How do you do a sterile dressing change?

Additional Information

  1. Check present dressing with non-sterile gloves. …
  2. Perform hand hygiene. …
  3. Gather necessary equipment. …
  4. Prepare environment, position patient, adjust height of bed, turn on lights. …
  5. Perform hand hygiene. …
  6. Prepare sterile field. …
  7. Add necessary sterile supplies. …
  8. Pour cleansing solution.

How do you use sterile wound dressing?

How to apply a sterile pad or gauze

  1. Wash hands and put on disposable, non-latex gloves before touching a dressing or wound.
  2. Ensure the pad covers beyond the edge of the wound.
  3. Hold the pad by the edges and place it directly on top of the wound. …
  4. Secure the pad with adhesive tape or a roller bandage.


Do dressing changes require sterile technique?

A sterile technique minimizes the possibility of contamination, and a clean technique attempts to do the same but using a clean field and clean gloves. Sterile instruments may be used, and some gauze and primary dressings may be kept for use at the next dressing change.

What is the procedure for performing a wet to dry sterile dressing change?

A “wet to dry” dressing is used to remove dead tissue from a wound. A piece of gauze is moistened with a cleansing solution. Then it’s put on the wound and allowed to dry. After the dressing dries, the dead skin tissue sticks to the gauze and comes off the wound when the bandage is removed.

How do you clean a sterile wound?

rinse the wound under running tap water for 5 to 10 minutes. soak a gauze pad or cloth in saline solution or tap water, or use an alcohol-free wipe, and gently dab or wipe the skin with it – don’t use antiseptic as this may damage the skin.

How do you use a sterile dressing pack?

Sterile dressing pads attached to bandages



clean and dry the wound and surrounding skin. hold the bandage on either side of the pad. lay the pad directly on the wound.

What are the steps to dressing a wound?

What are the basic steps for wound care?

  1. Wash Your Hands. Cleaning a wound with dirty hands increases the risk of infection. …
  2. Stop the Bleeding. The next step is to stop bleeding from the wound. …
  3. Wash The Wound. …
  4. Apply Antibiotics. …
  5. Cover the Wound. …
  6. Proper Wound Care in Rochester, NY.


Should a wound dressing be sterile?

Johns Hopkins Nursing Evidence-Based Practice Nursing Research Appraisal Tool was used to rate the quality of the evidence. Findings: All 4 studies reported no significant difference in the rate of wound infection when using either clean or sterile technique with dressing application.

What is a sterile procedure?

Sterile means free from germs. When you care for your catheter or surgery wound, you need to take steps to avoid spreading germs. Some cleaning and care procedures need to be done in a sterile way so that you do not get an infection. Follow your health care provider’s instructions on using sterile technique.

What is sterile technique?

Sterile technique means practicing specific procedures before and during invasive procedures to help prevent SSIs and other infections acquired in hospitals, ambulatory surgery centers, physicians’ offices, and all other areas where patients undergo invasive procedures.

How do you do aseptic dressing?

Place the sterile dressing/procedure pack on the top of the trolley. Open the sterile dressing pack on top of the trolley. Open the sterile field using the corners of the paper. Open any other sterile items needed onto the sterile field without touching them.

How often should you change a wound dressing?

The original dressing can be left in place for up to two days (or as advised by the nurse/doctor), as long as it is not oozing. The wound must be kept dry for two days. If the dressing becomes wet from blood or any other liquid, it must be changed.

Why is it important to wear sterile gloves during a dressing change?

Skin is a major source of microorganisms and a major source of contamination in the OR setting (CDC, 2010). Since skin cannot be sterilized, members of the surgical team must wear sterile gloves.

How do nurses clean incisions?

To clean a linear-shaped wound, such as an incision, gently wipe from top to bottom in one motion, starting directly over the wound and moving outward. For an open wound, such as a pressure ulcer, gently wipe in concentric circles, starting directly over the wound and moving outward (see Wound cleaning techniques).

How do you wear sterile gloves?


As you put your hand under the cuff. Slide your ungloved hand into the glove. Keep your sterile fingers under the rolled cuff as you pull the glove onto your hand.

When do you wear sterile gloves?

The most important time to wear sterile gloves is when there will be contact with blood, bodily fluids, mucous membranes, non-intact skin, or possibly infectious substances.

How do nurses wear sterile gloves?

Take your sterile gloved hand and slip it under the cuff of the other glove to glove your non-dominate hand. Gently push the glove (while the hand is still under the cuff) onto your non-dominate hand. Adjust the gloves carefully… making sure you don’t touch your skin or other objects.

What is the difference between sterile and nonsterile gloves?

Gloves marked as “sterile” have typically been sterilized by the manufacturer. Gloves that are “non-sterile” have not been sterilized by the manufacturer, but still must be tested by the FDA to assure that they have been sterilized and meet the FDA assurance level.

Can you put nitrile gloves in your vagina?

Lubricant reduces risk of breakage during penetrative or oral sex. They are safe to use with latex, nitrile, polyisoprene, and polyurethane products. Use it right! For penetration of any kind—penis or strapless, fingers and hands, sex toy into vagina, vulva, front hole or anus, back hole.

Are boxed gloves sterile?

Conclusions: One half the pairs of latex examination gloves in our ICU were sterile despite repeated barehanded access to the boxes. Those contaminated exhibited a small bioburden of low pathogenic potential. No pattern of contamination or unsafe duration of box use were observed.

Do you need sterile gloves for vaginal exam?

In most obstetric offices in the USA, vaginal examinations are performed with single-use open box gloves. Once that same patient is in a labour ward, vaginal examinations are performed with single-packaged sterile gloves.

What do the results of a sterile vaginal exam tell the nurse?

Sterile vaginal examinations will be done by a qualified RN, CNM or MD to determine progress and status of labor as evidenced by dilation and effacement of cervix, station of presenting part and presentation of fetus.

Can nurses do vaginal examinations?

In order to enhance service delivery, more registered nurses are performing examinations, procedures, and observations involving female genitalia (often referred to as intimate internal vaginal or genital examinations).

Which of the following are contraindications to performing a sterile vaginal exam?

Contraindications to performing a vaginal exam may be the admission of a pregnant woman less than 36 weeks gestation. Withholding vaginal exams with these patients reduces the risk of either introducing infection, of artificially rupturing the membranes, or of stimulating a preterm labor.

When should a nurse not perform a vaginal examination?

Digital vaginal examinations should be completely avoided in any high risk delivery or a labor with a history of vaginal bleeding. In these circumstances, the nurse should never perform a vaginal or rectal examination or take any action that would further stimulate uterine activity.

Can I refuse internal exam in labour?

The legal position is that an individual does not have to consent to any medical treatment that they do not wish to have, and that includes vaginal examinations at any stage during labour and birth.