ACTIVE LEARNING TEMPLATE: Nursing Skill
Kevin Zabala
STUDENT NAME _____________________________________
Planning care for a client who is using elastic bandages REVIEW MODULE CHAPTER ___________
SKILL NAME____________________________________________________________________________
Description of Skill
Changing a dressing involves the cleaning and appraisal of a wound as well as the placement
of new clean bandages.
Indications CONSIDERATIONS
Once the initial bandage has been removed,
Nursing Interventions (pre, intra, post)
dressing sshould be changed as often as
needed to keep wpund drainage from Assess the wound appearnce by inspecting
soaking the gauze. This is usually one to and palpating. Look for approximation of the
four times a day. If the bandage is wet with edges, and the colour of the wound and
drainage when changed, then change it surrounding area.Observe for signs of
more often infection Note the presence of any sutures,
drains, and tubes
Outcomes/Evaluation
Client Education
Bandages are replaced after the wound has
been cleaned. Aseptic technique has been The patient should alert the nurse if the
maintained and the patient has tolerated the wound displays heat, induration, pain, or
procedure well. The patient demonstrates erythema.
signs and symptoms of progressive wound
healing.
Potential Complications Nursing Interventions
Possible complications associated with Possible complications associated with
dressing changes are infection, hematoma, dressing changes are infection, hematoma,
dehisence, tissue necrosis and gangrene, dehisence, tissue necrosis and gangrene,
periwound dermatitis, and periwound edema. periwound dermatitis, and periwound edema.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9
Kevin Zabala
STUDENT NAME _____________________________________
Planning care for a client who is using elastic bandages REVIEW MODULE CHAPTER ___________
SKILL NAME____________________________________________________________________________
Description of Skill
Changing a dressing involves the cleaning and appraisal of a wound as well as the placement
of new clean bandages.
Indications CONSIDERATIONS
Once the initial bandage has been removed,
Nursing Interventions (pre, intra, post)
dressing sshould be changed as often as
needed to keep wpund drainage from Assess the wound appearnce by inspecting
soaking the gauze. This is usually one to and palpating. Look for approximation of the
four times a day. If the bandage is wet with edges, and the colour of the wound and
drainage when changed, then change it surrounding area.Observe for signs of
more often infection Note the presence of any sutures,
drains, and tubes
Outcomes/Evaluation
Client Education
Bandages are replaced after the wound has
been cleaned. Aseptic technique has been The patient should alert the nurse if the
maintained and the patient has tolerated the wound displays heat, induration, pain, or
procedure well. The patient demonstrates erythema.
signs and symptoms of progressive wound
healing.
Potential Complications Nursing Interventions
Possible complications associated with Possible complications associated with
dressing changes are infection, hematoma, dressing changes are infection, hematoma,
dehisence, tissue necrosis and gangrene, dehisence, tissue necrosis and gangrene,
periwound dermatitis, and periwound edema. periwound dermatitis, and periwound edema.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9
