2.  Redness  Drainage, particularly if purulent (pus-like) or foul smelling  Heat  Edema  Increased pain or tenderness  Fever  Edema of tissue surrounding the wound  Separation of wound edges  Trauma or injury  Maceration, or a waterlogged appearance of the wound edges  Bruising  Frank bleeding

3.  4 stages  Determined by the depth and degree of involvement of the underlying structures.

8.  Wash hands, apply clean gloves  Loosen the edges of the tape  Pull the tape ends toward the wound while holding traction on the skin with your other hand.  Lift the dressing off  If the dressing sticks to the wound, pour a small amount of sterile saline o the dressing to loosen it. Let it sit for a minute, then gently pull dressing off.  Discard according to facility.  (if traces of adhesive remain on the skin, remove them with tape remover or baby oil)

9.  If signs/symptoms of infection are present, alert the nurse. Cover the wound and wait for RN (use signal button) 

10.  Use normal saline.  Antiseptic products harm healing tissue and should not be used.  Always work from the clean area near the wound outward to less clean areas.  Use gauze or swab for one stroke, then discard it. (this avoids contaminated the cleansing solution)

11.  Cleanse a linear wound or surgical incision from top to bottom.  Work outward from the wound in parallel lines

12.  To cleanse open wound, such as an injury or pressure ulcer, work in half circle or full circles.  Begin in the center of the wound and work outward.

13.  https://www.youtube.com/watch?v=ZW MaR-jheGY https://www.youtube.com/watch?v=ZW MaR-jheGY  Hemovac Drain  https://www.youtube.com/watch?v=72W 5Z9agOPU

14.  https://www.youtube.com/watch?v=G9N 9-3QyESs https://www.youtube.com/watch?v=G9N 9-3QyESs  Used to pull fluid out of drain.  Measured at end of each shift  Then pour into toilet.  JP Drain remains connected to patient.  Rolls up to expel air  Once very little drainage is collected the wound is ready to be sutured.

15.  Used for healing surgical incisions.  Occasionally used for removing necrotic tissue from pressure ulcers.  The dressing is damp when applied to the wound  This is a Sterile Procedure

16.  https://www.youtube.com/watch?v=gc1 GS-Gf9Mk https://www.youtube.com/watch?v=gc1 GS-Gf9Mk

17.  https://www.youtube.com/watch?v=llaTS c-ZTUI https://www.youtube.com/watch?v=llaTS c-ZTUI