SOP CARE CUTS FUEL
SOP CARE CUTS FUEL
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| Burns |
Definition
Sop wound care is to do a nursing action against burns sesusai with standard oprasionalnya.
Aim
· To prevent infection in wounds
· To speed up the healing process of wounds
Preparation tools and materials
· Bak instrument
· Tweezers chirugis
· Tweezers anatomy
· Kassa sterile
· Scissors gauze
· Kom 3 pieces
· Syringes 5 cc / 10cc
· Handscone
· Cut plaster
· NaCl 0.9%
· Plaster
· Nierbekend 2 buah.1 for disinfecting fluid content
· bandages
· The liquid disinfectant
preparation nurse
· Verify client for burns treatment program
· Wash hands before action
· Hold the tool with clients
· Keep your clients' privacy
preparation of client
· Open wound dressing klein
· Set a comfortable position clients as comfortable as possible
The management of the action
· Greet the client with regards
· Explain the action procedure on the client
· Adjust the position of the client comfortable
· Use handscone
· Open wound dressing clients with caution, if difficult to open use liquid sodium chloride 0.9%
· Clean the wound with liquid sodium chloride 0.9%
· Do debridemand if any necrotic tissue
· Dry the wound with sterile gauze
· Provide medication according to physician instructions
· Cover the wound with sterile gauze
· Install bandages and plasters
· Wrap the client
termination stage
· Evaluation of the results of nursing actions that have been undertaken
· To Leave on the client and his family if there
· Trim tool
· Wash hands after action
· Take note of the actions already undertaken
Documentation
· Asking and record the client's response upon completion of action
· Record the date and time of action and type of actions undertaken
· Write the name of the nurse who acts
· Initial nurse
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