Wound Care and Dressing

Wound Dressing and Care

• Wound washing is the process of cleaning and sterilizing the wound area to remove dirt, debris, bacteria, and other foreign objects.
• The main goals of wound washing are to:
  • Remove dirt and debris
  • Reduce the risk of infection
  • Promote fast and effective healing
  • Prevent complications
  • Reduce pain and discomfort
  • Optimize cosmetic results
  • Help patients in the healing process (psychological benefits)

Key Components of Wound Washing

• Antiseptic solution: The right choice is crucial to avoid skin irritation
• Examples of antiseptic solutions: saline, povidone-iodine, chlorhexidine
• Pressure: Use proper pressure in rinsing to avoid tissue trauma
• Sterile equipment: Keep all tools and equipment sterile to prevent cross-infection

Effective Wound Cleaning Techniques

• Deep cleansing: Pay attention to every detail and fold in the wound area to thoroughly clean
• Patient safety: Ensure the patient is comfortable and safe during the process

Catheter Bladder Drainage

• A procedure to insert a catheter into the bladder through the ureter to pass urine.

Purpose of Catheterization

• Release urine in cases of acute or chronic urinary retention and urinary incontinence.
• Urine drainage for pre- and post-operative care.
• To take a sterile urine specimen.

Types of Catheters

• Common urinary catheter.
• 2-way catheter.
• 3-way catheter.

Catheter Size

• Various sizes available.
• Use the appropriate size for the patient.

Responsibility during the Procedure

• Practice full aseptic technique.
• Avoid injury by improving skills and being gentle.
• Record and document in the procedure record book.
• Record in the "intake & output" chart if necessary.

Equipment Needed

• Catheterization set (sterile).
• 2 kidney dishes (medium).
• Green towel.
• 2 gallipot.
• Sponge holding forceps.
• Dissecting forceps.
• Cotton and gauze.
• Appropriate catheter.
• Urine bag.
• Sterile gloves.
• Syringe (10 ml).
• Lubricant / Lignocane gel (2%).
• Normal saline (9%).
• Mask.
• Water for injection.

Catheterization Procedure

• Prepare equipment for catheterization.
• Explain the procedure to the patient and screen.
• Position the patient in a recumbent or semi-recumbent position.
• Reveal the patient's genitals.
• Wash hands medically and dry.
• Wear a mask.
• Use sterile gloves.
• Wash the genitals with normal saline.
• Attach a green towel.
• Open the catheter and apply the tip with Lignocane gel.
• Aseptically insert the catheter slowly into the urethra until urine comes out.
• Drain the urine with a kidney dish.