This document provides a 17-step checklist for applying a figure eight bandage. It details the necessary actions like reviewing the patient's records, identifying the patient, explaining the procedure, applying the bandage using alternating ascending and descending turns to form a figure eight pattern, securing the end, assessing circulation, elevating the wrapped area, monitoring the skin and changing the bandage daily. Nurses must follow these steps, assess the patient's comfort, document the details of application and monitoring.
This document provides a 17-step checklist for applying a figure eight bandage. It details the necessary actions like reviewing the patient's records, identifying the patient, explaining the procedure, applying the bandage using alternating ascending and descending turns to form a figure eight pattern, securing the end, assessing circulation, elevating the wrapped area, monitoring the skin and changing the bandage daily. Nurses must follow these steps, assess the patient's comfort, document the details of application and monitoring.
This document provides a 17-step checklist for applying a figure eight bandage. It details the necessary actions like reviewing the patient's records, identifying the patient, explaining the procedure, applying the bandage using alternating ascending and descending turns to form a figure eight pattern, securing the end, assessing circulation, elevating the wrapped area, monitoring the skin and changing the bandage daily. Nurses must follow these steps, assess the patient's comfort, document the details of application and monitoring.
nursing plan of care to determine the need for a figure eight bandage. 2. Identify the patient. Explain the procedure to the patient. 3. Perform hand hygiene and put on gloves if contact with drainage is possible. 4. Close the room door and curtains. Place the bed at an appropriate and comfortable working height. 5. Assist the patient to a comfortable position with affected body part in a normal functioning position. 6. Hold the bandage roll with the roll facing upward in one hand. Hold the free end of the roll in the other hand. Hold the bandage so it is close to the affected body part. 7. Wrap the bandage around the limb twice, below the joint, to anchor it. 8. Use alternating ascending and descending turns to form a figure eight. Overlap each turn of the bandage by one-half to two thirds of the width of the strip. 9. Unroll the bandage as you wrap not before wrapping. 10. Wrap firmly but not tightly. Assess the patient’s comfort as you wrap. If patient reports tingling, itching, numbness, or pain, loosen the bandage. 11. After the area is covered, wrap the bandage around the limb twice, above the joint, to anchor it. Secure the end of the bandage with tape, pins or self closures. Avoid metal clips. 12. Remove your gloves, if worn, and discard them. Place the bed in the lowest position with the side rails up. Make sure the call and all necessary items are within easy reach. 13. Assess the distal circulation after the bandage is in place. 14. Elevate the wrap extremity for 15 to 30 minutes after application of bandage. 15. Lift the distal end of the bandage and assess the skin color, temperature and integrity. Assess for pain and perform a neurovascular assessment of the affected extremity at least every four hours. 16. Remove and change the bandage at least once a day or per physician order or facility policy. Cleanse the skin and dry thoroughly before applying a new bandage. Assess the skin for irritation and breakdown. 17. Perform hand hygiene. Document the time, date and site the bandage was applied and the size of bandage used. Include the skin assessment and care provided before application. Document the patient’s response to the bandage and the neurovascular status of the extremities.
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