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UNIT 3
PROCEDURE CHECKLIST 39
Nursing interventions for Client with Infections and Inflammations: Wound
dressing
REMARKS
NO. PROCEDURE
1. Ensure physician’s order
2. Identify and inform the patient
3. Check present dressing with non-sterile gloves.
4. Perform hand hygiene and put on mask
5. Gather necessary equipment.
Prepare environment, position patient, adjust height of bed, and
6. turn on lights.
7. Prepare patient and loose the tape around the wound
8. Cut pieces of paper tape and have them within reach
9. Perform hand hygiene
10. Prepare sterile field.
11. Add necessary sterile supplies.
12. Pour cleansing solution.
13. Perform hand hygiene
Apply sterile gloves and use dressing forceps prepare enough
14. swab for dressing. Depending on the amount of cleaning
needed.
Use dissecting forceps remove outer and inner dressing and
15. discard as per agency policy
Assess the soiled dressing and note the type, colour, odour and
16. presence of discharge.
17. Discard dissecting forceps according to agency policy
Inspect the wound site for size, appearance, and drainage.
18. Assess if any pain is present. Note any problems to include in
your documentation.
Clean wound using one sterile swab per stroke using dressing
19. forceps. Strokes should be:
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