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Saint Louis University

Baguio City
School of Nursing

TEACHING
PLAN
(PROPER WOUND CLEANING AND
DRESSING)

Submitted by: LUTONG, Jonnel P.


BSN IV-J4

Submitted to: Mrs. Maria Elena Garcia, RN


Clinical Instructor

Date: January 28, 2011


Leaning Diagnosis: Knowledge Deficit: proper wound cleaning and dressing related to
inadequate information regarding the procedure as manifested by the patient
willingness to care of her condition.

Goal: The patient and SO will be able to acquire necessary knowledge, skills and
attitude regarding proper wound cleaning and dressing.
Upon completion of the topic about PROPER WOUND CLEANING AND
DRESSING, the patient will be able to learn the following:

Content Time Frame Methodology/Strategy


1. Definition of proper 1-3 minutes One on one discussion with
wound cleaning and the use of pamphlet
dressing
3-5 minutes One on one discussion and
2. Importance of post demonstration with the use
craniotomy care of pamphlet

5-10 minutes One on one discussion with


3. Proper wound the use of pamphlet
cleaning and dressing
3-5 minutes One on one discussion and
4. Infection control demonstration with the use
measures of pamphlet

Evaluation:
1. The client/SO would be able to define proper wound cleaning and dressing
correctly at least in own words.
2. The client/SO would be able to enumerate at least 3 importance of proper wound
cleaning and dressing correctly at least in own words.
3. The client/SO would be able to demonstrate proper wound cleaning and dressing
properly and accurately.
4. The client/SO would be able to enumerate at least 3 ways of preventing
infections.

References:
http://www.ehow.com/way_5498447_aseptic-technique-wound-dressing.html
http://www.ehow.com/about_5434836_types-wound-dressings.html
http://www.woundinfection.net/dressings.html
http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000040.htm

LEARNING CONTENT:
WOUND DRESSINGS

Wound dressings are different from dry bandages because wound dressings keep the
wound moist. Wounds heal more rapidly when moist wound dressings are applied. The
moisture in the different types of wound dressings mimic healthy skin and cause the
wound to heal faster and more completely.

IMPORTANCE OF WOUND DRESSING

• firm and avoids slippage.


• to abate blood flow
• provide relief from pain
• enhance the healing process
• protect the wound from infection
• remove foreign particles
• to absorb any fluids discharged from the wound

SIGNS AND SYMPTOMS OF INFECTION:

• draining pus
• redness around the area of the wound
• increased tenderness
• increased pain
• a strange smell coming from the wound

STEPS IN WOUND DRESSING:

Proper Handwashing

It is important to clean your hands before you change your dressings. You make use an
alcohol-based cleaner, or you may wash your hands using these steps:

• Take all jewelry off your hands.


• Wet your hands, pointing them down under warm running water.
• Add soap and wash your hands for 15 to 30 seconds (sing "Happy Birthday" or
the "Alphabet Song" 1 time through). Clean under your nails also.
• Rinse well.
• Dry with a clean towel.

Removing the Old Dressing

Your doctor will tell you how often to change your dressing. Be prepared before starting
the dressing change:

• Clean your hands before touching the dressing.


• Make sure you have all the supplies you will need handy.
• Have a clean work surface for all of the equipment you will need.

Remove the old dressing:

• Carefully loosen the tape.


• Use a clean (not sterile) medical glove to grab the old dressing and pull it off.
• If the dressing sticks to the wound, get it wet and try again.
• Put the old dressing in a plastic bag and set it aside.
• Clean your hands again after you take off the old dressing.

Caring for the Wound

You may use a gauze pad or soft cloth to clean the skin around your wound:

• Use a normal saline solution (salt water) or mild soapy water.


• Soak the gauze or cloth in the saline solution or soapy water, and gently dab or
wipe the skin with it.
• Try to remove all drainage and any dried blood or other matter that may have
built up on the skin.
• Do not use skin cleansers, alcohol, peroxide, iodine, or soaps with antibacterial
chemicals. These can damage the wound tissue and slow your healing.
Your doctor may also ask you to irrigate, or wash out, your wound:

• Fill a syringe with salt water or soapy water, whichever your health care provider
recommends.
• Hold the syringe 1 to 6 inches away from the wound, and spray hard enough into
the wound to wash away drainage and discharge.
• Use a soft, dry cloth to carefully pat the wound dry.

Do not put any lotion, cream, or herbal remedies on or around your wound without
asking your doctor first.

Putting on the New Dressing

Place the clean dressing in the wound as your health care provider taught you to. You
may be using a wet-to-dry dressing. See also: Wet to dry dressing changes

Clean your hands when you are finished.

Throw away all the old dressings and other used supplies in a waterproof plastic bag.
Close it tightly, then double it before putting it in the trash.

Wash any soiled laundry from the dressing change separately from other laundry. Ask
your doctor if you need to add bleach to the wash water.

Use a dressing only once. Never reuse it.

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