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To appraise the wound dressing performance, it is essential to assess all the steps taken by the nurse. The video which is provided to appraise the performance of the nurse critically is depicting the entire process of the wound dressing, which is standard to be followed. In the video, a nurse is there to dress the wound a dummy patient has. She is mainly delivering a demo and showing how a nurse should depict the clinical skills and show the good primary wound dressing performance (Parsons et al., 2016). However, the necessary clinical skills can be found in the nurse from the video who is dealing with a patient with care and professionalism. In this essay, the appraisal of the nurse's simple wound dressing performance will be done, as well as the feedback will be provided, which may be positive or may target the areas which need improvement according to the clinical practice standards. The proper rationale will support the feedback with why part of the performance lag and how that can be fixed.
The simple wound dressing performance of the nurse can be seen in the video in which the nurse is supposed to provide the demo of the wound dressing. Firstly, the nurse asks for the condition of the patient, which is a good gesture to show affection and feeling of friendship. The nurse then goes towards the washbasin and uses the liquid soap to wash her hand gently. It seems satisfactory that she rubs her hands well with the soap and then rinse. After this, she dries her hand with a tissue. This is the first step towards the wound dressing, which is necessary. After this step, the nurse disseminates the used towel and takes the bandage tray towards the patient's bed. That tray is seen to be having a sanitizer, bandages, tweezers, and more things that will be used ahead in the entire process of the wound dressing ( Dong et al., 2020). The nurse cleans the tray with specific tissues and then sanitizes her hands gently with sanitizer. During the process, the nurse communicated to the patient so that the relationship does not break, and wound dressing can be successful. She then opens a pack where the tweezer, the small cotton buds, and a solution are present. She puts a solution in a small tray, which will be used to clean the wound of the patient. After this, the nurse opens the pack of bandage and then get closer to the patient. The good part is that she put on the gloves before directly contacting the patient's wound. She slowly put off the bandage from the patient's leg and carry on lifting him through her words. Before this, she was seen to put the piece of cotton so that no fluid can make the bed dirty. After this, the nurse changes the gloves and put on other one and then wet the cotton buds one by one and expose them to the wound to clean that up. She did this thrice, and then she put the dressing on slowly and gently so that patient does not get hurt. This was the entire process of the primary wound dressing, which seems to be professional enough.
The feedback for this wound dressing performance is right on the whole. Firstly, hygiene was considered a top priority throughout the entire process, and it is an excellent point as the wound dressing has a risk that the wound can get exposed to germs. The overall performance of the nurse was outstanding, but one thing was noticed that after taking the last bandage off from the leg of the patient, she was seen to change the gloves. This was the right decision, but the nurse took too much time. The wound of the patient is open in the air, which provides a chance to get more infected due to particles or germs present in the environment ( Connelly & McColl, 2016). The time the nurse took during the glove changing created a high opportunity for the patient's wound to be infected. Thus the transmission of microorganisms can be prevented if this time is limited. Another thing observed is that nurse did not expose the cotton bud completely to the solution, which is not sufficient to clean the wound. Thus, the nurse should have been dip the cotton bud neatly into the solution so that the damage can be cleared effectively.
It is concluded the video which is provided to appraise the performance of the nurse critically is depicting the entire process of the wound dressing, which is standard to be followed. In the video, a nurse is there to dress the wound a dummy patient has. She is mainly delivering a demo and showing how a nurse should depict the clinical skills and show the good primary wound dressing performance.
Connelly, P., & McColl, D. (2016). U.S. Patent No. 9,526,439. Washington, DC: U.S. Patent and Trademark Office.
Dong, W. H., Liu, J. X., Mou, X. J., Liu, G. S., Huang, X. W., Yan, X., ... & Long, Y. Z. (2020). Performance of polyvinyl pyrrolidone-isatis root antibacterial wound dressings produced in situ by handheld electrospinner. Colloids and Surfaces B: Biointerfaces, 188, 110766.
Parsons, D., Meredith, K., Rowlands, V. J., Short, D., Metcalf, D. G., & Bowler, P. G. (2016). Enhanced performance and mode of action of a novel antibiofilm Hydrofiber® wound dressing. BioMed Research International, 2016.
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