Scribd Logo
Upload

Welcome to Scribd!

  • 9 views

    FNTII Lab 1 Application of Bandage

    Uploaded by

    kenlee00017

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    FNTII Lab 1 Application of Bandage

    Uploaded by

    kenlee00017
    9 views5 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views5 pages

    FNTII Lab 1 Application of Bandage

    Uploaded by

    kenlee00017

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 5

    Hospital Authority

    Professional Diploma in Nursing


    Foundations of Nursing Therapeutics II

    Laboratory Manual 1: Application of bandage

    Intended learning outcomes:


    At the end of this laboratory session, students should be able to:
     describe the principles of application of bandages.
     demonstrate appropriate technique in applying bandaging

    Purposes
     To give support or immobilization to injured parts.
     To hold a dressing in place.
     To prevent or decrease swelling in an injured limb.
     To stop bleeding by means of pressure.
     To fix splints and other apparatus.

    Assessment
     Inspect and palpate the area for swelling and adequacy of circulation (skin temperature, color, and
    sensation). Rationale: Pale or cyanotic skin, cool temperature, tingling, and numbness can
    indicate impaired circulation.
     Inspect for the presence of and status of wounds (open wounds will require a dressing before a
    bandage or binder is applied).
     Ask the client about any pain experienced (location, intensity, onset, quality).
     Assess the capabilities of the client regarding activities of daily living and the assistance required.

    Planning
     Explain & reassure the casualty to gain cooperation.
     Casualty position: sit or lie down in a comfortable position.
     Sit or stand in front of the casualty.
     Ensure injured part is well supported before bandaging.

    1
    Type of bandages
    Roller bandages Triangular bandages Tubular bandages
    - Give support to - Can be used folded as - Secure dressings on
    injured joints bandages or slings fingers and toes
    - Secure dressings in - If they are sterile and - Put over the injury
    place individually wrapped, using a special
    - Maintain pressure on they may be used as applicator
    wounds and limit dressings for large
    swelling wounds and burns

    Sizes of roller bandage for adult


    Part to be bandaged Width
    Finger 2.5cm (1 inch)
    Hand 5.0cm (2 inches)
    Arm 5.0cm or 6.0cm (2 or 2.5 inches)
    Leg 7.5cm or 9.0cm (3 or 3.5 inches)
    Trunk 10cm or 15cm (4 or 6 inches)

    Implementation
    Principles of Application of Bandages
     Position yourself in front of the casualty and on the injured side.
     Support the injured part while applying the bandage.
     Pass the bandages through natural hollows at the ankles, knees, waist and neck, then slide them into
    position by easing them back and forth under the body.
     Apply bandages firmly but not so tightly that impede circulation to the area beyond the bandages.
     Use a reef knot when securing a triangular bandage. Ensure that the knots do not cause discomfort.
    Do not tie the knot over a bony area. Tuck loose ends under a knot if possible to provide additional
    padding.
     Leave fingers or toes exposed to check circulation afterwards.
     Check the circulation in the area beyond the bandage every 10 minutes once it is secured.

    2
    General Rules of Application of Roller Bandage
     From inside outwards.
     From distal to proximal (from below upwards).
     Cover 2/3 of the previous turn (or ½ if less pressure is required).
     Keep the rolled part of the bandage (“head”) uppermost as you work (The unrolled short end is
    called the “tail”).
     Apply bandages firmly but not to impede circulation to the extremity.

    Application of Bandage
    1. Large Arm Sling
     Ensure the injured arm is supported with its hand slightly raised.
     Place triangular bandage between body and injured arm with the base of bandage over the
    uninjured side.
     Pass the upper end over the shoulder and around back of neck.
     Fold the lower end of bandage over the forearm to meet the upper end at the shoulder.
     Instruct client to release the support but keep hand’s position higher than the elbow.
     Tie a reef knot and secure this to the upper corner at the side of the neck on the injured side
    (with the knot NOT press on any bony part, such as the vertebra or clavicle).
     Fold the sling neatly at the elbow and secure with adhesive tape if necessary.

    2. Simple Spiral Turn


     Make 2 circular turns to anchor roller bandage (from inside outwards).
     Continue spiral at 30-degree angle (from distal to proximal).
     Each turn cover 2/3 to 1/2 the width of the bandage, until the affected body part being covered.
     Terminate the bandage with two circular turns.
     Secure the end with adhesive tape.

    3. Figure-of-Eight Turn
     Make 2 circular turns to anchor roller bandage (from inside outwards).
     Carry the bandage upwards as spiral turn at about 30-degree angle for once, then go backwards
    (downwards) from the other side, resembling the figure-of-eight with each double-turn.
     Continue this double-turn pattern upwards, also overlapping the preceding one by 2/3 or 1/2 the
    width of the bandage, until the affected body part or joint being covered.
     Terminate the bandage with two circular turns.
     Secure the end with adhesive tape.

    3
    4. Divergent Spica
     Flex the joint.
     Start with 2 circular turns to anchor the roller bandage over the mid-point of joint (from inside
    outwards).
     Continue to bandage diagonally above and below the joint in a figure-of-eight.
     Increase the bandaged area by covering about 2/3 of the previous turn each time until the whole
    joint is covered.
     Terminate the bandage with 1 or 2 circular turns above the joint.
     Secure the end with adhesive tape.

    5. Tubular Gauze Bandage


     Cut a piece of tubular gauze 2.5 times the length of the finger/ toe to be bandaged and slide on
    to the applicator.
     Slide the applicator over the finger/ toe.
     Pull applicator slightly beyond the fingertip/ toe, covering it with one layer of gauze.
     Twist the applicator twice to seal the bandage over the end of the finger/ toe.
     Secure the end with adhesive tape.

    Evaluation
     Check the circulation in the area beyond the bandage every 10 minutes once it is secured.
     Evaluate skin condition.
     To judge whether the purposes have been achieved.
     Documentation.

    4
    References

    Berman, A., Snyder, S. J., & Frandsen, G. (2020). Kozier & Erb's fundamentals of nursing: concepts,
    process, and practice (11th ed.). Pearson Education.

    Nettina, S. M. (2019). Lippincott manual of nursing practice. (11th ed.). Wolters Kluwer.

    Ruttonjee & Tang Shiu Kin Hospitals. (2011). 實務急救 Practical First Aid. Hospital Authority.

    St. John Ambulance, St. Andrew‟s Ambulance Association, and British Red Cross. (2016). First aid
    manual: The authorised manual of St. John Ambulance, St. Andrew's Ambulance Association, and
    the British Red Cross (10th ed.). Dorling Kindersley.

    香港聖約翰救護機構. (2012). 急救證書課程手冊. 香港聖約翰救護機構.

    You might also like