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Chapter 10
Bandaging Wounds
Dressings
• A dressing covers an open wound and
touches the wound.
• Dressings should be:
– Sterile
– Larger than the wound
– Thick, soft, and compressible
– Lint free
Dressings
• Purpose of a dressing:
– Control bleeding
– Prevent infection and contamination
– Absorb blood and drainage
– Protect wound
Types of Dressings
• Gauze pads
− For small wounds
© American Academy of Orthopaedic Surgeons.
Types of Dressings
• Adhesive bandages
− Small cuts and abrasions
• Trauma dressings
− Large, thick, absorbent © American Academy of Orthopaedic Surgeons.
© American Academy of Orthopaedic Surgeons.
Improvised Dressings
• Should be:
– Clean
– Absorbent
– Soft
– As free of lint as possible
Applying a Sterile Dressing
• Wash hands and wear exam gloves.
• Use dressing large enough to extend
beyond edges of wound.
• Hold dressing by one corner and place
over wound.
• Cover with bandage.
Bandages
• Should be clean but need not be sterile
• Can be used to:
– Hold a dressing in place.
– Apply direct pressure.
– Prevent or reduce swelling.
– Provide support and stability for an extremity
or joint.
Bandages
• Signs that a bandage may be too tight:
– Blue tinge on fingernails or toenails
– Blue or pale skin color
– Tingling, loss of sensation
– Coldness of extremity
– Inability to move fingers or toes
– Pulse felt before bandaging, but not after
Types of Bandages
• Roller bandages
– Various widths,
lengths, and types
of material
• Self-adhering,
conforming
bandages
– Elastic, gauzelike
© American Academy of Orthopaedic Surgeons.
Types of Bandages
• Gauze rollers
– Nonelastic cotton
• Elastic roller
bandages
– Provide compression
© American Academy of Orthopaedic Surgeons.
Types of Bandages
• Triangular
bandages
– Slings
– Cravats
• Adhesive tape and
bandages
© Jones & Bartlett Learning.
Applying a Cravat Bandage
to the Head
• Place middle of bandage over the dressing
and wrap around the head.
© American Academy of Orthopaedic Surgeons.
Applying a Cravat Bandage
to the Head
• Cross the two ends snugly.
• Bring ends back around and tie knot.
© American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
Applying a Cravat Bandage to
the Arm or Leg
• Wrap center of bandage over the dressing.
© American Academy of Orthopaedic Surgeons.
Applying a Cravat Bandage to
the Arm or Leg
• Turn one end going up the extremity and
the other end going down.
• Tie bandage off over dressing.
© American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
Applying a Cravat Bandage to
Palm of Hand
• Fill palm with bulky dressing or pad, and
close fingers.
• Wrap one end around fingers, other
around wrist.
© Jones & Bartlett Learning. © Jones & Bartlett Learning.
Applying a Cravat Bandage to
Palm of Hand
• Wrap bandage, crossing over fingers and
around wrist.
• Tie bandage off at the wrist.
© Jones & Bartlett Learning. © Jones & Bartlett Learning.
Applying a Roller Bandage:
Spiral Method
• Start at narrow part of an arm or a leg and
wrap upward.
• Make two straight, anchoring turns.
© American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Spiral Method
• Make overlapping crisscross turns.
• Finish with two straight turns and secure.
© American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For elbow or knee:
– Make two straight turns over joint.
– Make one turn above joint; overlap first turn.
© American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For elbow or knee (cont’d)
– Make one turn below joint; overlap first
straight turn.
– Continue alternating turns.
© American Academy of Orthopaedic Surgeons.
© American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For elbow or knee (cont’d):
– Finish with two straight turns to secure end.
© American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For hand:
– Make two straight turns around palm.
– Carry bandage diagonally across back of
hand, around wrist, and back across palm.
© American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For hand (cont’d):
– Make several
figure-eight turns,
overlapping each.
– Finish with two
straight turns
around wrist;
secure end. © American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For ankle:
– Make two straight turns around instep.
– Make figure-eight turn across front of foot,
around ankle, and under arch.
© American Academy of Orthopaedic Surgeons.© American Academy of Orthopaedic Surgeons.
Applying a Roller Bandage:
Figure-Eight Method
• For ankle (cont’d):
– Make several figure-eight turns, overlapping
each turn and advancing up the leg.
– Finish with two straight
turns around leg;
secure end.
© American Academy of Orthopaedic Surgeons.
Securing a Roller Bandage
• Adhesive tape
• Safety pins
• Clips provided with
bandage
© American Academy of Orthopaedic Surgeons.
© American Academy of Orthopaedic Surgeons.
Loop Method of Securing Bandages
• Loop tape around
thumb or finger and
work backward.
• Encircle body part
with the looped and
free ends and tie
together.
© American Academy of Orthopaedic Surgeons.
© American Academy of Orthopaedic Surgeons.
Split-Tail Method of Securing
Bandages
• Split end of bandage
lengthwise.
– Knot to prevent further
splitting.
• Wrap ends in opposite
directions around body
part and tie together.
© American Academy of Orthopaedic Surgeons.
© American Academy of Orthopaedic Surgeons.
Applying an Adhesive Bandage
• Remove wrapping,
and hold by protective
strips.
• Peel back protective
strips, and place on
wound.
• Pull away protective
strips, and press ends
and edges down.
© American Academy of Orthopaedic Surgeons.

