Name of the Procedure:

Sterile Non-Impregnated Gauze Dressing Application
Common names: Sterile gauze dressing, Non-adhesive sterile gauze
Technical terms: A6402

Summary

A non-impregnated, sterile gauze dressing is applied to protect a wound. It is a sterile pad, sized 16 square inches or less, used to cover and secure wounds without sticking to the skin since it lacks an adhesive border.

Purpose

This procedure is used to cover and protect various types of wounds, including cuts, abrasions, surgical incisions, and ulcerations. The goals are to control bleeding, prevent infection, and facilitate a moist environment conducive to healing.

Indications

• Open wounds, cuts, abrasions
• Post-surgical incisions
• Minor burns or ulcerations
• Situations requiring sterile wound protection

Patient criteria:

• Possession of an open wound requiring a sterile dressing
• No known allergy to gauze or related materials

Preparation

• The area around the wound should be cleaned with an antiseptic solution.
• Ensure the patient's skin is dry and free of oils or creams in the area where the dressing will be applied.
• Review any relevant medical history, especially allergies.

Procedure Description

1. Wash hands thoroughly and put on sterile gloves.
2. Clean the wound if needed.
3. Open the sterile gauze packaging without touching the inside to maintain sterility.
4. Place the gauze pad over the wound ensuring full coverage.
5. Secure the gauze using medical tape, ensuring it is firm but not cutting off circulation.

Duration

The application of the gauze dressing typically takes about 5-10 minutes.

Setting

This procedure can be performed in various healthcare settings including hospitals, outpatient clinics, surgical centers, or even at home under certain conditions.

Personnel

• Nurses
• Medical assistants
• Physicians (for complex wound management)

Risks and Complications

• Risk of infection if the dressing becomes contaminated.
• Potential for allergic reaction to the gauze material.
• Dressing may adhere to the wound if not changed appropriately.

Benefits

• Protects the wound from contamination.
• Helps maintain a moist environment for optimal wound healing.
• Easily changeable, providing convenience for ongoing care.

Recovery

• Follow specific instructions for changing the dressing regularly.
• Monitor the wound for signs of infection such as redness, swelling, or discharge.
• Schedule follow-up appointments as needed to assess wound healing progress.

Alternatives

• Adhesive dressings
• Impregnated gauze dressings with additional antiseptic properties
• Bandages or other types of wound coverings Each alternative has its own pros and cons, such as the level of adhesion, ease of use, and suitability for different types of wounds.

Patient Experience

Patients may feel slight discomfort when changing the dressing, especially if it sticks to the wound. Nurses might provide pain management strategies if the wound is particularly sensitive. Generally, patients should experience minimal pain during the dressing change. Comfort measures include using non-stick pads and ensuring the dressing is not applied too tightly.