{"id":124,"date":"2019-09-12T22:09:37","date_gmt":"2019-09-13T02:09:37","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/?post_type=chapter&#038;p=124"},"modified":"2020-03-23T17:49:20","modified_gmt":"2020-03-23T21:49:20","slug":"4-6-advanced-wound-care-wet-to-moist-dressing-and-wound-irrigation-and-packing","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/chapter\/4-6-advanced-wound-care-wet-to-moist-dressing-and-wound-irrigation-and-packing\/","title":{"raw":"4.6 Advanced Wound Care: Wet to Moist Dressing, and Wound Irrigation and Packing","rendered":"4.6 Advanced Wound Care: Wet to Moist Dressing, and Wound Irrigation and Packing"},"content":{"raw":"<h2 style=\"text-align: center\"><strong>Critical Thinking Exercises: Questions, Answers, and Sources \/ References<\/strong><\/h2>\r\nCritical thinking questions are in bold type, and the answers are italicized. Additional resources or references are provided below.\r\n<ol>\r\n \t<li><strong>Provide a rationale for selecting PPE when performing a wound irrigation: eye protection, gown, non-sterile gloves, or sterile gloves.<\/strong><\/li>\r\n<\/ol>\r\n<ul>\r\n \t<li><em>When irrigating, splashing might occur thus exposing the <\/em><em>HCP<\/em><em> to BBF.<\/em><\/li>\r\n \t<li><em>Sterile gloves may be used on wounds (surgical) that pose significant risk to the patient. In this case sterile gloves are protecting the patient <\/em><em>AND<\/em><em> the <\/em><em>HCP.<\/em><\/li>\r\n<\/ul>\r\n<ol start=\"2\">\r\n \t<li><strong>Which elements are important to consider when assessing a closed surgical incision?<\/strong><\/li>\r\n<\/ol>\r\n<ul>\r\n \t<li><em>Are the edges approximated? <\/em><\/li>\r\n \t<li><em>Is there drainage? <\/em><\/li>\r\n \t<li><em>Is there redness or swelling to the surrounding tissue? <\/em><\/li>\r\n \t<li><em>Where is it?\u00a0<\/em><\/li>\r\n \t<li><em>Are staples, sutures, or Steri-Strips present?<\/em><\/li>\r\n \t<li><em>Pain?<\/em><\/li>\r\n<\/ul>\r\n<ol start=\"3\">\r\n \t<li><strong>What elements are important to consider when assessing an open wound?<\/strong><\/li>\r\n<\/ol>\r\n<ul>\r\n \t<li><em>Where is it? <\/em><\/li>\r\n \t<li><em>What is the size (length\/width\/depth)? <\/em><\/li>\r\n \t<li><em>What does the wound bed look like (red \/ black \/ slough\/ other)?<\/em><\/li>\r\n \t<li><em>What does the peri-wound skin look like (intact \/ macerated)? <\/em><\/li>\r\n \t<li><em>Is there redness or swelling to the surrounding tissue? <\/em><\/li>\r\n \t<li><em>What type of drainage is present (sanguinous, serosanguinous, serous, purulent)?<\/em><\/li>\r\n \t<li><em>Is there tunneling\u00a0(where and what length)?<\/em><\/li>\r\n \t<li><em>Drainage (type and amount)?<\/em><\/li>\r\n \t<li><em>Is there odour after the wound has been cleansed?<\/em><\/li>\r\n<\/ul>\r\nSource:\r\n\r\nBritish Columbia Provincial Nursing Skin and Wound Committee. (2011). <em>Guideline: Assessment and treatment of surgical wounds healing by primary and secondary intention in adults and children<\/em>.\u00a0\u00a0<a href=\"https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-surgical-wounds-primary-secondary-intention\/\">https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-surgical-wounds-primary-secondary-intention\/<\/a>\r\n\r\nBritish Columbia Provincial Nursing Skin and Wound Committee. (2014). <em>Guidelines: Braden scale for predicting pressure ulcer risks in adults and children\/infants.<\/em> <a href=\"https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-braden-risk-assessment\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-braden-risk-assessment\/<\/a>\r\n\r\nPerry, A., Potter, P., &amp; Ostendorf, W. (2017). <em>Clinical nursing skills and techniques<\/em> (9th ed.). Elsevier; Mosby.\r\n<h2 style=\"text-align: center\">Sample Quiz Question<\/h2>\r\n<ol>\r\n \t<li><strong>Which PPE is appropriate when performing a wound irrigation? Select all that apply.<\/strong><\/li>\r\n<\/ol>\r\n<ul>\r\n \t<li><strong>Eye protection<\/strong> <em>(Answer: yes)<\/em><\/li>\r\n \t<li><strong>Gown<\/strong> <em>(Answer: possible)<\/em><\/li>\r\n \t<li><strong>Gloves<\/strong> <em>(Answer: yes)<\/em><\/li>\r\n \t<li><strong>Foot protectors<\/strong> <em>(Answer: no)<\/em><\/li>\r\n<\/ul>\r\nSource:\r\n\r\nCenters for Disease Control and Prevention (CDC). (2007). <em>Part III: Precautions to prevent the transmission of infectious agents<\/em>. <a href=\"http:\/\/www.cdc.gov\/hicpac\/2007IP\/2007ip_part3.html\">http:\/\/www.cdc.gov\/hicpac\/2007IP\/2007ip_part3.html<\/a>","rendered":"<h2 style=\"text-align: center\"><strong>Critical Thinking Exercises: Questions, Answers, and Sources \/ References<\/strong><\/h2>\n<p>Critical thinking questions are in bold type, and the answers are italicized. Additional resources or references are provided below.