This is the third and final installment in the series about how to prepare your patient for wound care treatment.
In Part 1 we covered Transfers, Patient Comfort, Pain Scales; if you missed Part 1, you can read it here
In Part 2 we covered Premedication, Time-Outs, Dressing Removal/Cleansing, Sterile Versus Clean. Read it here
Part 3: Preparing the Patient for Wound Care
H. Choice fo Sterilization (Spaulding's classification)
- Critical items that enter into tissue or vascular space: sterilization
- Semi-critical items that come into contact with mucus membranes or non-intact skin: high-level or intermediate disinfection
- Non-critical items that come into contact with intact skin: intermediate or low-level disinfection
I. Disinfecting equipment
- Know the organisms.
- Follow the recommended concentration and contact duration.
- Follow the recommended temperature (most are room temperature).
- Some disinfectants are ineffective in the presence of soap.
- Remove all organic material, e.g., blood, excretions.
- All equipment surfaces should be in contact with the solution.
J. Infection Control/Safety Issues
- Always use standard precautions.
- Based on the principle that all blood, body fluids, secretions, excretions (except sweat), non-intact missible infectious agents.
- Include infection prevention practices that apply to all patients, regardless of suspected or confirmed infection status, in any setting where healthcare is delivered.
- Include hand hygiene, gloves, gowns, mask, eye protection, or face shield (depending on the anticipated exposure), and safe injection practices.
- Material Safety Data Sheets (MSDS)
- Information on hazardous materials
- Instructions on how to handle exposures
- Contain numbers to call for help
- Know their location
Source Reference: Wound Care Certification Study Guide, Second Edition by Jayesh B. Shah, MD, Paul J Sheffield, PhD, Caroline E. Fife, MD
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