Name:_____________________________________Section:____________________

Clinical Instructor:___________________Date of Return Demosntration:_________

Application of roller/Elastic Bandage

Basic Concept: Bandage is a material used to provide support either to a medical

dressing or a injured part of the body.Bandaging is the application of a continuous
strip of woven material to a body part.

Objectives:
1. Create pressure over body part
2. To immobilize a body part
3. To secure a splint
4. To support a wound
5. To reduce or prevent edema
6. To secure dressing

Types of bandages: (Look for a picture on the different types of bandages and
provide a short description and its uses.)

A. Fingertip Bandage

B. Knuckle Bandage

C. Large Plastic Bandage

D. Plastic Bandage Strip

E. Butterfly Bandage

F. Wound Closure Tape

G. Self-Adherent Compression Bandage

H. Elastic Bandage

I. Triangular Bandage

Materials:
A clean bandage of the appropriate material with the width of bandage depends on
the size of the body part to be bandaged, the larger the circumference, the wider the
bandage.
Pads
Tape
Metal clips
Safety Pins

Preparation:
1. Review medical record and NCP to determine the needed care
2. Identify the patient and explain the procedure to the patient
3. Assess the area to be bandaged and identify the purpose of the particular bandage
for the patient
4. Plan for specific technique to be used
5. Recall related principles
6. Plan for modifications
7. Gather equipment needed
8. Provide privacy
9. Wash hands
 Procedure Rationale
1. Assess the following before application of
bandage:
A. Inspect and palpate area for
swelling,presence of and status of wounds
B. Note the presence of drainage
(amount,color,odor,viscosity)
C. Inspect and palpate for adequacy of
circulation (skin temperature, color, and
sensation)
D. Ask client about any pain
experienced(location,intensity,onset,quality)

2. Assess the ability of the client to reapply

the bandage or binder when needed.

3. Assess the capabilities of the client

regarding activities of daily living
(eating,dressing,combing hair,bathing)
assess the degree of assistance required
convalescence period.

4. Position the patient.

5. Provide the client with chair or bed and

arrange support for the area to be
bandaged, like if the affected part is the
elbow, you ask the client to place the elbow
on the table so that the hand does not have
to bend up unsupported.

6. Align the part of the body to be bandaged

with slight flexion of the joints unless this is
contraindicated.

7. Start bandaging from base to the

indicated bandaging type.

Circular Turn:
1. Hold the bandage in your dominant
hand,keeping the roll uppermost, and unroll
the bandage about 8cm (3 in.)
2. Apply the end of the bandage to the part
of the body to be bandaged.
3. Hold the end down with the thumb of the
other hand.
4. Encircle the body part a few times or as
often as needed,making sure that each layer
overlaps,one-half to two-thirds of the
previous layer.
5. Ensure that the bandage is firm but not
too tight.
6. Ask the client if the bandage feels
comfortable.
7. Secure the end of the bandage with tape
or a safety pin over an uninjured area.

Spiral Turn:
1. Make two circular turn
2. Continue spiral at about 30 degrees
angle.each turn overlapping the preceding
one by two-thirds the width of the bandage.
3. The thumb will hold the bandage while it
is folded on itself.
4. Terminate the bandage with two circular
turns and secure.

Spiral Reverse Turn:

1. Anchor the bandage with two circular
turns, and bring the bandage upward at
about a 30 degree angle.
2. Place the thumb of your free hand on the
upper edge of the bandage
3. Unroll the bandage about 15 cm (6in),
and then turn your hand so that the
bandage falls over itself.
4. Continue the bandage over the limb,
overlapping each previous turn by two-
thirds the width of the bandage. Make each
bandage turn the same position on the limb
so that the turns of the bandage will be
aligned.
5. Terminate the bandage with two circular
turns, and secure the end as described by
circular turns.

Recurrent Turn:
1. Anchor the bandage with two circular
turns.
2. Fold the bandage back on itself, and bring
it centrally over the distal end to be
bandaged.
3. Holding it with the other hand, bring the
bandage back over to the right of the center
bandage but overlapping it by two-thirds of
the width of the bandage.
4. Bring the bandage back on the left side,
also overlapping the first turn by two-thirds
the width of the bandage.
5. Continue this pattern of alternating right
and left until the area is covered. Overlap
the preceding turns by two-thirds the
bandage with each turn.
6. Terminate the bandage with two circular
turns
7. Secure end appropriately.

Figure of Eight Turn:

1. Anchor the bandage with two circular
turns
2. Carry the bandage above the joint,
around it and then below it,making a figure-
eight.
3. Continue above and below the joint,
overlapping the previous turn two-thirds the
width of the bandage.
4. Terminate the bandage above the joint
with two circular turn, and then secure the
end appropriately.

After applying bandage:

1. Assess for signs that bandage is too tight:
A. The skin around the bandage becomes
pale or bluish in color
B. Complains of pain
C. The skin beyond the bandage is
cold,tingling or numb
D. Unable to move his or her fingers or toes

2. Keep patient comfortable