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Ch10 presentation bandaging_wounds

  • 2. Dressings • A dressing covers an open wound and touches the wound. • Dressings should be: – Sterile – Larger than the wound – Thick, soft, and compressible – Lint free
  • 3. Dressings • Purpose of a dressing: – Control bleeding – Prevent infection and contamination – Absorb blood and drainage – Protect wound
  • 4. Types of Dressings • Gauze pads − For small wounds © American Academy of Orthopaedic Surgeons.
  • 5. Types of Dressings • Adhesive bandages − Small cuts and abrasions • Trauma dressings − Large, thick, absorbent © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 6. Improvised Dressings • Should be: – Clean – Absorbent – Soft – As free of lint as possible
  • 7. Applying a Sterile Dressing • Wash hands and wear exam gloves. • Use dressing large enough to extend beyond edges of wound. • Hold dressing by one corner and place over wound. • Cover with bandage.
  • 8. Bandages • Should be clean but need not be sterile • Can be used to: – Hold a dressing in place. – Apply direct pressure. – Prevent or reduce swelling. – Provide support and stability for an extremity or joint.
  • 9. Bandages • Signs that a bandage may be too tight: – Blue tinge on fingernails or toenails – Blue or pale skin color – Tingling, loss of sensation – Coldness of extremity – Inability to move fingers or toes – Pulse felt before bandaging, but not after
  • 10. Types of Bandages • Roller bandages – Various widths, lengths, and types of material • Self-adhering, conforming bandages – Elastic, gauzelike © American Academy of Orthopaedic Surgeons.
  • 11. Types of Bandages • Gauze rollers – Nonelastic cotton • Elastic roller bandages – Provide compression © American Academy of Orthopaedic Surgeons.
  • 12. Types of Bandages • Triangular bandages – Slings – Cravats • Adhesive tape and bandages © Jones & Bartlett Learning.
  • 13. Applying a Cravat Bandage to the Head • Place middle of bandage over the dressing and wrap around the head. © American Academy of Orthopaedic Surgeons.
  • 14. Applying a Cravat Bandage to the Head • Cross the two ends snugly. • Bring ends back around and tie knot. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 15. Applying a Cravat Bandage to the Arm or Leg • Wrap center of bandage over the dressing. © American Academy of Orthopaedic Surgeons.
  • 16. Applying a Cravat Bandage to the Arm or Leg • Turn one end going up the extremity and the other end going down. • Tie bandage off over dressing. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 17. Applying a Cravat Bandage to Palm of Hand • Fill palm with bulky dressing or pad, and close fingers. • Wrap one end around fingers, other around wrist. © Jones & Bartlett Learning. © Jones & Bartlett Learning.
  • 18. Applying a Cravat Bandage to Palm of Hand • Wrap bandage, crossing over fingers and around wrist. • Tie bandage off at the wrist. © Jones & Bartlett Learning. © Jones & Bartlett Learning.
  • 19. Applying a Roller Bandage: Spiral Method • Start at narrow part of an arm or a leg and wrap upward. • Make two straight, anchoring turns. © American Academy of Orthopaedic Surgeons.
  • 20. Applying a Roller Bandage: Spiral Method • Make overlapping crisscross turns. • Finish with two straight turns and secure. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 21. Applying a Roller Bandage: Figure-Eight Method • For elbow or knee: – Make two straight turns over joint. – Make one turn above joint; overlap first turn. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 22. Applying a Roller Bandage: Figure-Eight Method • For elbow or knee (cont’d) – Make one turn below joint; overlap first straight turn. – Continue alternating turns. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 23. Applying a Roller Bandage: Figure-Eight Method • For elbow or knee (cont’d): – Finish with two straight turns to secure end. © American Academy of Orthopaedic Surgeons.
  • 24. Applying a Roller Bandage: Figure-Eight Method • For hand: – Make two straight turns around palm. – Carry bandage diagonally across back of hand, around wrist, and back across palm. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 25. Applying a Roller Bandage: Figure-Eight Method • For hand (cont’d): – Make several figure-eight turns, overlapping each. – Finish with two straight turns around wrist; secure end. © American Academy of Orthopaedic Surgeons.
  • 26. Applying a Roller Bandage: Figure-Eight Method • For ankle: – Make two straight turns around instep. – Make figure-eight turn across front of foot, around ankle, and under arch. © American Academy of Orthopaedic Surgeons.© American Academy of Orthopaedic Surgeons.
  • 27. Applying a Roller Bandage: Figure-Eight Method • For ankle (cont’d): – Make several figure-eight turns, overlapping each turn and advancing up the leg. – Finish with two straight turns around leg; secure end. © American Academy of Orthopaedic Surgeons.
  • 28. Securing a Roller Bandage • Adhesive tape • Safety pins • Clips provided with bandage © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 29. Loop Method of Securing Bandages • Loop tape around thumb or finger and work backward. • Encircle body part with the looped and free ends and tie together. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 30. Split-Tail Method of Securing Bandages • Split end of bandage lengthwise. – Knot to prevent further splitting. • Wrap ends in opposite directions around body part and tie together. © American Academy of Orthopaedic Surgeons. © American Academy of Orthopaedic Surgeons.
  • 31. Applying an Adhesive Bandage • Remove wrapping, and hold by protective strips. • Peel back protective strips, and place on wound. • Pull away protective strips, and press ends and edges down. © American Academy of Orthopaedic Surgeons.