edges - you can use warm water and soap or a disinfectant your physician ordered
As you clean, use a new clean gauze with each wipe to avoid bringing contaminants closer to wound
Always wash your hands!
Before removing dressing
Before putting in new dressing
After your done
After your equipment is gathered, wash your hands
Put on gloves
Carefully remove old tape
Remove the old dressing (expecting debridement to occur)
Remove gauze pads and packing tape if in the wound
Discard gloves and all related items in nearest waste receptacle
Items To Gather Before Dressing Change
What to do Before you Begin
Before You Clean Your Wound
How to clean Your Wound
How to Place In The New Dressing
After cleaning your wound, put on a new pair of gloves
Pour your bottle saline into a clean basin
Soak your gauze or packing in the saline and then squeeze the access saline out prior to placing the dressing inside the wound
Gently, but firmly placing the new dressing in covering as much of the wound as you can
If you see healing or new skin, avoid placing wet dressing on the skin to prevent debridement when the packing dries and the next dressing change is due
After the dressing is put firmly in place, cover the dressing with a dry dressing pad
Once the pad is in place, secure with tape or with a securing device that was prescribed by your physician
Wash your hands after you are done

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