CWOCN here - this is nice, but it's overkill. Routine wound care is not sterile. It's a clean procedure. And I agree with other comments - the packing done in this demonstration is not well done. It's both not enough packing (does not fill entire wound and account for tunneling) and yet also too many individual pieces of gauze all at the same time. Otherwise, I think this is a great teaching tool. Very clear and easy to follow. Would love to see this updated.
@@roghider3552 I never knew wounds get packed? Like as in putting gauze beneath the skin inside the tissue or muscle and such? I thought if there was a gash it would just get stitched up
@@jackalope_hunter there are wounds that are so deep that just stitching them would not help them heal, examples of which are pressure ulcers which is I presume what the video is trying to emulate with the dummy
@@smallandstressed2364 its to prevent excess accummulation of exudate and the packing serves to absorb excess drainage or blood from pooling and hindering healthy tissue from emerging on the wound bed. Usually with really deep wounds a vaccuum system dressing gets used, like a VAC pump dressing
@@em68855 who tf are you? P.s. RN CWOCN here, I make the recs for dressing changes and write the orders because I am a board certified wound and ostomy care nurse.
Great for skill test, but for real life, complete wrong… you need to pack tunnelling and undermining, applying a appropriate dressing with anti microbial properly… protect the peri-wound, apply an dressing the control exudate…
@leisel I’ve been bedridden 5 years and only ever had the start of a pressure sore after nurses forced me to be turned every 2-3 hours in hospital, including throughout the night. I was in so much pain 😣. I haven’t been able to to turn for 4 years due to 2 tubes in my stomach (stomas tear easy) + unstable neck/spine but not once had a friction or pressure sore at home. I’m either very lucky or every body is different! Does this only happen to overweight people, I’m very boney 😓, but maybe that’s my advantage here?
This wound looks like it should be treated with a “wound vacuum” until it close enough to be treated as you describe. I was treated with a wound vacuum which encourages healing from the “inside out”.
I hated the vacuum so much! Packing and repacking was even better than the sound of the machine and trauma of dressing changes was better than that thing.
The focus here is on being able to change the dressing for students. Movement and mobility are separate skills that are learned and are put together in real life scenarios
@@MrPinnapples it always seems so much easier on practice dummies... then you deal with the real thing, it’s the same with almost everything in life lol, but yeah I agree
I don't know why you can't just go straight into Nursing school after highschool. It makes no sense to waste 2 years of your life learning things that you aren't going to use in the real world.
@@charlieaviles7245 people need to stop being so greedy. Health care professionals such as doctors and nurses are in high demand. If we take away some of the burden such as being 200k-400k In student debt after graduating then maybe we'd have more of them.
I understand it to a certain extent. Getting an Associate's degree shows a level of competency that's higher than just a standard diploma. Maybe it could be reduced to a year-long course instead of an Associate's or something like that though.
You can but you still have to do prerequisites first. The reason why is becaue you do a ton of research in nursing classes and do write papers. You can't just go into these classes without knowing how to properly cite, type and explain research findings.
Great video,where can I buy that wound dummy,I am an Avanced Woundcare Rep,I would love to have it,I am in South Africa. I use 1% Acetic Acid to cleanse wounds and find it to be more effective than Saline water.
Question: Video states to label the dressing with Date, Time, and Initials except this nurse writes that information on her glove. I'd think that if she wrote that information directly onto the sterile bandage it runs risk of pen ink fading away if dressing becomes saturated with drainage. And writing the info on her latex glove seems odd because she'd just discard her gloves after cleaning up the procedure area and before leaving patient room. Am I missing something? 🤔
I am not sure why this is a sterile dressing change? I mean if you are practicing sterile dressing changes fine, but this would never be a sterile dressing change in the real world.
I had infected c section wound and when it came time to do care the only time I felt anything was when they would hit healthy tissue when they were scrapping away the bad tissue. Otherwise it was usually just pressure.
