WOUND CARE STEP DEMONSTRATIONS AND OBSERVATIONS

Introduction

"Nurse greets patient. Asks if okay to look at chest wound."

"Nurse asks how the patient is."

"Nurse explains what we are here to do."

Assessment

"Nurse kindly moves ostomy bag and pinches with index finger and thumb."

"Use finger tips to pull at skin around wound and observe."

"Assess feet and legs."

Setup

Picture

"Nurse lightly pushes legs outward."

Removal

Picture

"Nurse cuts away and unwraps dressing on left foot."

Cleaning

Picture

"Nurse scrubs between legs, under stomach with towel with cleanser."

"In round motion, wipe gauze over heel. Then wipe back and forth to clean."

Treatment

"Using q-tip, presses gauze into wound to pack it-uses a dry 2x2 to pack wound."

"Nurse lightly brushes with cream to protect skin on buttocks."

"Aide rubs antimicrobial cream on buttocks skin tear."

Dressing

Picture

"Eschufiber lightly placed on patient shin."

Conclusion

"Asked if theres anything else she can do."

"Asked if patient was okay."

"Nurse gathers up waste + dirty linens, throws them away."