Changing a surgical dressing requires a careful and clean approach to prevent infection and promote healing. Here's a breakdown of how to do it, based on the information provided:
Steps for Changing a Surgical Dressing
Here is a step-by-step guide to changing a surgical dressing:
- Prepare: Gather your clean supplies, which should include the new dressing, any prescribed cleansing solution, and a clean plastic bag for the soiled dressing.
- Wash your hands thoroughly: Before you even touch anything, wash your hands with soap and water, or use an alcohol-based hand sanitizer. This helps minimize the risk of introducing bacteria into the surgical wound.
- Don clean gloves: Use a clean (not sterile) medical glove to protect yourself when handling the old dressing.
- Remove the old dressing: Gently grasp the old dressing with your gloved hand and carefully pull it away from the wound.
- Stuck dressings: If the dressing sticks, wet it with sterile saline solution or clean water and try again. Important: Follow your healthcare provider's specific instructions; some dressings may need to be removed dry.
- Dispose of the old dressing: Place the used dressing into the plastic bag you prepared earlier.
- Wash your hands again: After handling the soiled dressing, remove your gloves and wash or sanitize your hands again.
- Clean the wound: Clean the surgical wound site per your provider's instructions using sterile saline or an antiseptic solution, and allow it to dry fully.
- Apply the new dressing: Apply the new surgical dressing, making sure to place it directly over the wound and secure it according to the manufacturer's instructions.
Key Considerations
- Cleanliness is paramount: Washing hands, using gloves, and disposing of the old dressing properly are all crucial steps in preventing infection.
- Adhesive dressings: Be gentle when removing adhesive dressings to avoid skin irritation or damage.
- Instructions: Always adhere to the specific instructions given by your healthcare provider regarding the type of dressing, cleansing solutions, and how often to change the dressing.
- Signs of infection: If you notice signs of infection, such as increased redness, swelling, pain, or pus, contact your healthcare provider promptly.
| Step | Description |
|---|---|
| Prepare | Gather clean dressing, cleansing solution, plastic bag. |
| Wash Hands | Wash hands with soap/water or use sanitizer. |
| Don Gloves | Wear clean (not sterile) medical gloves. |
| Remove Old Dressing | Gently remove, moistening if stuck. Follow provider's instructions regarding wet or dry removal. |
| Dispose | Put old dressing in a plastic bag. |
| Wash Hands Again | Remove gloves; wash/sanitize hands. |
| Clean Wound | Clean surgical site as directed; allow to dry. |
| Apply New Dressing | Secure new dressing over wound. |