I could use some help. I'm caring for my Mom at home. Her pressure ulcer looks like a big spider bite right now. At first I used alcohol and neosporin. But it formed a white head. When the head bursted I started using alcohol and silvadene. Yesterday it looked like the skin was closing up but today it looks irritated like mild carpet burn. It still hurts when she adjusts but it's not like it was before. I can touch it with out her hurting. Her laying down or sitting noloher hurts. There's no hole or crater but when I read up on bedsores, the article said that you can't tell how bad the infection is from looking on the surface because the wound starts from the bone out to the top layer of the skin. So now I'm freaking out because I dont know if I am handling things right. I wash the bump and area around the bump separately from the other areas when I change her. I wouldn't say this other wise but luckily she is constipated soon can do controlled bowel movements. This way I never have to worry about a lot of fecal matter getting in areas. Of course that's never 100% but I'll take that along with dressing the bump to keep liquids and solids out. I change my gloves, and washing water etc... just for that area. I try to keep the environment as sterile as possible. Then I talked to her about just lifting her up through out the day. Like if I have to go to the bath room (for example) I'll stand her up for an length of time too so it's like she's standing more often. She can't walk or stand on her own so I have to hold her for a few min. I'm looking into designing my own mattress topper with a cutout in it. So far I've jimmy rigged something for her to sleep on but I need something more permanent. I couldn't find exactly what I wanted online. Any tips would be appreciated.
i had a bed sore that was cared for daily this way,although i couldnt see it it felt like the way it looks they did it in this video. sadly it ended up tunneling to my spine but after a vacc was added it helped my healing speed up
okay just wondering but knowing what certain things look like the infection is it all learn in nursing school right because idk what an infection looks like ^~^ I'm still a first year in uni btw
You should consider goggles/gown if there will be a lot of spraying. However, it is really not indicated unless there is reason to believe there is MRSA present.
@@TheDevilockedzombie well ATI teaches it that way so for someone studying the material it's fair to assume they haven't passed their nclex. Aka, proper ppe
Lol I remembered changing my patient’s dressing then after 5 mins he took a dump and soiled his dressing. I was 15 mins away from endorsing the patient to the next shift.
I'm a nurse in real life. A wound that bad is most likely gonna have a wound vac on it. It would never heal fast enough with just dressing changes like the one in the video.
Those "before you get started" steps are huge. Don't come in and start touching stuff without saying hello first and making sure the patient is aware and agreeing to the procedure.
Emm Bee not the same gloves that you’re using to put in the new dressing. The old dressing is contaminated and you don’t want any of that to get back into the wound.
This video is wrong in so many levels. The wound wasn't packed well enough Why would she measure the wound with a sterile cotton swab without being sterile, it contaminates the sterile cotton and the wound The disposable bag was touching the bed and an inch away from the sterile field with is something you never want to do, the bag goes in the floor. Why would she throw part of the liquid, cause saline solution is already sterile She didn't washed her hands with the standard procedure.
Great, but outdated... state now requires us to wash hands and change gloves a billion times between steps AND you can not use the same gauze to clean/pat multiple areas.
I had a wound for 210 days that required daily packing due to an s. aureus after surgery infection, and what they don't tell you is those cotton swabs HURT, BAD. It was an oofer even with lidocaine, lol.
The Prophet Mohamed said: “No fatigue, illness, anxiety, sadness, harm, or distress afflicts a Muslim, not even the prick from a thorn, but that Allah expiates some of his sins because of it.” ❤
@@sasuxsakuxfan i can give a few pointers and key things to remember 1. Before packing, explore the wound. You need to know if there is any undermining or tunneling and you need to know how deep they are if present. The pack must be light packing (Not gauzes wadded up and packed tightly) 2. Wring out excess moisture in the gauze. The gauze should be MOIST, not wet. 3. Only use Fluff gauze or Kerlix, NEVER pack with post op sponges 4. Open the gauze up before beginning to pack 5. Pack the deepest part of the wound first using a sterile q tip applicator. If your wound has a tunnel or undermining be sure to pack to the depth but dont “over” pack or stuff it. 6. Lightly layer the gauze making sure all open spaces are filled 7. ONLY USE ONE PIECE to avoid losing gauze in the wound. That is the biggest mistake i saw in this video. If the wound is large, avoid small fluff gauzes and pack with a gauze roll instead (eg Kerlix gauze) and cut it to fit 8. Routine dressings do not need to be sterile unless specifically ordered that way by MD. Most routine dressing are done in clean technique/aseptic technique Hope that helps
My mom's a nurse and has always taught me the proper way to care for a wound. Thank you mom and all other nurses
All I have to say is God bless nurses...wow...that was some kind of wound
I had this kind of wound on my feet a few years ago...Chose to get my legs amputated haha
@@SpeedyWheelzOfficial Funny....he got his entire torso and both legs amputated...now THAT's serious.
