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.