The objective of basic dressing set wounds is to promote healing. The procedure includes cleaning, disinfection and protection of the wound while respecting the rules of hygiene. Not all wounds need to be covered by a dressing (e.g. a clean wound that has been sutured for several days; a small dry wound not requiring sutures).
One pair of surgical scissors or one scalpel to excise necrotic tissue and to cut gauze or sutures Instruments for one dressing for one patient must be wrapped together in paper or fabric (or can be placed in a metallic box) and sterilized together to limit handling and breaks in asepsis. 5 to 10 compresses may be included in this set. If there are no sterile instruments, a dressing can be done using sterile gloves.
Organisation of care Basic Dressing Set
Proper organization of care helps maintain the rules of asepsis and decreases the risk of contamination of the wound or transmission of organisms from one patient to another. Assign one room for dressings. It must be cleaned and the waste removed every day. The dressing table must be disinfected after each patient. Dressings may be applied at the bedside if the patient’s condition requires. Use a clean, disinfected dressing trolley with: on the upper tray, sterile and/or clean material (dressing set, extra compresses, etc.) and on the lower tray, septic material. Prepare all the necessary material in a well lit area.
If necessary, arrange for an assistant to be present .
Wear protective glasses if there is a risk of projection from an oozing wound.
Always proceed from clean to dirty: start with patients with uninfected wounds. If there are multiple dressings for one patient, start with the cleanest wound.
If the procedure may be painful, give an analgesic and wait the necessary time for the drug to take effect before starting the procedure.
Wash hands (ordinary soap) or disinfect them with an alcohol-based hand rub.