NURS405A Lecture Notes - Lecture 17: Deep Wound, Asepsis, Exudate
20 Jun 2020
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Careful removal of tape, gentle cleansing of wound edges and careful manipulation of dressings and drains minimize stress on sensitive tissues. Basic skin cleansing for surgical or traumatic wounds. Cleanse surgical or traumatic wounds by applying noncytotoxic solutions with sterile gauze or by irrigiating. Following 3 principles are important when cleansing an incision or area surrounding drain: 1. Cleanse in a direction from least contaminated such as from wound or incision to the surrounding skin or from an isolated drain site to the surrounding tissue: 2. Use gentle friction when applying solutions locally to the skin: 3. When irrigating, allow the solution to flow from least to most contaminated area. Use gauze to clean the periwound skin, not open wound. Open drain leaks onto surrounding skin, ensure that the drainage is removed from skin to avoid maceration or excoriation of tissue from possible causatic drainage.
