查看完整版本: 洗傷口程序 wound care

a_a0000 2008-10-2 11:09 PM

洗傷口程序 wound care

因為我宜家讀緊洗傷口想更加清楚d step
希望各位護士都可以幫我呀 :loveliness:
我想知道整個洗傷口既過程係點 ..?
我想知道連埋點去prepare d 野 既 step ..
想知道由prepapre 野去到洗完個wound 既 step呀
唔該你地 :smile_40:

睇野用 2008-10-2 11:23 PM

你既然讀緊,難道無人教過你個程序?

dormicum 2008-10-3 12:05 AM

回覆 1# 的帖子

去問你tutor 啦

agnesblove 2008-10-3 10:53 AM

[quote]原帖由 [i]a_a0000[/i] 於 2008-10-2 23:09 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174130436&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
因為我宜家讀緊洗傷口想更加清楚d step
希望各位護士都可以幫我呀 :loveliness:
我想知道整個洗傷口既過程係點 ..?
我想知道連埋點去prepare d 野 既 step ..
想知道由prepapre 野去到洗完個wound 既 step呀 ... [/quote]

唔同類型傷口都有少少唔同架wor
不過你直接講你有咩唔明:loveliness:

ah春 2008-10-3 02:51 PM

[quote]原帖由 [i]a_a0000[/i] 於 2008-10-2 11:09 PM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174130436&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
因為我宜家讀緊洗傷口想更加清楚d step
希望各位護士都可以幫我呀 :loveliness:
我想知道整個洗傷口既過程係點 ..?
我想知道連埋點去prepare d 野 既 step ..
想知道由prepapre 野去到洗完個wound 既 step呀 ... [/quote]
for[color=red] AT exam[/color]..if u want pass la wor
1.smile to tutor, look like a little good gal or guy:loveliness:
2..check any dr's prescription, frequency, type of lotion such as NS, hibitane......also u need to know why pt has such wound la
3.prepare pt, wear mask, environment,materials and yourself la...........check expiry date, maintain pt's privacy, proper hand washing technique.....
4.AT technique, sterile field, one swab once only..........at the same time assess the wound condition such as any discharge, signs of infection, the wound is healing or worsening, any pt's complaints during procedure

actually, many things need to be modified in reality such as if pt is not co-operated, if u removed outer dressing and then leave pt alone inside the curtain for handwashing again, pt may fall..........so u may need use alcohol handrub or alcohol prep disinfect the hands...............if the dressing is soaked through with discharge, u need wear clean glove b4 law..........if u predict the discharge and lotion may contaiminate the linen and pt's clothing, u can apply the incon pad to prevent soiling law.........when u do more, more experience will be gained..................u first need to undertand the basic principles of dressing wound........however, sometimes due to many reasons, u may not achieve AT, just can keep the wound as clean as possible...............

dormicum 2008-10-3 03:45 PM

回覆 5# 的帖子

難得你真係會答佢:smile_45: :smile_27:

ah春 2008-10-3 04:31 PM

[quote]原帖由 [i]dormicum[/i] 於 2008-10-3 03:45 PM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174208273&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
難得你真係會答佢:smile_45: :smile_27: [/quote]
some important points i still not tell ah:smile_44: :smile_44:

dormicum 2008-10-3 04:47 PM

回覆 7# 的帖子

then tell me please, antie 春

ah春 2008-10-3 04:57 PM

[quote]原帖由 [i]dormicum[/i] 於 2008-10-3 04:47 PM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174216717&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
then tell me please, antie 春 [/quote]
去問你tutor 啦:smile_30: :smile_30:

dormicum 2008-10-3 05:03 PM

[quote]原帖由 [i]ah春[/i] 於 2008-10-3 16:57 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174218195&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]

去問你tutor 啦:smile_30: :smile_30: [/quote]grad 鼲搨@
有x tutor 咩

sasa913 2008-10-3 09:14 PM

回覆 1# 的帖子

讀緊冇理由冇check list wor~!!!!
wound dressing真係好depends on 咩wound o架~!!!
係度好難叫人講晒咩wound....同要點做....
出多d ward就會知...
而且個個ward都有好多唔用wound....
唔同醫院做法又有少少唔同....
如果係為o左AT....更加答唔到你....
因為唔同mentor要求又唔同....
(因為剛剛考o左....過來人既感受....):smile_13:

agnesblove 2008-10-3 11:08 PM

[quote]原帖由 [i]ah春[/i] 於 2008-10-3 14:51 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174202226&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]

for AT exam..if u want pass la wor
[color=magenta]1.smile to tutor, look like a little good gal or guy[/color] :loveliness:
2..check any dr's prescription, frequency, type of lotion such as NS, hibitane......also u need ... [/quote]

