Empty Wound Drainage Bottle

Empty wound drainage bottle is important to prevent overload of the fluid from the patient’s wound. It also to prevent infection from the fluid go back to the wound. The step to empty wound drainage bottle include clamp the drainage tubing, pour the fluid into a meter container and put pressure on the bottle before connect the tubing.

First, we need to clamp the drainage tubing because we want to prevent the bad fluid flow to bed area while remove the tubing from the bottle. . During we remove the tubing, we must remove it carefully. It is also to avoid fluid in drainage bottle will come out. If that happen, the bed and patient will dirty with the fluid.

Second, pour fluid into the meter container to measure the amount of fluid that come out from the infected wound. It is because we need to observe the amount each time we empty the bottle. If the amount of the fluid not come out too much, the wound is good in healing process.

Lastly, we need to put pressure on the bottle by compress the bottle before we connect back the tubing. We must to put pressure because to suck the bad fluid goes into the drainage bottle. We also must connect the tubing completely to avoid the fluid not come into bottle.

In my conclusion, empty wound drainage bottle is a simple procedure but we do it carefully to prevent other complication will happen to patient and maintain cleanliness.

Open Sterile Package

Open sterile package is done in clean condition. The step in this procedure involved medical hand washing, open layer of sterile pack and arrange the equipment after wearing the sterile glove.

First, we do medical hand washing before you wearing a mask. It is to avoid the infection spread trough out our breathing during you do the procedure. Then, we need to clean the trolley with spirit to make sure the trolley is free from bacteria and will not go into the sterile package. We also cannot cross the trolley during clean it because bacteria from our hand will go down to the trolley.

Second step is open the second layer of sterile package. Before that, we need to do surgical hand washing and dry hand with sterile gauze or sterile tissue paper. Then, we open sterile glove and put in the sterile set. We also need to put extra swab and gauze into galipot before we pour a solution that needed. The solution use must be correct by the doctor’s order.

Lastly, we arrange the equipment after you wearing the sterile glove. We cannot touch the entire instrument without sterile glove because we must maintain the sterility of the equipment and prevent it from microorganisms. So, do not have microorganisms from our hand that will go to the equipment.

In my conclusion, we must do this procedure step by step to make sure the equipment in the sterile package are not contaminate with any microorganisms that come from us.

removal of stitches

Stitches are needed if a wound is cracked. When the wound are heal, the stitch are need to remove because we do not want the stitches remain long in the body. The ways to remove the stitch such as clamp the stitch with forcep, pull out the stitch toward the injured direction and remove the stitch with alternate method until it finish.

First, clamp the stitch at knotted part with forcep and cut the stitch under knotted part that near the skin. Make sure only a few of stitch on the skin surface. Beside that, hold the scissor parallel with the skin and open up a few only to avoid injury on skin surface at the patient. So, we can remove the stitch safely.

Second, pull out the stitch towards the injured direction and give a lot of pressure to the skin. It is to maintain the combination between the wound. Beside that, it is also to reduce tightness and pain on the skin surface. So, we must remove the stitches carefully.

Lastly, remove the stitch with alternate method until it finish. It is to observe the wound already heal and combine completely. Beside, we need to observe if have any discharge come out from the wound. If that happen, it is mean thee wound does not heal yet. So, we cannot continue the procedure.

In my conclusion, stitches can combine the wound to promote the healing process. So that, patient will more comfortable and feel happy in their life.

WOUND DRESSING

Dressing is a thing that we put on injury of wound to help healing process and protect the wound from infected environment. The ways to do dressing involved remove the old dressing, do dressing used Bryant forcep with dominant hand and close the wound with sterile gauze.

Firstly, remove the old dressing with dissecting non tooth forcep. Then, throw it into clinical waste and put the forcep in a receiver. It is to maintain other equipment that are still not used are sterile. So, no microorganisms at the equipment and goes to the wound area.

Second, do dressing used Bryant forcep with dominant hand. That is mean take a swab with Bryant forcep at left hand, then move the swab to another Bryant forcep at right hand or vice versa. So, only Bryant forcep at right hand is contaminated with microorganisms from the wound and the spread of infection can control.

Lastly, close the wound area with sterile gauze. Before that, dry it first with a gauze after clean with a solution and put a medicine if needed to the wound. Then, spread evenly the medicine at the wound. Close the wound with sterile gauze to protect the wound from infection and to absorb any discharge from wound like pus and blood. So that, the wound can heal faster.

