UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE
TITLE: Dressing Change/Wound Care – Dermatology Clinic
Effective Date: October, 2005 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education
Reviewed Dec 2007 May 2009 June 2010 November 2011
PURPOSE: To provide guidelines for dressing of a surgical site post dermatology procedure at UWMF
DEFINITION: Proper wound care protects area with minimal drainage against microorganism contamination.
POLICY: The clinical staff will utilize the following guidelines to dress a surgical site post a dermatology
SUPPLIES: Provider’s order, Patient’s record, gauze, mild soap/Hydrogen Peroxide
Cotton swabs, Vaseline, Band-Aids or Telfa pads, Tape
1. Check provider’s order and clarify any inconsistencies.
2. Wash hands and gather equipment.
3. Introduce yourself, identify the patient and provide privacy.
4. Explain procedure to the patient.
5. Wash hands and put on gloves.
6. Gently remove old dressing. Dispose of properly.
7. Note the amount, color and type of drainage.
8. Gently cleanse wound with Operand soap and tap water.
NOTE: For excessive and crusty debris use half strength Hydrogen Peroxide.
NOTE: Do not force debris off.
9. Apply thin layer of Vaseline to wound with cotton swab or gauze pad.
NOTE: Use a clean swab or pad for each site.
10. Apply new bandage or Telfa-tape dressing to site.
11. When completed, remove gloves and wash hands.
12. Document in the patient’s record:
Care given to the patient
Description of wound and drainage (if any)
Vital Signs (if taken)
Post care instructions given to the patient of family
Patient questions or concerns
Future appointments (if needed).
WRITTEN BY: Ronnie Peterson, R.N., M.S., Manager of Clinical Support
CONTRIBUTORS: Jodie Cook, Manager Dermatology
Lisa Hilker, CMA, Department of Dermatology
REVIEWED: Lisa Hilker, CMA, Department of Dermatology,2011
Kowalak, J. P. (Ed.). (2009). Lippincott’s nursing procedures (5th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Perry, A.G. & Potter, P.A. (2002). Clinical nursing skills & techniques. (5th ed.). St. Louis, MO: Mosby.
Perry, A.G. & Potter, P.A. (2009). Fundamentals of nursing. (7th ed.). Hall, A. & Stockert, P.A. (Eds.). St. Louis, MO: Mosby
Department of Dermatology Date
Medical Director Date