00:04
Hi, guys, welcome to the
concept of wound care.
00:07
So today we're going to talk
about just some really basic
types of equipment you may
use and some basic assessment.
00:14
Now just know there's some
really complex wounds out there.
00:19
And we have specially
trained advanced nurses
that will take care of those really
complex wounds that need to be treated.
00:27
However, today we're going to just
talk about some really basic concepts.
00:32
So let's take a look at some
common types of dressings
that you may use for
basic wound care.
00:38
So taking a look at this slide,
we're going talk
about types of tape.
00:43
Yes, that seems a little silly, but I
promise there's different uses for this.
00:48
So this first one you see on this
screen is surgical foam stretch tape.
00:52
So it sounds exactly what it is.
00:54
So a lot of times,
if a patient is post surgical,
or what we call post operative,
they'll have a dressing
and this stuff is great,
it's thinner,
it does feel a little foamy.
01:05
The nice thing is you could
stretch this across the dressing
to help with bleeding and help with
a little compression to the wound.
01:13
Next, this is a really
popular actually type of tape.
01:16
It's called paper tape.
01:18
This is really
recommended with someone
that's got maybe really frail
skin, for example,
and their skin is at high risk for
tearing if they had adhesive on it.
01:28
So paper tape is really great
to use on our elderly patients
or someone who has
really fragile skin.
01:36
Next, let's take a
look at cloth tape.
01:38
This is a great use,
it's a lot softer,
still has some great adhesive, but it's
got some flexibility to it as well.
01:46
We don't use this as quite
often as some of the others,
but this is also
an option for you.
01:51
Now this tape is
transparent plastic tape,
you're going to use
this all the time.
01:56
This is typically the type of
tape that's really easy to tear,
we're going to see this
in our IV start kits.
02:03
And if someone has good
intact healthy skin,
we use this plastic
tape quite a bit.
02:09
This other tape we love.
02:11
This is a soft
cloth surgical tape.
02:14
And it's also really good
for a post surgery wound
something and it also
has some flexibility,
it's kind of perforated so the
patient's skin can breathe.
02:25
So that soft cloth
surgical tape.
02:27
You'll also possibly see this on an
incision or a wound after surgery.
02:34
Let's take a look at
some IV dressings.
02:36
So this is what we call
self-adherent wrap.
02:39
This is really helpful,
you're going to use this most
likely when you discontinue
an IV or a central
line, for example,
to provide a little pressure to
reduce bleeding after removal.
02:51
So when you're going to use this,
let's say I remove an IV out of my arm here
Once I remove the IV,
I'll put a gauze pad on
top of the insertion site.
03:01
And I use this wrap
to wrap around the arm
and provide that
little bit of pressure.
03:06
The beautiful thing about this
wrap is there's no adhesive in it,
so it won't tear at the skin
like regular tape would.
03:13
It also just adheres to itself so
you don't have to have any extra tape
to keep it down and
around your patients arm.
03:21
Next, we've got an IV
transparent dressing,
this is going to come in
all your IV start kits.
03:27
This is what's going to cover
up your IV insertion site.
03:31
It is that clear little plastic
window so we can make sure
that site has no complications
for IV infusions.
03:39
Now let's take a look at
a very special dressing.
03:42
This is called an anti
microbial foam dressing.
03:46
So the reason why
this is so nice
is because when you
remove it from a wound,
it really helps keep the
skin intact around it
and it doesn't cause
a lot of trauma.
03:56
So let's take a look
at this image here.
03:58
If you see this standard
adhesive dressing,
many times and as
you can imagine,
when you have adhesive on
your skin and you pull it,
it pulls the skin it can be really
traumatic to the skin integrity.
04:10
But if you take a look at the
next image at the foam dressing
when you remove it, it's nice and
it's gentle to remove from the skin.
04:19
Now many times you may
hear the name or hear that
these are commonly used in your
hospitals to prevent pressure ulcers.
04:27
So what I mean by that is
this is usually applied
to the patient's coccyx for example
or the back of their buttocks.
04:34
Now why we do this is
this is going to keep
the patient's coccyx from
rubbing against the bed
and providing pressure sores which is
a big no no and what we try to avoid.
04:45
Now again,
this is really gentle to the skin.
04:48
It's a great for patient
comfort, for example,
for providing a barrier between that
and the pressure of a patient's bed.
04:56
If they're bed bound.
04:57
It does provide a barrier
to outside moisture,
any sort of bacteria,
for example.
05:03
Now, if it's a really moist
wound, it won't adhere very well.
05:07
But again, if it's dry, intact
skin, it will adhere gently,
and it's really safe to remove.
05:14
Now let's look at some
other dressing supplies.
05:16
We're a big fan of gauze and
you're going to use it a lot.
05:19
So luckily,
it comes in different sizes.
05:22
And when you hear this in practice,
you may see or hear a nurse say,
"Hey, go grab me a 4"x4" ."
And this is what
we're talking about.
05:29
So there's little tiny
and this is just the size,
we call it a 2"x2",
4"x4" or a 6"x6".
05:37
And like the 4"x4" you see here,
that's usually what we use to cover those
insertion sites of the IV for removal.
05:44
Next, we've got gauze rolls,
these are really great.
05:48
The reason we use these is
let's say a patient's had
maybe a wound to post like a
amputation, for example.
05:59
The reason why these gauze roles are
so nice or even a diabetic foot ulcer.
06:03
The reason why these are so nice is
we can wrap it around the extremity
to keep out microbes
and debris and dirt.
06:10
So this one's a little bit more
flexible light comes on a long roll,
kind of think about like your toilet
paper and you can wrap it around
to make sure we're covering
those difficult to cover ones.
06:22
So let's look at some other
type of dressing supplies.
06:26
This one here is
called an ABD pad
and this is really helpful for
those extra drainie or ooze wounds.
06:33
This one is much thicker than a gauze
pad and it's going to absorb quite a bit.
06:38
So one thing to note,
when you look at this dressing,
here's the thing to
be familiar with.
06:42
If you see that line through it,
that's what you want to see facing up.
06:47
This piece with the
lines kind of waterproof
and underneath that is
really the absorbent piece
that you want
touching the wound.
06:55
Now next, here's another
great source for wound care.
06:59
It's called a non-adherent pad.
07:01
So when you place this
on top of a wound,
the beneficial piece about
this is when you take it off,
it's not going to adhere to that
wound and pull off extra skin tissue.
07:12
So again, this is helpful in certain
types of wounds during your care.