Order of obtaining a wound culture questions
1. Review the medical orders for obtaining a wound culture.
2. Gather the necessary supplies and bring to the bedside
stand or overbed table.
3. Perform hand hygiene and put on PPE, if indicated.
4. Identify the patient.
5. Close curtains around bed and close door to room if possi-
ble. Explain what you are going to do and why you are
going to do it to the patient.
6. Assess the patient for possible need for nonpharmaco-
logic pain-reducing interventions or analgesic medication
before obtaining the wound culture. Administer appropri-
ate prescribed analgesic. Allow enough time for analgesic
to achieve its effectiveness before beginning procedure.
7. Place an appropriate waste receptacle within easy reach for
use during the procedure.
8. Adjust bed to comfortable working height, usually elbow
height of the caregiver (VISN 8, 2009).
9. Assist the patient to a comfortable position that provides
easy access to the wound. If necessary, drape the patient
with the bath blanket to expose only the wound area. Place
a waterproof pad under the wound site. Check the culture
label against the patient’s identification bracelet.
10. If there is a dressing in place on the wound, put on clean
gloves. Carefully and gently remove the soiled dressings. If
there is resistance, use a silicone-based adhesive remover to
help remove the tape. If any part of the dressing sticks to
the underlying skin, use small amounts of sterile saline to
help loosen and remove.
11. After removing the dressing, note the presence, amount,
type, color, and odor of any drainage on the dressings.
Place soiled dressings in the appropriate waste receptacle.
12. Assess the wound for appearance, stage, the presence of
eschar, granulation tissue, epithelialization, undermining,
tunneling, necrosis, sinus tract, and drainage. Assess the
appearance of the surrounding tissue. Measure the
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