Care must be taken to change sterile gloves after removing old bandages prior to handling the new bandage. A Penrose drain may be inserted where drainage is necessary ((Taylor, Lillis, & LeMone, 2005; 1071).
Infected Wound Care:
Open, infected wounds, particularly those involving deep tissue layers require more attention to sterile procedure. A gown and mask should be worn and care taken not to breathe into the wound. Additional care must be taken not to contaminate healthy tissue with infected or necrotic tissue (Taylor, Lillis, & LeMone, 2005; 1076). Great care should be taken to change sterile gloves in-between removal of the old bandage and cleaning the wound. Red tissue is healthy must be protected from contamination by yellow tissue that is infected or by black necrotic tissue during its removal during wound debridement (Taylor, Lillis, & LeMone, 2005; 1076).
Treatment steps for open infected wounds varies in relation to each type of tissue involved. Necrotic, black tissue must be removed through debridement via the sharp method using a scalpel or scissors; the mechanical method via scrubbing; the chemical method; or the autolytic method using medicated moist dressings designed to encourage natural enzymatic breakdown processes. Yellow,...
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