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Department & Location Procedure Number Nursing Cooperative Wide Infection Contr
ol Wound Care Procedures Page 1 of 3 PURPOSE: To prevent or minimize transmissio
n of microorganisms during wound care procedures. RESPONSIBILITY STATEMENT: All
personnel across the continuum of care who perform wound care shall adhere to es
tablished GHC infection control principles and practices. CONTENTS:Notify Infect
ion Control if MRSA transmission is suspected. HAND HYGIENE AFollow Hand Hygiene
Policy:ht tp :/ /i n co nt e x t . g h c . or g / a bo ut / or g- pol /d - 07 /
d- 07- 013 .h tm l 1 When hands are soiled: Wash with chlorhexidine gluconate.
2 Alternative to chlorhexidine when hands are soiled: Lotion soap followed by al
cohol hand sanitizer.
3 When hands are not visibly soiled: Use alcohol hand sanitizer frequently and a
s needed:
a between the dirty/clean steps of procedure to prevent cross contamination (rem
ove gloves, sanitize, and re-glove)
b before and after gloving
c just prior to setting up supplies for procedure or accessing supplies
d when moving away from the patient â zoneâ (remove gloves and sanitize hands)
B Minimize jewelry. Keep natural nails no longer than ¼ inch long. No artificial na
ils. C Use hand lotion (latex/chlorhexidine compatible) as needed to maintain sk
in integrity between washings. PERSONAL PROTECTIVE EQUIPMENT D Glove for all wou
nd care and non-intact skin. E Gowns and face protection Procedure Isolation gow
n Mask with eye protection or Mask with full face shield Mask without eye protec
tion MRSA (colonized/infected) wound care required recommended recommended Wound
irrigation required required Dremel use required required Incision & drainage r
equired required Debridement recommended recommended Lengthy wound care procedur
e, Complex, or large sized wounds required recommended recommended F Masks (with
or without eye protection) are recommended with all wound care to prevent
a inadvertent touching of face/hair/glasses with hands or gloved hands during pr
ocedure
b employee shedding of respiratory/nasal droplets into wound site during procedu
re
G Remove gloves and PPE after completion of procedure and perform hand hygiene.
INSTRUMENT USE AND HANDLING H Use only sterile instruments and basins when perfo
rming wound care procedures. I Use sterile scissors (not bandage scissors unless
sterile) to cut off dressings. Alcohol wipe is not adequate to disinfect scisso
rs. J Wash instruments/basin in enzymatic detergent, rinse, air dry and package
for autoclave after use. Keep instruments moist or submerged in water if unable
to clean immediately.
K Transport contaminated instruments in a covered basin.
L Send instruments and basins to CSR for sterilization after cleaning.