@@SpeedyWheelzOfficial do you have a prosthesis?
@@Everyonesaytouswoo.ah3987 Yup one for each leg!
I seen that wound in rl it took a long time to heal
CWOCN here - this is nice, but it's overkill. Routine wound care is not sterile. It's a clean procedure. And I agree with other comments - the packing done in this demonstration is not well done. It's both not enough packing (does not fill entire wound and account for tunneling) and yet also too many individual pieces of gauze all at the same time. Otherwise, I think this is a great teaching tool. Very clear and easy to follow. Would love to see this updated.
Couldnt agree more, though I do understand this is the 'by the book' procedure they teach in their lecture classes
@@roghider3552 I never knew wounds get packed? Like as in putting gauze beneath the skin inside the tissue or muscle and such? I thought if there was a gash it would just get stitched up
@@jackalope_hunter there are wounds that are so deep that just stitching them would not help them heal, examples of which are pressure ulcers which is I presume what the video is trying to emulate with the dummy
Question: how is a wound supposed to heal with packing? If there’s gauze in the wound, how is it supposed to close?
@@smallandstressed2364 its to prevent excess accummulation of exudate and the packing serves to absorb excess drainage or blood from pooling and hindering healthy tissue from emerging on the wound bed. Usually with really deep wounds a vaccuum system dressing gets used, like a VAC pump dressing
After touching in and around the wound you don't continue with the same dirty gloves.
Loved everything except the same gloves touching the pen and then putting the pen back in their pocket.
Its cool seeing the use of models for darker skin patients. Its a more realistic care of the variety of patients in a real hospital.
The way your explaning is so good god bless u
Watch me become a whole doctor in 5 minutes and 42 seconds✨
Doctors dont do this lol
LMFAO !!!! A Doctor could never !!!! #nursestrong
A nurse or assistant nurse not a doctor lol
@@dianecastaneda671 totally false. Nurses do dressing change, but they do not make the orders. They follow orders given by physicians/NP/PA
@@em68855 who tf are you? P.s. RN CWOCN here, I make the recs for dressing changes and write the orders because I am a board certified wound and ostomy care nurse.
Great for skill test, but for real life, complete wrong… you need to pack tunnelling and undermining, applying a appropriate dressing with anti microbial properly… protect the peri-wound, apply an dressing the control exudate…
This is very good for nurses to train well done
This was a nice demonstration, though I cannot help but think that there was cross-contamination at some points n the video.
I did this with my husband when he gets pressured sores but he didn’t get it a lot thanks to me
@leisel he wasn’t bed bound he was a quadriplegic and he was in his wheelchair most of the day
@Kroasan thank you 🥰
@leisel I’ve been bedridden 5 years and only ever had the start of a pressure sore after nurses forced me to be turned every 2-3 hours in hospital, including throughout the night. I was in so much pain 😣. I haven’t been able to to turn for 4 years due to 2 tubes in my stomach (stomas tear easy) + unstable neck/spine but not once had a friction or pressure sore at home. I’m either very lucky or every body is different! Does this only happen to overweight people, I’m very boney 😓, but maybe that’s my advantage here?
@leisel oh really 😳 I’m so shocked I’ve never experienced, but probably jinxed myself now.😩
That’s what it’s called? Pressure sores? Is it due to poor circulation? My daughter father have those sores also
This wound looks like it should be treated with a “wound vacuum” until it close enough to be treated as you describe. I was treated with a wound vacuum which encourages healing from the “inside out”.
I had it as well…. I hated that thing.
I don’t know how well that would work with gaping wounds like bedsores... they don’t exactly close like you’d imagine a wound to close
@@DoktrDub it does tho I had one and I could see my intestines cause how big my wound was
I hated the vacuum so much! Packing and repacking was even better than the sound of the machine and trauma of dressing changes was better than that thing.
@@tanyadestiny605 How long did it take you to recover if I may ask.
This is great but presents challenges when you have a bariatric patient or a patient who is unable to roll on their side.