帶住mask都睇唔到la!:smile_30:

我以為邊個o甘有熱誠答人tim~原來係春姐姐~
我都會記實架!!!:smile_38:

agnesblove 2008-10-3 11:09 PM

[quote]原帖由 [i]sasa913[/i] 於 2008-10-3 21:14 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174250757&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
讀緊冇理由冇check list wor~!!!!
wound dressing真係好depends on 咩wound o架~!!!
係度好難叫人講晒咩wound....同要點做....
出多d ward就會知...
而且個個ward都有好多唔用wound....
唔同醫院做法又有少少唔 ... [/quote]

樓主係唔係讀緊d assistance 課程~所以對於AT冇nursing教得o甘detail?

dormicum 2008-10-4 01:21 AM

回覆 11# 的帖子

唔知仲有無人用插foley 考AT 呢?????

GiGi~詩 2008-10-4 01:50 AM

[quote]原帖由 [i]dormicum[/i] 於 2008-10-4 01:21 AM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174291665&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
唔知仲有無人用插foley 薯毣T 鴭O????? [/quote]

咁考o個個真係好黑...

閒人姑娘 2008-10-4 01:55 AM

[quote]原帖由 [i]dormicum[/i] 於 2008-10-4 01:21 AM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174291665&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]
唔知仲有無人用插foley 考AT 呢????? [/quote]
我考AT o個陣係插foley ga:smile_27:

dormicum 2008-10-4 08:38 AM

[quote]原帖由 [i]GiGi~詩[/i] 於 2008-10-4 01:50 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174295227&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]


咁考o個個真係好黑... [/quote]no no no
熟話好易pass

ah春 2008-10-4 10:15 AM

[quote]原帖由 [i]agnesblove[/i] 於 2008-10-3 11:08 PM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174269475&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]


帶住mask都睇唔到la!:smile_30:

我以為邊個o甘有熱誠答人tim~原來係春姐姐~
我都會記實架!!!:smile_38: [/quote]
u sooner grad la....:loveliness: later u teach me la......:smile_30:

agnesblove 2008-10-4 10:40 AM

[quote]原帖由 [i]閒人姑娘[/i] 於 2008-10-4 01:55 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174295690&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]

我考AT o個陣係插foley ga:smile_27: [/quote]

有咩問題???
不過我都笑左出黎...:smile_40:

agnesblove 2008-10-4 10:41 AM

[quote]原帖由 [i]ah春[/i] 於 2008-10-4 10:15 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174313311&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]

u sooner grad la....:loveliness: later u teach me la......:smile_30: [/quote]

冇可能la..春姐姐係我idol~我要向你學野:smile_34:

dormicum 2008-10-4 10:46 AM

[quote]原帖由 [i]agnesblove[/i] 於 2008-10-4 10:40 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174315700&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]


有咩問題???
不過我都笑左出黎...:smile_40: [/quote]好易肥:smile_45:

閒人姑娘 2008-10-5 12:07 AM

[quote]原帖由 [i]agnesblove[/i] 於 2008-10-4 10:40 AM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174315700&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]


有咩問題???
不過我都笑左出黎...:smile_40: [/quote]
因為比起洗wound.......插foley 容易d fail lor~:smile_13:
我o個陣淨係插過一次foley 就考........:smile_13: 唔驚就有鬼:smile_27:

kaka_b 2008-10-8 06:05 PM

我想問幾個問題既~
1) 平時 細d既wound 係會先用stroke motion洗(即上至下一下之後掉走cotton wool ball)~之後洗幾次stroke motion之後會由最近wound edge位打圈~之後向outermost甘打圈~

如果有個wound係手背位~wound size大既~eg 5cm *3cm~圓形甘既個wound~甘要考AT既話~要maintain principle of "one swab once" 同 "inner to outer"~甘應該點洗呢?

