Wound Care Checklist

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UNIVERSITY OF CEBU @ PARDO and TALISAY, INC.

Bulacao, Cebu City


College of Nursing and School of Midwifery

Name of Student: ______________________________________ Grade: ___________


Year and Section: ______________________________________ Date: ____________

WOUND CARE

DEFINITION: The application of dry material such as absorbent gauze to protect or cover the wound or
lesion.

PURPOSE: To protect the healing wound from trauma or bacterial invasion

EQUIPMENT:
Clean examination gloves Betadine paint and cleanser
Container for proper disposal of soiled dressing Plaster
Sterile 4x4 gauze pads

LEGEND: 1 – Excellent
2 - Above Average
3- Average
4 - Below Average
5 - Poor
STEPS RATIONALE 1 2 3 4 5

1. Wash hands.

2. Prepare materials

3. Provide privacy

4. Explain procedure to the client

5. Wash hands

6. Apply clean gloves

7. Remove old, soiled dressing and


place in appropriate receptacle.

8. Apply new set of gloves.

9. Assess the appearance of the


undressed wound bed for
healing.

10. Cleanse the wound with normal


saline solution.

11. Cleanse the wound with betadine


cleanser.

12.

13. Rinse and dry toothbrush


thoroughly. Return the proper
place for personal belongings
after drying up.

14. Replace all instruments. Discard


dirt properly and safely.
15. Remove gloves and wash hands.

16. Document the care and sign on


the records.

17. Report any findings to senior


staffs.

TREATMENT OF DATA
Step 1: Compute the Total Score
Step 2 : Compute the Weighted Mean
Formula:
Weighted Mean - ____Total Score____
Total Number of items
Step 3: Determine the Weighted Mean Description. (Refer to the Point Scale)
Point scale Categories
1.00--1.80 Excellent
1.81-- 2.60 above Average
2.61--3.40 Average
3.41--4.20 Below Average
4.21--5.00 Poor

RATING: ________________________
Comments
_____________________________________________________________________________________
_____________________________________________________________________________________
__________________________________________________________

Student’s Signature over printed name Clinical instructor’s signature


Printed Name over Printed Name

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