Burns

  Procedure for changing dressings for burns

   1. Prepare all necessary equipment and supplies. The treatment area should be warmed.
   2. Wash hands well, and don examination gloves.
   3. Remove old dressings, and discard them in infectious waste container. Place towel or pad under exposed               extremity.
   4. Remove and discard gloves, and don a pair of clean gloves.
   5. Wash wound with mild soap solution or wound cleanser, rinse with warm tap water, and pat dry.
   6. Use scissors and forceps to remove loose necrotic tissue and to remove any broken blister tissue (usually           done by MD only).
   7. Assess the burn wound for color, size, odor, depth, drainage, bleeding, edema, cellulitis, epithelial budding,           eschar separation, sensation, movement, peripheral pulses, and any signs of pressure areas from splints. For        wet dressings, proceed to step 10.
   8. Remove and discard gloves. Apply sterile gloves.
   9. Use sterile tongue depressor to remove required amount of topical agent from container. Place on sterile               surface before applying ¼-inch layer directly to burn wound and covering with burn dressing, or apply ¼-inch           layer on burn dressing and cover wound. Proceed to step 13 to continue wound care.
  10. Pour prescribed solution into sterile bowl, and drop in sterile gauze pads.
  11. Remove and discard gloves. Don sterile gloves.
  12. Squeeze excess solution from gauze, and place dressing on wound.
  13. Loosely wrap extremities with gauze rolls.
  14. Assess need for more pain medication before continuing.
  15. Repeat steps starting at step 3 until all burn wounds have been cared for.
  16. Apply splints as needed and elevate burned extremities with pillows or elastic net sling or both; elevate head        of bed.
  17. Remove and discard gloves. Wash hands.
  18. Document in patient record.
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