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Download - Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic Wounds Dressing with NO PACKING Please see your local doctor or return to the ER if

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Page 1: Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic Wounds Dressing with NO PACKING Please see your local doctor or return to the ER if

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

Page 2: Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic Wounds Dressing with NO PACKING Please see your local doctor or return to the ER if

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

Page 3: Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic Wounds Dressing with NO PACKING Please see your local doctor or return to the ER if

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

Page 4: Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic Wounds Dressing with NO PACKING Please see your local doctor or return to the ER if

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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