Sunday, May 10, 2009

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.

Sunday, May 3, 2009

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.