Organization of dressings

A ward sister and a nurse bring walking patients or bring bed patients according to the schedule of dressing work, help them to remove their outer clothing and underwear, sit or lay them on the dressing table in a position convenient for manipulation.

The duty of the first dressing sister is to serve a sterile instrument with a coroncus to the doctor and a second nurse, to prepare and feed the coroncus with an ointment or a moistening bandage.

At the end of the dressing, the ward sister and the nurse help the patient put on clean clothes, outer clothing, take them away or take them to the ward.

1. Face burns, scalp, auricles.

The ligation is made in the patient's sitting or lying position. The first sister gives the doctor a kidney basin with anatomical tweezers, pointed scissors, balls with peroxide of hydrogen and furacilin, dry napkins. With superficial burns, wound wounds are made and an open method of treatment is used( ie, do not cover the wound with bandages).At deep burns in the stage of rejection of necrotic tissues there is abundant suppuration, therefore the first sister should double the amount of material supplied to the doctor for the wound toilet, and if necessary add 2-4 turundas to treat the external auditory canal. The second sister, on the instructions of the doctor, must impose an ointment or a wet-dry bandage and strengthen it with an elastic or gauze bandage.

2. Local burns of the hand and forearm.

The patient sits on the couch. The second sister puts the patient's hand on the manipulation table, covered with a sterile oilcloth. Wet the dressing with an antiseptic solution poured into Esmarch's sterile mug, then cuts the bandage with scissors, removes it with tweezers, and throws it into the gas. Then he changes the sterile oilcloth on the manipulation table. The first sister gives the Kornzang to the doctor a kidney basin with sterile surgical tweezers and Cooper scissors in it, balls with solutions and dry ones. If the patient experiences severe pain, the first sister gives a napkin moistened with a solution of 1-2% novocain for wrapping the patient's brush for 2-3 minutes. A new ointment or a wet-drying bandage is applied by the second sister at the doctor's instructions after the wound is finished. Dressings are applied to each finger separately, reinforced with elastic reticulum-bandage bandage No. 2.

The second sister prepares a foot bath for the patient( 5 liters of water with 5% potassium permanganate solution added to a weakly pink color), soothes the bandage, puts the patient on a couch, cutsbandage with Lister scissors and removes it with tweezers. The subsequent sequence of actions is similar to dressing for brush burns.

Always carried out on a dressing table covered with a sterile sheet. The dressing is carried out by a team of three people: the attending physician, the assistant doctor and the second dressing sister. Each of them uses a separate sterile instrument. The removed bandage is dumped in a basin or a one-time paper bag. The used tool is collected by the second sister, washes it in running water and puts it in a basin with a disinfectant solution. At the end of the wound toilet, the second nurse puts on it ointment or wet-drying contiguous dressings.

5. Stage nekrrectomy - surgery to remove dead tissue. The first sister additionally prepares surgical tweezers( 2 pcs.), Cooper scissors( 2 pcs.), Acuminate scalpel, hemostatic clamps( 2-4 pcs.), Needle holder with needles, sterile silk, chrome-plated catgut. This tool she gives the doctor as he removes necrotic tissue. The second sister helps the doctor and impose bandages.

Duties of the dressing station:

• cut and remove the bandage, the top layer of the bandage, dropping them into a basin or a paper bag of one-time use;

• soak and remove the lower layers of the bandage, dropping them into the pelvis or the same bag;

• impose a new gauze or moistening bandage, following a doctor's instructions, after a toilet burn injury or other manipulation of it;

• strengthen the bandage with a tubular, elastic or gauze bandage. When dressing, use only sterile instruments designed for each patient, to prevent the transfer of hospital-acquired infections.