Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic...

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Patient Discharge Instructions for Penetrating Traumatic Wounds Dressing with PACKING Please see your local doctor or return to the ER if you have any signs of infection. These signs may include: o Fever greater than 100.4 F o Redness of the area around the wound o Warmth of the area around the wound o Increased pain at the site of the wound o Any yellow or green drainage from the wound o Red streaks on the skin around the wound If your wound has packing, please follow these instructions: You may shower and let soapy water run over your wound. Pat dry with a clean wash cloth or towel. Using a Q-Tip, pack the wound with gauze or strips moistened with saline. Make sure the moist gauze comes in contact with the entire base of the wound. Leave a small part of the dressing outside the wound. Cover wound with non-adherent gauze. Change your dressing twice a day. Once your wound is too small to pack, you can cover the wound with Bacitracin and a non-adherent dressing and change your dressing twice daily. If you have any concerns about your wound healing, please call your primary care doctor for follow up. Trauma Clinic Phone Number: 615-343-1616

Transcript of Patient Discharge Instructions for Penetrating Traumatic ...€¦ · for Penetrating Traumatic...

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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