The focus here is on being able to change the dressing for students. Movement and mobility are separate skills that are learned and are put together in real life scenarios
That’s where your cna comes in! I’ve held a bariatric patient on their side for a nurse during dressing change! It can get pretty tiring
@@meliamoss6040 yes it sure is a workout 😫
@@MrPinnapples it always seems so much easier on practice dummies... then you deal with the real thing, it’s the same with almost everything in life lol, but yeah I agree
Thanks for this video I learn how is the proper cleaning of wounds.
I don't know why you can't just go straight into Nursing school after highschool. It makes no sense to waste 2 years of your life learning things that you aren't going to use in the real world.
$ that's why.
@@charlieaviles7245 people need to stop being so greedy. Health care professionals such as doctors and nurses are in high demand. If we take away some of the burden such as being 200k-400k In student debt after graduating then maybe we'd have more of them.
I understand it to a certain extent. Getting an Associate's degree shows a level of competency that's higher than just a standard diploma. Maybe it could be reduced to a year-long course instead of an Associate's or something like that though.
You can but you still have to do prerequisites first. The reason why is becaue you do a ton of research in nursing classes and do write papers. You can't just go into these classes without knowing how to properly cite, type and explain research findings.
go to community college to get the prerequisites out the way, im doing it and saving so much money
Waw so smooth way to care. I love your demonstration ❤
Thank you!
Valuable tips. I learnt something here. I appreciate 🙏
In reality. You cant do this (alone)and putting the patient on prone position.(but hey,It's just a demonstration)
Great video,where can I buy that wound dummy,I am an Avanced Woundcare Rep,I would love to have it,I am in South Africa. I use 1% Acetic Acid to cleanse wounds and find it to be more effective than Saline water.
Question: Video states to label the dressing with Date, Time, and Initials except this nurse writes that information on her glove. I'd think that if she wrote that information directly onto the sterile bandage it runs risk of pen ink fading away if dressing becomes saturated with drainage. And writing the info on her latex glove seems odd because she'd just discard her gloves after cleaning up the procedure area and before leaving patient room. Am I missing something? 🤔
Looks easy to do but difficult in actual process.
This is an excellent updated learning site for student nurses with great futures like I
I am not sure why this is a sterile dressing change? I mean if you are practicing sterile dressing changes fine, but this would never be a sterile dressing change in the real world.
So amazing skills 👏
OMG ... Amazing .... How careful they are dressing... Suoerb
Im just gonna a get my whole nursing degree on TH-cam
They forgot to check the patient's collaboration level.
Or was it included?
Does the patient feel all the pain whilst this is happening?
thats why ideally you want to give the analgesic 30 mins before the wound care at least.
I had infected c section wound and when it came time to do care the only time I felt anything was when they would hit healthy tissue when they were scrapping away the bad tissue. Otherwise it was usually just pressure.
@@porcupinenamedcuddles9521 did they administer pain medication before?
No
Some people have different sensitivities to pain and might need a pain med. But not always. Some areas may be more sensitive.
I could use some help. I'm caring for my Mom at home. Her pressure ulcer looks like a big spider bite right now. At first I used alcohol and neosporin. But it formed a white head. When the head bursted I started using alcohol and silvadene. Yesterday it looked like the skin was closing up but today it looks irritated like mild carpet burn. It still hurts when she adjusts but it's not like it was before. I can touch it with out her hurting. Her laying down or sitting noloher hurts. There's no hole or crater but when I read up on bedsores, the article said that you can't tell how bad the infection is from looking on the surface because the wound starts from the bone out to the top layer of the skin. So now I'm freaking out because I dont know if I am handling things right. I wash the bump and area around the bump separately from the other areas when I change her. I wouldn't say this other wise but luckily she is constipated soon can do controlled bowel movements. This way I never have to worry about a lot of fecal matter getting in areas. Of course that's never 100% but I'll take that along with dressing the bump to keep liquids and solids out. I change my gloves, and washing water etc... just for that area. I try to keep the environment as sterile as possible. Then I talked to her about just lifting her up through out the day. Like if I have to go to the bath room (for example) I'll stand her up for an length of time too so it's like she's standing more often. She can't walk or stand on her own so I have to hold her for a few min. I'm looking into designing my own mattress topper with a cutout in it. So far I've jimmy rigged something for her to sleep on but I need something more permanent. I couldn't find exactly what I wanted online. Any tips would be appreciated.
