patient discharge instructions for penetrating traumatic ...€¦ · for penetrating traumatic...
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PatientDischargeInstructionsforPenetratingTraumaticWounds
DressingwithPACKING
PleaseseeyourlocaldoctororreturntotheERifyouhaveanysignsofinfection.Thesesignsmayinclude:o Fevergreaterthan100.4Fo Rednessoftheareaaroundthewoundo Warmthoftheareaaroundthewoundo Increasedpainatthesiteofthewoundo Anyyelloworgreendrainagefromthewoundo Redstreaksontheskinaroundthewound
Ifyourwoundhaspacking,pleasefollowtheseinstructions:Youmayshowerandletsoapywaterrunoveryourwound.Patdrywithacleanwashclothortowel.UsingaQ-Tip,packthewoundwithgauzeorstripsmoistenedwithsaline.Makesurethemoistgauzecomesincontactwiththeentirebaseofthewound.Leaveasmallpartofthedressingoutsidethewound.Coverwoundwithnon-adherentgauze.Changeyourdressingtwiceaday.Onceyourwoundistoosmalltopack,youcancoverthewoundwithBacitracinandanon-adherentdressingandchangeyourdressingtwicedaily.
Ifyouhaveanyconcernsaboutyourwoundhealing,pleasecallyourprimarycaredoctorforfollowup.TraumaClinicPhoneNumber:615-343-1616
PatientDischargeInstructionsforPenetratingTraumaticWounds
DressingwithNOPACKING
PleaseseeyourlocaldoctororreturntotheERifyouhaveanysignsofinfection.Thesesignsmayinclude:o Fevergreaterthan100.4Fo Rednessoftheareaaroundthewoundo Warmthoftheareaaroundthewoundo Increasedpainatthesiteofthewoundo Anyyelloworgreendrainagefromthewoundo Redstreaksontheskinaroundthewound
IfyourwoundDOESNOThavepacking,pleasefollowtheseinstructions:Youmayshowerandwashyourwoundwithsoapandwater.Patdrywithacleanwashclothortowel.Applyathinlayerofbacitracinointmentoverthewoundandcoverwithaclean,non-adherentdressing.Changeyourdressingtwiceaday.
Ifyouhaveanyconcernsaboutyourwoundhealing,pleasecallyourprimarycaredoctorforfollowup.TraumaClinicPhoneNumber:615-343-1616
DressingsforTraumaticWounds(notviolatingthefascia)
NeedsPacking NoPacking
o Cleananddrywound
o ApplythinlayerofBacitracin
o Coverwithnon-adherentdressing
Changedressingevery12hours
WoundPackingCriteriao Needforpackingisdeterminedbythepresenceofdeadspaceorundermining.o Packingisneededforwoundswithanyexudate.o Packingcanbestoppedwhengranulationisoccurring.
o Packwithsaline-moistenedgauzeorlodoformstrips
o Coverwithnon-adherentdressing
Changedressingevery12hours
DischargeforPenetratingTraumaticWounds(notviolatingthefascia)
Explorewoundtoevaluatedepthandtract
Cleanandclosewoundifappropriateforclosure.Dresswoundasneeded.
Woundishemostatic
Doesthewoundlookinfected?(redness,warmth,purulentdrainage)
Treatwithantibioticsper
physicianjudgment
Prophylacticantibioticsare
notneeded
Tetanusprophylaxisasindicated
Woundteachingforpatientand/orfamilybyRN
DISCHARGE
YES NO
Ambulatepatientandevaluateforbleeding.Redresswoundasneeded.
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