10/24/23, 10:47 AM Skills+Checklist+-+Wound+Care
Skills Checklist: Wound Care: Wet-to-Dry Dressing
NURS 3215
Student Name ____________________________________ Date ______________________
STEPS S NI COMMENTS
Procedure preparation and Communication
Verify Order
Review client record and need for procedure
Identify, Gather, and Prepare Equipment and
Supplies
(absorbent pad, irrigation solution, 4x4 gauze pads in tub,
single 4x4 gauze pad, absorbent ABD pad, personal protective
equipment, wound measuring guide, tape, and pen)
Apply Principles of Aseptic Practice
Perform hand hygiene when beginning interaction with
client
Communicate Effectively
• Privacy
• Identify client with two identifiers*
• Verification of allergies*
• Assess pain and verbalize any necessary treatment
prior to beginning procedure*
• Client teaching
Procedure Steps
Sterile, Wet-to-Dry Dressing Change
• Place supplies at bedside
• Set up trash receptacle in an accessible location
• Perform hand hygiene and don clean gloves*
• Raise bed to an appropriate height and lower side rail
• Position client appropriately to access the wound
• Place absorbent pad under client
• Remove current dressing to expose wound
• Remove packing from wound
• Assess wound appearance and appearance of any
drainage on the dressing and packing
• Measure wound’s dimensions using wound measuring
guide and cotton tipped applicator
• Discard guide and applicator
• Remove gloves and perform hand hygiene*
• Prepare supplies for cleaning and dressing wound
following appropriate sterile technique*
Open gauze pads in tub
Open single gauze pads
Open absorbent ABD pad
Moisten gauze pads in tub
• Don sterile gloves*
• Clean wound working from cleanest to dirtiest*
• Pack wound gently with moist gauze*
Adapted from ATI Skills 3.0 Checklists: Assessment Technologies Institute. (2020).
Sh/rc:12/4/20
about:blank 1/2
Skills Checklist: Wound Care: Wet-to-Dry Dressing
NURS 3215
Student Name ____________________________________ Date ______________________
STEPS S NI COMMENTS
Procedure preparation and Communication
Verify Order
Review client record and need for procedure
Identify, Gather, and Prepare Equipment and
Supplies
(absorbent pad, irrigation solution, 4x4 gauze pads in tub,
single 4x4 gauze pad, absorbent ABD pad, personal protective
equipment, wound measuring guide, tape, and pen)
Apply Principles of Aseptic Practice
Perform hand hygiene when beginning interaction with
client
Communicate Effectively
• Privacy
• Identify client with two identifiers*
• Verification of allergies*
• Assess pain and verbalize any necessary treatment
prior to beginning procedure*
• Client teaching
Procedure Steps
Sterile, Wet-to-Dry Dressing Change
• Place supplies at bedside
• Set up trash receptacle in an accessible location
• Perform hand hygiene and don clean gloves*
• Raise bed to an appropriate height and lower side rail
• Position client appropriately to access the wound
• Place absorbent pad under client
• Remove current dressing to expose wound
• Remove packing from wound
• Assess wound appearance and appearance of any
drainage on the dressing and packing
• Measure wound’s dimensions using wound measuring
guide and cotton tipped applicator
• Discard guide and applicator
• Remove gloves and perform hand hygiene*
• Prepare supplies for cleaning and dressing wound
following appropriate sterile technique*
Open gauze pads in tub
Open single gauze pads
Open absorbent ABD pad
Moisten gauze pads in tub
• Don sterile gloves*
• Clean wound working from cleanest to dirtiest*
• Pack wound gently with moist gauze*
Adapted from ATI Skills 3.0 Checklists: Assessment Technologies Institute. (2020).
Sh/rc:12/4/20
about:blank 1/2
