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
"Nurse lightly pushes legs outward."
Removal
"Nurse cuts away and unwraps dressing on left foot."
Cleaning
"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
"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."