I seen that in a movie once when I was a kid does anyone know what I’m talking about? And what injury even does that?
Not a nurse btw don’t worry lol
Don't like how realistic that wound looks😅😱🥶
How long does it take for it to heal and close, because I have one and I'm afraid it will leave a scar and I'm a model it's on my leg. The lower side.
i had a bed sore that was cared for daily this way,although i couldnt see it it felt like the way it looks they did it in this video. sadly it ended up tunneling to my spine but after a vacc was added it helped my healing speed up
I'm so sorry you had to go through this experience. I hope you your wound is completely healed now.
Rejuvine bloods cells will help a great deal and find the part of the body what makes us grow healthy
That’s a serious wound damn
lmao
okay just wondering but knowing what certain things look like the infection is it all learn in nursing school right because idk what an infection looks like ^~^ I'm still a first year in uni btw
CNA here, I dont do this type of stuff (maybe CNA's can in other states but not mine.), but I still find it interesting.
Most CNAs in the states I'm licensed as an RN are allowed to do simple dressings but nothing like these dressings. But they can help with it.
Seems like the PPE isn't correct right? For irrigation, you'd want the full gown/mask etc. right?
You should consider goggles/gown if there will be a lot of spraying. However, it is really not indicated unless there is reason to believe there is MRSA present.
What are you using, a pressure washer? No. 90% of these would not require anything more than a mask and gloves. Goggles if youre really worried
@@TheDevilockedzombie well ATI teaches it that way so for someone studying the material it's fair to assume they haven't passed their nclex. Aka, proper ppe
I jppe they showed us how to irrigate dirty wound with secretions and pus, like infected wound
I like how the patient is there like "😲"
😟
Lol I remembered changing my patient’s dressing then after 5 mins he took a dump and soiled his dressing. I was 15 mins away from endorsing the patient to the next shift.
CNA here. Hate it when they literally shit the bed and themselves and then when you get both clean they shit again. Or during. I feel your pain.
Why are you pouring some of the liquids into the bag? Is it just to get like the top off that might have not settled properly?
I know I was so confused about that part as well. I wish they would explain certain parts instead of putting distracting music and sirens lol
i remember my instructor said it's for sterile reasons- don't know the specifics tho
i think the bottle was open under clean standard, then when needed for sterile a bit of fluid is poured off to clean the lip on the bottle
confused why they poured it out twice, maybe for the homies and homegirls who did not pass class LMAO...
3:32 looks like an aftermath when u get caught lacking in the uk lmaoooo
I'm a nurse in real life. A wound that bad is most likely gonna have a wound vac on it. It would never heal fast enough with just dressing changes like the one in the video.
how many time a day to change ?
Had a similar wound . 🥴
Hey...cud u recommend me professional courses concerned only with wound care or just relating to wound....
Which country is this?
My gradmpther is on bed rest and has pressure ulse, i think it's going to 4... I'm trying to help cure the wound... thanks for the video!
someone please explain enviroment safety check :|
hi, done well but noticed that the staff wear the dirty glove and took the pen which is contaminated, and returned it to her pocket after the use
Thank you so much. Great ! Video for nurses
Do lpns do this??
Yes
Am I eligible for BSN program if I am occupational therapy assistant in Canada?
Where was this wound?
Does she use NS to wet the gauze that she repacks the wound bed with ?
Yes, I believe it’s called wet to dry dressing.
If that is the order. Sometimes it could be with Dakin's solution [medical bleach], or Vashe Solution.
whats the best solution for wound dressing.
Thank you for the video madam.
Good job
i like the patient reaction!
Those "before you get started" steps are huge. Don't come in and start touching stuff without saying hello first and making sure the patient is aware and agreeing to the procedure.
But i taught should keep the wound dry because the wet cause may cause infection
What causes this type of wounds ?
When a bad doctor messed your stomach that's how cause I mys is like that just hurts 😪.
I just wanted to know how to take care of deep wounds not a whole nursing tutorial on how to be a doctor 😂😂
Body wastes have to be discarded in yellow not red cover
Body waste are highly infectious
Thus discarded in red bin
Did u change ur gloves after u removed dressing?