In my conclusion, dressing is important to encourage the healing process and to protect the wound to stained. It is also can give comfortable and reduce the illness at the patient.

wound irrigation

Wound irrigation is a process of washing out a wound or hollow organ with a continuous flow of water or medicated solution. Irrigation normally is done for the deep wound cases. The procedure to irrigate the wound include put a sterile kidney dish, fill a syringe with solution and irrigate the wound with low pressure.

First, put a sterile kidney dish on a linen protector under the part that want to irrigate. We must use sterile kidney dish because to prevent microorganisms infected the wound. Beside that, we put under the wound area to flow the irrigation water into the kidney dish. So, the patient and the bed do not wet with the solution.

Second step is fill a syringe with normal saline to irrigate the wound. We use syringe to irrigate because it can give spout to remove dirty wound. We also make sure the distance between muzzle of syringe and the wound is about 2.5 centimeter. It is to avoid contamination and an infection spread around the wound area.

Lastly, irrigate or flush the wound with low pressure and continuously. We can not give high pressure because the wound will become bigger. The spout of water can clean an inner portion of the wound. Repeat this step until the solution that flow into the kidney dish is clear.

In my conclusion, we must irrigate the wound at least once a day to help the healing process become faster. So, the patient will comfortable when the wound is heal.

Swab CNS

The purpose of culture and sensitivity swabbing is to see the development of the disease or respond to the treatment that given to the patient. The ways to get culture and sensitivity swabbing such as do dressing to the wound with aseptic technique, take culture and sensitivity swab and put it into the test tube.

First of all, we need to do dressing to the wound with aseptic technique. We must use aseptic technique to keep the wound free from harmful bacteria. So, to maintain it sterile we can use a syringe and get 20mililiter of normal saline to irrigate the wound.

Next way is we can take the culture and sensitivity swab to get the specimen. Normally, we use plain swab that have strip to get the specimen because it more easier than cotton ball. Beside that, we also can maintain the sterilization of the wound. So, no microorganisms will go to the wound that can delay time for healing process.

Lastly, put the plain swab into a test tube. When we want to put it inside the test tube, we put it without touch the mouth of the test tube. It is because to prevent any contamination at the mouth of the test tube goes to the specimen. So, we must be careful during put it into the test tube.

In my conclusion, culture and sensitivity swabbing can give the best result if we do with right step and carefully. Beside, the wound can heal in short time.

hand washing

Hand washing very important in our life. As a nurses, we must maintain hygiene to prevent infection that comes from patient because we do not know the patient comes with what disease. There is two types of hand washing, that is medical and surgical. The ways to do medical hand washing such as rotational rubbing of thumb that clasped in palm,scrub top of finger at palm and rotational rubbing at wrist, rinse and dry the hand.

Firstly, rotational rubbing of right thumb that clasped in left palm and repeat for another hand. Beside that,we need to rub space between each finger of hand because microorganisms always have at there. So, clean this part can decrease the microorganisms.

Secondly, scrub top of finger at palm with circular method. Before that,we must make the fingers circle in shape to rotate the fingers easily. It is for clean up our nails simultaneously kill all microorganisms that have in the nails and top of the fingers.

Thirdly, rotational rubbing at wrist of both of hand,rinse and dry hand. This also the last method for medical hand washing. If we do surgical hand washing, we need to rub until elbow. We need to dry the hand with tissue paper over all before we touch any instrument or patient. So, we can avoid the microorganisms go to instrument or patient.

In conclusion, we need to do hand washing step by step to decrease microorganisms at our hand. So, we can keep hygiene and maintain healthy life.

central venous pressure

Central Venous Pressure (CVP) is blood from the systemic veins flows into the right atrium that a catheter is passed via the subclavian vein or jugular vein into the superior vena cava and continue to manometer to determine the venous return and intravascular volume of right atrium. The ways include connect the instrument of CVP set, observe patient and plaster intravenous tubing.


First, connect the instrument that need for monitoring CVP. Connect CVP set to intravenous solution and manometer. After that, connect tubing and 3-ways stopcock with intravenous solution. We need to ensure no air in tubing or stopcock and the connection are closely. It is to maintain the system always close to prevent infection, bleeding and air embolism.


Next, observe the patient during doctor do the procedure. We need to observe the condition, pulse rate and respiration of the patient. It is because the patient will feel so sick during the doctor make a hole at the patient and also any complication will happen on that time.


Lastly, to plaster the intravenous tubing to maintain the tubing at the same place. We also need to close the hole with sterile dressing occlusive to avoid infection go into the atrium. It is for giving the monitoring system will functioning as well. So, we can get the truth reading of pressure in the right atrium of patient.


In my conclusion, we must take good care for the patient that using CVP to prevent any infection and complication happen to the patient.