Wound Dressing
CLEANING TROLLEY
Hand hygiene using the 7 steps of WHO
Take alcohol wipe, check the pack is intact and expiry in date
Do hand hygiene
Wear apron and gloves
Clean trolley from farthest side to nearest side in a zig-zag motion by using
Alcohol wipes.
First clean the upper part, then lower part including bars.
Discard the wipe, apron and gloves
Do hand hygiene
State that upper part is the sterile field and lower part is the clean field.
GATHER EQUIPMENT
Place the articles on the bottom shelf of the clean trolley.
Check the sterile pack – dry, intact and within expiry date.
Saline solution – package is intact, no precipitate, expiry in date
Sterile dressing – package is intact and expiry in date.
Alcohol swab – pack is dry and intact, expiry in date.
If possible extra sterile gloves – packet is intact, expiry in date.
Carry the trolley holding at the bottom part and carry near the patient without disturbing/less disturbing the curtain/environment.
INTRODUCTION
Hand hygiene
Now introduce yourself as one of the registered nurses coming to dress his/her wound.
Explain procedure to gain consent
PROCEDURE
Hand hygiene, wear apron
Place the dressing pack carefully on the sterile field and open the sterile pack by touching only corners of the paper.
Take out clinical waste bag without compromising sterility, insert hand inside and wear like gloves.
Place other materials in the dressing pack on the centre of a sterile field by using clinical waste bag.
When done upside down the clinical waste bag and stick to one side of the upper part of the trolley. Mostly to the nearest side the patient.
Take sterile dressing from bottom part, remove the pack and drop it on the sterile field
Take the alcohol swab from the bottom shelf and open it and discard packet in the clinical waste bag.
Take the saline solution and clean the neck of the saline solution for 30sec and allow it to dry for 30sec. (count till 5 sec)
Open and pour saline solution into gallipot and discard saline solution pack to clinical waste bag.
Hand hygiene
Put on sterile gloves from the sterile field/the extra.
Drape the sterile field around/under the wound.
Maintain sterility while draping
Verbalize which hand is ‘clean’ and which will be ‘dirty’ (or sterile hand and clean hand)
Dip gauze in a saline solution and move from clean to dirty hand
Clean wound from clean to dirty in a single stroke (two times)
Don’t over-clean the wound
Apply new dressing and remove the drape
Replace bed cover
Remove the clinical waste bag and dispose waste appropriately
Discard apron and gloves and do hand hygiene – if more time clean the trolley.
Give health education to your patient
Do documentation
Ensure the patient is comfortable, does not have any concerns and call bell within reach.
Do final hand hygiene
Conclude by saying; Assessor i have done my procedure, discarded used items according to the hospital policy, did documentation as per the NMC guidelines, cleaned trolley for next use &my patient is comfortable.