Can you use a sterile glove when you remove the old inner dressing /packing?
Emm Bee not the same gloves that you’re using to put in the new dressing. The old dressing is contaminated and you don’t want any of that to get back into the wound.
Lol 💩
I mean you can but its not really a priority if you are going to irrigate it anyways
Umm I’ve always been taught to do length x width..she did width x length, guess don’t matter as long as she charted LxW?
If only my wound care specialist at Brookdale hospital was to clean my wound like that.
step by step apabila menerima pesakit baru.😊😊
Very nice *but what happened to this mans bottom??*
Please encourage the sudents to pack the wound to encompass the wound edges and tunnels.
This video is wrong in so many levels.
The wound wasn't packed well enough
Why would she measure the wound with a sterile cotton swab without being sterile, it contaminates the sterile cotton and the wound
The disposable bag was touching the bed and an inch away from the sterile field with is something you never want to do, the bag goes in the floor.
Why would she throw part of the liquid, cause saline solution is already sterile
She didn't washed her hands with the standard procedure.
I mean the cotton tip doesn't need to be sterile, but it just that I have never seen them sold non-sterile. They are all sold sterile.
Good information mam tnqq
I'm caregiver learning things about medical
Great, but outdated... state now requires us to wash hands and change gloves a billion times between steps AND you can not use the same gauze to clean/pat multiple areas.
Nice vidion ...thankx mam
These a the videos north Korean doctors use to do surgery
I thought this was a dead by daylight skill check 😂
Omg🤣
I had a wound for 210 days that required daily packing due to an s. aureus after surgery infection, and what they don't tell you is those cotton swabs HURT, BAD. It was an oofer even with lidocaine, lol.
The doll sittin there like 😩
Looks like open wound procedure for pilonidal sinus
3 words
I
Could
NEVER 😩
Do i need to tape the 4 sides or can I just put the adhesive like a cross?
No. You have to tape down all 4 sides to make sure the bandage doesn't become loose or fall off.
That pen she touched wasn't sterile
lol I'm not even a nurse this is just interesting to me
This video should be called how to keep sterile.With this, by the time you get to the patient, he’s dead!
thanks so much for information
Thank you🙏
Am I the only one or did the patient go from white to black, back to white?
Bruh in East Europe we don't do half this shit 🤣
Mi papa tiene una así 😭 apenas se está curando
She was supposed to change gloves after removing the old bandage and checking the wound!!!
On the road to who I want to be
Idk why when I tapped on this video I was expecting someone to perform a skill check by rolling a die
Thanks for this awesome ass repair video.
The Prophet Mohamed said:
“No fatigue, illness, anxiety, sadness, harm, or distress afflicts a Muslim, not even the prick from a thorn, but that Allah expiates some of his sins because of it.” ❤
This is NOT how you pack a wound
uhuh, and how do you know that?
@@sorr5799 i am a wound care rn
@@dianecastaneda671 can you make a video on how to do one then? it's hard finding good videos
@@sasuxsakuxfan i can give a few pointers and key things to remember
1. Before packing, explore the wound. You need to know if there is any undermining or tunneling and you need to know how deep they are if present. The pack must be light packing (Not gauzes wadded up and packed tightly)
2. Wring out excess moisture in the gauze. The gauze should be MOIST, not wet.
3. Only use Fluff gauze or Kerlix, NEVER pack with post op sponges
4. Open the gauze up before beginning to pack
5. Pack the deepest part of the wound first using a sterile q tip applicator. If your wound has a tunnel or undermining be sure to pack to the depth but dont “over” pack or stuff it.
6. Lightly layer the gauze making sure all open spaces are filled
7. ONLY USE ONE PIECE to avoid losing gauze in the wound. That is the biggest mistake i saw in this video. If the wound is large, avoid small fluff gauzes and pack with a gauze roll instead (eg Kerlix gauze) and cut it to fit
8. Routine dressings do not need to be sterile unless specifically ordered that way by MD. Most routine dressing are done in clean technique/aseptic technique
Hope that helps
@@dianecastaneda671 thank you for the tips! i'm in fundamentals right now and almost everything is on zoom besides clinical :(
He looks like he’s in some pain! 😮