l
OMo
ARc
PSD|
1
1
629
741
1Sur
gicalWoundCAREonHeal
thcar
e2021\
2022
1SURGI
CALWOUNDCARE
1.
1Wh
ati
sas
urgi
cal
wou
nd?
Al
lthatcont
inu
u m ofs
kinand/o
rmu c
osaandu
n d
erl
yin
g
ti
ssu
ec aus
edb ythesur
geoni
nor
dert
oa c
ces
sanyare
ao f
th
eb ody
.
1.
2He
ali
ngo
fth
esu
rgi
cal
wou
nd.Ty
pes
.
Theabi
li
tyt
os el
f-
rep
a i
rthatle
adstore
gener
ati
onoft
he
ep
ith
eli
uma ndder
misr ep
lace
me ntb
yfi
brou
st i
ssu
ewi
th
di
ff
eren
tcha
ract
eri
st
icstonor
ma l
.
Th
ety
peso
fwo
undh
eal
i
nga
re:
1stI
ntent
:Scar
ri
ngoccur
swh enth
einju
redt
issuei
ssu
ture
d
wit
hpreci
sionan
dclea
nli
ness.Repai
rarede
c r
ease
dedema,
noevid
enceofloca
linfe
cti
onorr un
ny,isdoneinmi
nimal
ti
meanda r
ewoundedgesto
ge t
her
.
2ndIn
tent
:Theheali
ngofanopenwou ndoranine
rts
pace
cl
osedbyg r
anul
ati
ont i
ssu
ef or
ma t
ionandf i
nal
l
yspace
cl
osur
eb yepi
the
li
alcel
lmigra
tion
.Mos thea
lwoundsan
d
bur
nsinf
ect
edther
eby.
3r
dIn
ten
t:Al
sok
nowna
sde
lay
edc
los
ure
.Iti
sas
ecu
re
, methodofr e
pairf
orthoseconta
mina t
ed,di
rt
y,i
n f
ect
eda n
d
tr
auma t
icwounds,c
onsis
tin
gof,leavethemopenini
ti
all
y,s
o
aft
erfourdaysormoreandwh encleangran
ulat
ionti
ssueis
obser
ved,youarecl
osedsurgi
cal
ly.
1.
3Ca
reo
fth
esu
rgi
cal
wou
nd.
1.
3.1OBJ
ECTI
VES:
Pr
otectth
ewou ndfromb ac
teri
alcont
aminat
ion,t
opromot
e
h
eali
nga ndprev
e n
tth etr
ansferoforga
nis
msf r
oma n
i
nfe
c t
edwoun dtoothersit
es.
Ret
ri
evetheimp a
iredsk i
nint
egrit
y.
Topromotethewe l
fareofthepa t
ie
nt.
Assessth
eh eal
ingprocessa n
dd ecre
aseheali
ngti
me .
1.
3.2PROCE
DURE
:
1-
I
nfor
mth
epa
tie
nta
bou
tth
epr
oce
dur
eth
atwi
l
lbep
erf
orme
d.
2-
Pre
par
eth
ene
ces
sar
yequ
ipme
nti
nac
lea
nar
eaors
idet
abl
ebe
sid
e
t
hep
ati
ent
'
sbe
d.
TE
AM:
Shop
pin
gcu
res
Boxofst
e r
il
einst
rument
s(s
cis
sors,di
ssec
ti
ngfor
ceps,
mosqui
to,Canal
adapr
obe,
sti
l
etto,
knif
ehandl
e,t
hre
ad
hol
der
)
Raft
sofd i
ff
ere
ntsizea
ndshape
Down
loa
dedb
yma
rlonma
rlonJ
uni
or(
ben
kig
och
i@g
mai
l
.com)
OMo
ARc
PSD|
1
1
629
741
1Sur
gicalWoundCAREonHeal
thcar
e2021\
2022
1SURGI
CALWOUNDCARE
1.
1Wh
ati
sas
urgi
cal
wou
nd?
Al
lthatcont
inu
u m ofs
kinand/o
rmu c
osaandu
n d
erl
yin
g
ti
ssu
ec aus
edb ythesur
geoni
nor
dert
oa c
ces
sanyare
ao f
th
eb ody
.
1.
2He
ali
ngo
fth
esu
rgi
cal
wou
nd.Ty
pes
.
Theabi
li
tyt
os el
f-
rep
a i
rthatle
adstore
gener
ati
onoft
he
ep
ith
eli
uma ndder
misr ep
lace
me ntb
yfi
brou
st i
ssu
ewi
th
di
ff
eren
tcha
ract
eri
st
icstonor
ma l
.
Th
ety
peso
fwo
undh
eal
i
nga
re:
1stI
ntent
:Scar
ri
ngoccur
swh enth
einju
redt
issuei
ssu
ture
d
wit
hpreci
sionan
dclea
nli
ness.Repai
rarede
c r
ease
dedema,
noevid
enceofloca
linfe
cti
onorr un
ny,isdoneinmi
nimal
ti
meanda r
ewoundedgesto
ge t
her
.
2ndIn
tent
:Theheali
ngofanopenwou ndoranine
rts
pace
cl
osedbyg r
anul
ati
ont i
ssu
ef or
ma t
ionandf i
nal
l
yspace
cl
osur
eb yepi
the
li
alcel
lmigra
tion
.Mos thea
lwoundsan
d
bur
nsinf
ect
edther
eby.
3r
dIn
ten
t:Al
sok
nowna
sde
lay
edc
los
ure
.Iti
sas
ecu
re
, methodofr e
pairf
orthoseconta
mina t
ed,di
rt
y,i
n f
ect
eda n
d
tr
auma t
icwounds,c
onsis
tin
gof,leavethemopenini
ti
all
y,s
o
aft
erfourdaysormoreandwh encleangran
ulat
ionti
ssueis
obser
ved,youarecl
osedsurgi
cal
ly.
1.
3Ca
reo
fth
esu
rgi
cal
wou
nd.
1.
3.1OBJ
ECTI
VES:
Pr
otectth
ewou ndfromb ac
teri
alcont
aminat
ion,t
opromot
e
h
eali
nga ndprev
e n
tth etr
ansferoforga
nis
msf r
oma n
i
nfe
c t
edwoun dtoothersit
es.
Ret
ri
evetheimp a
iredsk i
nint
egrit
y.
Topromotethewe l
fareofthepa t
ie
nt.
Assessth
eh eal
ingprocessa n
dd ecre
aseheali
ngti
me .
1.
3.2PROCE
DURE
:
1-
I
nfor
mth
epa
tie
nta
bou
tth
epr
oce
dur
eth
atwi
l
lbep
erf
orme
d.
2-
Pre
par
eth
ene
ces
sar
yequ
ipme
nti
nac
lea
nar
eaors
idet
abl
ebe
sid
e
t
hep
ati
ent
'
sbe
d.
TE
AM:
Shop
pin
gcu
res
Boxofst
e r
il
einst
rument
s(s
cis
sors,di
ssec
ti
ngfor
ceps,
mosqui
to,Canal
adapr
obe,
sti
l
etto,
knif
ehandl
e,t
hre
ad
hol
der
)
Raft
sofd i
ff
ere
ntsizea
ndshape
Down
loa
dedb
yma
rlonma
rlonJ
uni
or(
ben
kig
och
i@g
mai
l
.com)