Clinical Assessment Preparation

CPNE Study Guide

Important Steps to Remember: 1. Organize the equipment. Try to set it up in the order of use. Reaching over your sterile field will result in failure. 2. Open the 4x4s, ABD pad, and sterile dressing tray AWAY from you. 3. Pour a small amount of sterile saline onto the 4x4s in the sterile tray. Do not drench the sponges. 4. Put on the clean gloves. 5. Loosen the tape of the existing dressing, and pull up and away from you to dispose. 6. Wrap the old dressing in your clean glove and discard in the garbage container. 7. Put on sterile gloves. Use sterile technique as directed by instructor. If you break the sterile field at any time, remove both gloves and start over. 8. Remove the top wet sponge from the sterile tray and squeeze out excess saline over remaining sponges. 9. Pull apart the wet sponge to create a lose packing. 10. Starting at one end of the wound, place the edge of the sponge in it, packing it gently and keeping the gauze loose and fluffed. Be sure to cover the entire wound bed. Do not move the gauze once it is in place. If you touch intact skin with the sponge, remove it, replace your gloves, and start again. 11. Place dry 4x4 over the wound. 12. Apply the ABD pad and be sure the absorbent part is towards the dressing. 13. Remove gloves and apply tape to all four sides. 14. Write the date, time and your initials on a small piece of tape and apply to corner of dressing. Document: 1. Pertinent data associated with the clinical decision to support why you chose the Wound Management Application of Sterile Technique as the Simulated Lab skill to perform. 2. Assessment data for wound: a) Procedure performed b) Type of wound c) Location d) Condition of wound bed e) Presence or absence of drainage f) Condition of surrounding skin • Complete procedure withi 30 minutes! • Adhere to professional behaviors • Perform procedure with the allotted supplies

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