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Chapter 10

Chapter 10. Bandaging Wounds. Dressings (1 of 2). A dressing covers an open wound and touches the wound. Whenever possible, a dressing should be: Sterile Larger than the wound Thick, soft, and compressible Lint free . Dressings (2 of 2). Purpose of using a dressing:

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Chapter 10

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  1. Chapter 10 Bandaging Wounds

  2. Dressings (1 of 2) • A dressing covers an open wound and touches the wound. • Whenever possible, a dressing should be: • Sterile • Larger than the wound • Thick, soft, and compressible • Lint free

  3. Dressings (2 of 2) • Purpose of using a dressing: • Control bleeding • Prevent infection and contamination • Absorb blood and wound drainage • Protect wound from further injury

  4. Applying a Sterile Dressing • Wash your hands and wear medical exam gloves. • Use a dressing large enough to extend over the wound. • Cover the dressing with a bandage.

  5. Bandages (1 of 2) • Should be clean but need not be sterile • Can be used to: • Hold a dressing in place. • Apply pressure over a dressing. • Prevent or reduce swelling. • Provide support and stability for an extremity or joint.

  6. Bandages (2 of 2) • Signs that a bandage may be too tight: • Blue tinge on fingernails or toenails • Blue or pale skin color • Coldness of extremity • Inability to move fingers or toes

  7. Roller bandages Self-adhering, conforming bandages Gauze rollers Elastic roller bandages Triangular bandages Adhesive tape Adhesive strips Types of Bandages

  8. Applying a Cravat Bandage (1 of 3) • To the head: • Place middle of bandage over the dressing and wrap around the body part. • Cross the two ends snugly over each other. • Bring ends back around to where dressing is and tie ends in knot.

  9. Applying a Cravat Bandage (2 of 3) • To the arm or leg: • Wrap center of bandage over the dressing. • With one end, make one turn going up the extremity and another turn going down. • Tie bandage off over the dressing.

  10. Applying a Cravat Bandage (3 of 3) • To the palm of the hand: • Fill palm with bulky dressing or pad and close fingers. • Wrap bandage, crossing over the fingers and around the wrist. • Tie the bandage off at the wrist.

  11. Applying a Roller Bandage (1 of 2) • Spiral method: • Make two straight anchoring turns with the bandage. • Wrap with criss-cross (figure-eight turns). • Finish with two straight turns and secure the bandage.

  12. Applying a Roller Bandage (2 of 2) • Figure-of-Eight method: • Anchor bandage with one or two turns. • Continue alternating the turns in figure-of-eight maneuver until body part is secured.

  13. Securing Bandages (1 of 2) • Loop method: • Reverse direction of bandage by looping it around a thumb or finger. • Continue back to the opposite side of the body part. • Encircle part with the looped end and the free end. • Tie ends together.

  14. Securing Bandages (2 of 2) • Split-tail method: • Split end of bandage lengthwise for about 12 inches. • Tie in a knot to prevent further splitting. • Pass ends in opposite directions around body part and tie.

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