Sterile Gloving

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Sterile Gloving Sterile Dressing Change
2
Dressing Changes

• Clean technique
• Closed wounds
• Non-sterile wounds
• Non-sterile gloves used
• Do not touch the side of the dressing that will
  be in contact with the wound

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Dressing Changes

• Sterile technique
• Open surgical wounds
• Central line dressing changes
• Sterile gloves required (SEE SYLLABUS)
• Be organized and think ahead of needed supplies
• Prevent contamination

4
Dressing Supplies

• Gauze
• Woven-made from cotton
• Nonwoven-synthetic fibers
• Weave can vary
• Can be used dry, moist, impregnanted with
  petroleum, antiseptics, other agents.
• Choice of product will depend on a careful wound
  assessment.
• Treatment should modified as wound changes.

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Wet-to-Dry Dressings

• Mechanical debridement
• Saturate gauze with solution ordered (NS, etc.)
• Wring until damp
• Place over wound and secure with secondary
  dressing
• Allow to dry and adhere to necrotic tissue
• When dressing removed, necrotic tissue will also
  be removed. However, granulating tissue will also
  be removed.

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Non-adherent dressings

• Curity, Mepitel, or Telfa
• Also used as secondary dressing
• Impregnated with petroleum, saline, or
  antimicrobials.
• Minimal drainage allowed.

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Transparent Dressings

• Biocclusive, OpSite, Tegaderm
• Semipermeable membrane permits gaseous exchange
  between air and wound.
• Minimally absorbent.
• Dry, noninfected wounds or wounds with minimal
  drainage.

8
Hydrocolloid

• DuoDerm, Tegasorb
• Waterproof, nonpermeable
• Supports debridement
• Superficial and partial-thickness wounds with
  light to moderate drainage.

9
Alginates

• SeaSorb, Sorbsan, Kalfostat, Mesalt
• Highly absorbent material made from seaweed
• Forms gel when in contact with wound
  moisture-gentle debridement
• Can dry out wounds
• Moderate to heavy exudates

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Antimicrobials

• Iodoflex-alginate impregnated with Betadine-type
  material
• Iodosorb-see above, but more gel-like
• Iodoform guaze-yellow strip of fabric placed on
  surgical wound
• Acticoat-alginate impregnated with crystalline
  silver-antibacterial and antifungal properties