wound dressing

1	Identify the patient who requires wound dressing and the type of dressing to be performed.
2	Explain to patient and family about the importance of procedure and how they have to cooperate.
3	Spread the paper, place bag in a suitable area and take out soap and brush and other required articles from outer pocket. Loose the inner pocket cover.
4	Wash hands and dry.
5	Open inner pocket and assemble all the required articles at the bed side, table area or chair.
6	The work area may be arranged while the instruments are boiling.
7	Remove the bandage outer dressing with fingers or forceps and discard it into paper bag.
8	Wash hands thoroughly with soap, water and nail brush.
9	Create a sterile field by keeping sterile articles in the bowl/basin used for boiling or plate with which is sterilized.
10	Pour the cleansing solution using a artery forceps or hydrogen peroxide.
11	Clean the wound with cotton swab dipped in cleansing solution using artery forceps.
12	Apply medication as directed in the standing order with a cotton applicator.
13	Apply sterile dressing and fasten with the bandage.
14	Explain the condition of wound to the patient and family relatives and also provides instructions regarding care, rest, exercise and diet.
	AFTER CARE:-
13	Record procedure, condition of wound, and medication used.
14	Wrap soiled dressing and burn.
15	Wash used instruments and bowl with soap and water and rinse and boil for 20 minutes.
16	Wash hands and return clean soiled instruments to the outer pocket of bag in polythene.
17	Inform about your next visit and refer the client to the nearest centre.