8

Assist client/patient assume confortable position

9

Put on disposable gloves and open wound

10

Removing old dressing leaving inner dressing,

11

Use forceps; lift inner dressing off slowly

12

If dressing stick on the wound sock with normal saline

13

Observe nature of wound

14

Dispose of inner dressing and put them in the waste bag

15

Removal of disposable gloves

16

Arrange dressing forceps; scissors and receiver in order of their application using forceps

17

Pour antiseptic solution into sterile receiver

18

Put on sterile gloves

19

Inspect the wound and clean it

20

Using forceps and gauze dip into antiseptic solution

21

For each stroke of cleaning use single gauze in one direction only to avoid maximally wound contamination.

22

Clean from least contaminated to most contaminated area

23

Use fresh gauze to dry the wound

24

Apply dressing solution as prescribed

25

Apply dry sterile dressing

26

Use tape or adhesive plaster or bandage

27

Clean all used equipment and supplies

28

Document wound changes and client’s response

Communicate aspects

29

Report patients level of comfort

30

Record data and time of dressing

31

Observe and record any changes in the wound

Teaching aspect

32

Instruct the patient/relative to avoid tempering with the wound

33

Instruct the patient and family to report any deviations from normal on the wound

34

Discuss with the patient and significant others on nutritional