chapter 10 bandaging wounds
TRANSCRIPT
Dressings (1 of 2)
• A dressing covers an open wound and touches the wound.
• Whenever possible, a dressing should be: • Sterile• Larger than the wound• Thick, soft, and compressible• Lint free
Dressings (2 of 2)
• Purpose of a dressing: • Control bleeding• Prevent infection and contamination • Absorb blood and drainage• Protect wound
Types of Dressings (2 of 2)
• Adhesive strips• Small cuts and
abrasions• Trauma dressings
• Large, thick, absorbent
Applying a Sterile Dressing
• Wash hands and wear exam gloves.
• Hold dressing by one corner and place over wound.• Do not slide over wound.• Do not touch dressing.
• Cover with bandage.
Bandages (1 of 2)
• Should be clean but need not be sterile• Can be used to:
• Hold a dressing in place• Apply direct pressure• Prevent or reduce swelling• Provide support and stability for an
extremity or joint
Bandages (2 of 2)
• Signs that a bandage may be too tight: • Blue tinge on fingernails or toenails• Blue or pale skin color• Tingling, loss of sensation • Coldness• Inability to move fingers or toes• Inability to feel a pulse that could previously
be felt
Types of Bandages (1 of 3)
• Roller bandages• Various widths,
lengths, and types of material
• Self-adhering, conforming bandages• Elastic, gauzelike
Types of Bandages (2 of 3)
• Gauze rollers• Nonelastic cotton
• Elastic roller bandages• Provide
compression
Applying a Cravat Bandageto the Head (1 of 2)
• Place middle of bandage over the dressing and wrap around the head.
Applying a Cravat Bandageto the Head (2 of 2)
• Cross the two ends snugly.
• Bring ends back around and tie knot.
Applying a Cravat Bandageto the Arm or Leg (2 of 2)
• Turn one end going up the extremity and the other end going down.
• Tie bandage over dressing.
Applying a Cravat Bandageto Palm of Hand (1 of 2)
• Fill palm with bulky dressing or pad, and close fingers.
• Wrap one end around fingers, other around wrist.
Applying a Cravat Bandageto Palm of Hand (2 of 2)
• Wrap bandage, crossing over fingers and around wrist.
• Tie bandage at the wrist.
Applying a Roller Bandage Spiral Method (2 of 2)
• Make overlapping crisscross turns.
• Finish with two straight turns and secure.
Applying a Roller BandageFigure-Eight Method (1 of 7)
• For elbow or knee:• Make two straight turns
over joint. • Make one turn above joint,
overlapping the first turn.
Applying a Roller Bandage Figure-Eight Method (2 of 7)
• For elbow or knee (cont’d):• Make one turn below joint,
overlapping first straight turn.• Continue alternating turns.
Applying a Roller Bandage Figure-Eight Method (3 of 7)
• For elbow or knee (cont’d):• Finish with two
straight turns to secure end.
Applying a Roller Bandage Figure-Eight Method (4 of 7)
• For hand:• Make two straight turns around palm.• Carry bandage diagonally across back of
hand, around wrist, and back across palm.
Applying a Roller Bandage Figure-Eight Method (5 of 7)
• For hand (cont’d):• Make several
figure-eight turns, overlapping each.
• Finish with two straight turns around wrist; secure end.
Applying a Roller Bandage Figure-Eight Method (6 of 7)
• For ankle:• Make two straight turns around instep.• Make figure-eight turn across front of foot,
around ankle, and under arch.
Applying a Roller Bandage Figure-Eight Method (7 of 7)
• For ankle (cont’d):• Make several
figure-eight turns, overlapping each turn and advancing up the leg.
• Finish with two straight turns around leg; secure end.
Securing Bandages (2 of 5)
• Loop method:• Reverse direction
of tape by looping around thumb or finger and work backward.
Securing Bandages (3 of 5)
• Loop method (cont’d):• Encircle body part
with the looped and free ends and tie ends together.
Securing Bandages (4 of 5)
• Split-tail method:• Split end of
bandage lengthwise.
• Knot to prevent further splitting.
Securing Bandages (5 of 5)
• Split-tail method (cont’d):• Pass ends in
opposite directions around body part and tie.