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                                                            UNIT 3
                                               PROCEDURE CHECKLIST 42
                     Nursing interventions for Client with Infections and Inflammations: Incision
                                                        and drainage




                 NO.                              PROCEDURE                                     REMARKS



                  1.   Greet patient

                  2.   Identify and prepare right patient

                  3.   Explain and inform patient

                  4.   Hand hygiene


                  5.   Prepare equipment

                  6.   Prepare of the area of abscess and surrounding skin

                  7.   Give psychological support throughout the procedure.

                       Assist the procedure:


                       8.1     In preparing the area with povidone-iodine and alcohol

                       8.2     Drape the area
                  8.           Infiltrate 0.5% or 1% lidocaine into the incision site
                       8.3     over the abscess to anesthetize the area well before
                               the procedure

                       8.4     Preparing scalpel blade to incise the abscess

                       8.5     Obtain cultures form the drainage

                  9.   Following exploration, clean the cavity with hydrogen peroxide


                 10.  Observe for bleeding or any complication.
                       Perform loose packed dressing using one-fourth or one-half inch
                 11.
                       iodoform or plain gauze packing.
                       Apply a sterile gauze dressing and secure the dressing with no
                 12.
                       allergenic adhesive tape

                 13.  Documentation and reporting.




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