Clinical Assessment Preparation

CPNE Study Guide

1.1 Wound Management • Assemble your equipment. Equipment should include: a) A bottle of saline b) Tray of 4x4 sponges c) ABD pad d) Single 4x4 gauze e) Paper tape f) A pair of clean gloves g) A pair of sterile gloves h) A container to dispose of soiled dressing You can purchase a wound from Excelsior to practice on or you can create your own wound with modeling clay or putty. Important: Be mindful of your time and maintain sterile techniques! • Assess wound a) Type b) Location c) Condition of wound bed d) Presence or absence of drainage e) Condition of surrounding skin • Prepare supplies using sterile techniques • Maintain asepsis • Maintain sterile techniques when indicated • Wound management dressing: a) Remove the dressing without contaminating the wound b) Dispose of the dressing in the designated container c) Prepare packing with prescribed solution d) Cleanse wound with normal saline Pack wound by: 1. Applying one sterile moist dressing to wound bed surface 2. Applying a loosely fluffed dressing to wound bed surface 3. Applying moist dressing so that the gauze does not extend beyond the top of the wound 4. Applying sterile dressing without contaminating the wound 5. Covering packed wound with sterile 4x4 6. Covering 4x4 with sterile ABD pad 7. Securing the dressing 8. Labeling dressing with the date, time, and initials

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