如果都係stroke motion甘洗先~應該由個wound邊個位洗先呢??
甘會唔會因為clean to dirty~所以stroke motion 會洗左中間先~之後則邊(either向左...之後向右)呢?:smile_27:
請解答一下.

2)如果病人係腳度超過3part有傷口 eg 左腳同右腳小腿,加 右腳腳跟...甘要一次過洗3個wound~
當洗完一個既時候,鋪gauze上去後,甘要chi micropore或者tegaderm甘拉~甘chi 既時候難免有放低做緊transfer近wound個隻forcep而去幫手chi~甘個forcep一放就要掉既話~甘會唔夠forcep去洗第3個wound呢~
甘應該點solve呢個problem而有keep 到AT technique呢?><

3)我想問考AT洗key hole類既wound~點樣先算正確又maintain AT呢?
  因為我見過唔同洗法~好似有人swab既時候係半圈就discard cotton wool ball...之後又半圈洗埋另一邊~不會整起條tube~但好似易high到tube既其他地方~
我又見過有人洗既時候會左手拎起tube~右手360度甘打圈~ 但如果洗左一下,左手放低~去transfer既話~甘個tube其實contaminated喇wor~甘如果右手直接係sterile field品甘咪無左transfer呢~
所以我好疑惑究竟考AT點洗係最簡單得黎~對學生黎講唔易contaminated呢?? :smile_41:

我真係好想pass AT呀!!
希望各位多多指教~
萬分感激~~~~

agnesblove 2008-10-8 07:06 PM

[quote]原帖由 [i]閒人姑娘[/i] 於 2008-10-5 00:07 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174417180&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]

因為比起洗wound.......插foley 容易d fail lor~:smile_13:
我o個陣淨係插過一次foley 就考........:smile_13: 唔驚就有鬼:smile_27: [/quote]

點解唔等洗wound?
定係你o個個係male foley呀??女人真係煩到嘔...:smile_38:

閒人姑娘 2008-10-8 08:07 PM

[quote]原帖由 [i]agnesblove[/i] 於 2008-10-8 07:06 PM 發表 [url=http://www.discuss.com.hk/redirect.php?goto=findpost&pid=174959731&ptid=8223510][img]http://www.discuss.com.hk/images/common/back.gif[/img][/url]


點解唔等洗wound?
定係你o個個係male foley呀??女人真係煩到嘔...:smile_38: [/quote]
邊有得等....話考就考ga ma~:smile_13:
就係插女人:smile_34:

dormicum 2008-10-8 08:19 PM

回覆 23# 的帖子

1) maintain clean to dirty, once swab once
    then ecerything will be fine

2) is it necessary to cover the wound before moving to the others????
    i am in doubt

3) there should be some sterile area in the dressing package
    try to make use of such areas and think about how to maintain the transfer technique

kaka_b 2008-10-8 09:20 PM

回覆 26# 的帖子

1)甘請問有無分話邊度開始洗先呢?
   如果由最左洗到最右順住甘one swab once...之後就做打圈的洗法....有無問題?

2)因為教既時候都係involve較少傷口~所以都洗完就蓋gauze~
   其實一次過洗sai先蓋得唔得呢?
   定係都需要看看個別wound既情況決定呢? 例如: 有個wound with purulent discharge~其餘就普通傷口~甘係咪要一定洗左個個先,之後cover with gauze,之後掉埋個隻forcep,之後先洗呢??

洗幾個wound應該點可以夠forcep用符合AT呢?

3)唔係太明~可唔可以解釋一下呢??
  係咪即係繼續左手hold tube,而要利用dressing pack既 sterile field去maintain transfer technique?

[[i] 本帖最後由 kaka_b 於 2008-10-8 09:22 PM 編輯 [/i]]

dormicum 2008-10-8 09:46 PM

回覆 27# 的帖子

1+2) remeber the principle - clean to dirty
        if a clean wound + a wound with yellowish dischage
        then what is your choice??????
3) you probably got my idea
    think more and you will get the answer

lovelypowerpuff 2008-10-8 11:43 PM

if foley for men (no bph) then i think is easier then wound dressing~
cos dressing have many variations but foley is same to every patient~

dormicum 2008-10-8 11:54 PM

回覆 29# 的帖子

理論上係
但係見好多同學同師弟師妹都係衰
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查看完整版本: 洗傷口程序 wound care