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Wound cleansing

Preparation of environment, equipments, resident and carer

  • Avoid dusting 2 hours before and during procedure.
  • Adequate lighting.
  • A clean dressing trolley (clean with detergent and water, then swab with 70% alcohol).
  • Dressing materials (a disposable dressing set, additional swabs and gauzes, cleansing fluid, mask, gloves, surgical tape, bandage, scissors and a bag for rubbish).
  • Position the resident and expose the wound; ensure privacy of resident.
  • Wash hands thoroughly with soap.

Procedure of wound cleansing

  • Open the sterile package and line up the plastic forceps.
  • Pour adequate amount of cleansing solution into the container.
  • Use a pair of forceps to remove the old dressing (if there are only two plastic forceps, remove the old dressing with a gloved hand).
  • If the old dressing sticks tightly to the wound, soak the inner dressing with saline before removal.
  • Discard the used forceps or glove.
  • Use another 2 clean forceps for cleansing and dressing.
  • Dip the swab into the solution and remove excessive solution by forceps or press it against the edge of container. Start wiping the wound from inside outwards, the swab should be used only once, repeat this step until the wound is clean.
  • Pad the wound dry with gauze gently and cover it with suitable dressing.
  • Secure the dressing with surgical tape or bandages.
  • Never touch the wound or sterile gauze with hands to avoid contamination.

After care

  • Discard everything in a plastic bag and tie it up securely before disposal.
  • Wash hands thoroughly with soap.
  • Document the wound condition in the resident's personal health record.