<\/p>\n<ol>\n<li><strong>Provide a rationale for selecting PPE when performing a wound irrigation: eye protection, gown, non-sterile gloves, or sterile gloves.<\/strong><\/li>\n<\/ol>\n<ul>\n<li><em>When irrigating, splashing might occur thus exposing the <\/em><em>HCP<\/em><em> to BBF.<\/em><\/li>\n<li><em>Sterile gloves may be used on wounds (surgical) that pose significant risk to the patient. In this case sterile gloves are protecting the patient <\/em><em>AND<\/em><em> the <\/em><em>HCP.<\/em><\/li>\n<\/ul>\n<ol start=\"2\">\n<li><strong>Which elements are important to consider when assessing a closed surgical incision?<\/strong><\/li>\n<\/ol>\n<ul>\n<li><em>Are the edges approximated? <\/em><\/li>\n<li><em>Is there drainage? <\/em><\/li>\n<li><em>Is there redness or swelling to the surrounding tissue? <\/em><\/li>\n<li><em>Where is it?\u00a0<\/em><\/li>\n<li><em>Are staples, sutures, or Steri-Strips present?<\/em><\/li>\n<li><em>Pain?<\/em><\/li>\n<\/ul>\n<ol start=\"3\">\n<li><strong>What elements are important to consider when assessing an open wound?<\/strong><\/li>\n<\/ol>\n<ul>\n<li><em>Where is it? <\/em><\/li>\n<li><em>What is the size (length\/width\/depth)? <\/em><\/li>\n<li><em>What does the wound bed look like (red \/ black \/ slough\/ other)?<\/em><\/li>\n<li><em>What does the peri-wound skin look like (intact \/ macerated)? <\/em><\/li>\n<li><em>Is there redness or swelling to the surrounding tissue? <\/em><\/li>\n<li><em>What type of drainage is present (sanguinous, serosanguinous, serous, purulent)?<\/em><\/li>\n<li><em>Is there tunneling\u00a0(where and what length)?<\/em><\/li>\n<li><em>Drainage (type and amount)?<\/em><\/li>\n<li><em>Is there odour after the wound has been cleansed?<\/em><\/li>\n<\/ul>\n<p>Source:<\/p>\n<p>British Columbia Provincial Nursing Skin and Wound Committee. (2011). <em>Guideline: Assessment and treatment of surgical wounds healing by primary and secondary intention in adults and children<\/em>.\u00a0\u00a0<a href=\"https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-surgical-wounds-primary-secondary-intention\/\">https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-surgical-wounds-primary-secondary-intention\/<\/a><\/p>\n<p>British Columbia Provincial Nursing Skin and Wound Committee. (2014). <em>Guidelines: Braden scale for predicting pressure ulcer risks in adults and children\/infants.<\/em> <a href=\"https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-braden-risk-assessment\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.clwk.ca\/buddydrive\/file\/guideline-braden-risk-assessment\/<\/a><\/p>\n<p>Perry, A., Potter, P., &amp; Ostendorf, W. (2017). <em>Clinical nursing skills and techniques<\/em> (9th ed.). Elsevier; Mosby.<\/p>\n<h2 style=\"text-align: center\">Sample Quiz Question<\/h2>\n<ol>\n<li><strong>Which PPE is appropriate when performing a wound irrigation? Select all that apply.<\/strong><\/li>\n<\/ol>\n<ul>\n<li><strong>Eye protection<\/strong> <em>(Answer: yes)<\/em><\/li>\n<li><strong>Gown<\/strong> <em>(Answer: possible)<\/em><\/li>\n<li><strong>Gloves<\/strong> <em>(Answer: yes)<\/em><\/li>\n<li><strong>Foot protectors<\/strong> <em>(Answer: no)<\/em><\/li>\n<\/ul>\n<p>Source:<\/p>\n<p>Centers for Disease Control and Prevention (CDC). (2007). <em>Part III: Precautions to prevent the transmission of infectious agents<\/em>. <a href=\"http:\/\/www.cdc.gov\/hicpac\/2007IP\/2007ip_part3.html\">http:\/\/www.cdc.gov\/hicpac\/2007IP\/2007ip_part3.html<\/a><\/p>\n","protected":false},"author":397,"menu_order":5,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-124","chapter","type-chapter","status-publish","hentry"],"part":112,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/chapters\/124","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/wp\/v2\/users\/397"}],"version-history":[{"count":8,"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/chapters\/124\/revisions"}],"predecessor-version":[{"id":784,"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/chapters\/124\/revisions\/784"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/parts\/112"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/chapters\/124\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/wp\/v2\/media?parent=124"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/pressbooks\/v2\/chapter-type?post=124"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/wp\/v2\/contributor?post=124"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/facultyancillaryresourceforclinicalproceduresforsaferpatient\/wp-json\/wp\/v2\/license?post=124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}