Prepare, apply and attach dressings, wound supports and drains to individuals

URN: SFHPCS18
Business Sectors (Suites): Perioperative Care Support
Developed by: Skills for Health
Approved on: 2021

Overview

​This standard covers assisting with the preparation and application of dressings, wound supports and drains following surgical intervention.

You will be working in a ‘scrubbed’ role whilst undertaking these activities. 

Performance criteria

You must be able to:

  1. access and accurately interpret all relevant work instructions and information
  2. work safely at all times and in accordance with all relevant legislation, guidelines, policies, procedures and protocols
  3. deal promptly and effectively with any problems within your control and report those which cannot be solved
  4. identify and minimise hazards and risk in the workplace
  5. communicate with the individual and key people at a pace, in a manner and at a level appropriate to the individual's understanding, preferences and needs
  6. provide support to the individual and ensure health and safety measures are implemented at all times
  7. select and prepare an appropriate dressing or wound support to suit the size and type of wound
  8. use suitable non-allergenic dressings where individual allergies have been identified
  9. prepare specified drains ready for use
  10. apply or attach the dressing, wound support or drain:

    • using appropriate techniques
    • in line with manufacturer's instructions
    • in a manner which optimises the individual's comfort and dignity and minimises pain and trauma
  11. maintain the sterility of the sterile dressing or wound support prior to and during application and check that:

    • the pressure exerted by the dressing or wound support is consistent with the type of wound
    • drains are secured effectively and appropriately
    • vacuum seals on drains are intact
    • drains are positioned to prevent inappropriate syphonage and/or individual harm
  12. complete and store all relevant documentation in accordance with organisational requirements


Knowledge and Understanding

You need to know and understand:

  1. the current legislation, guidelines, policies, procedures and protocols which are relevant to your work practice and to which you must adhere
  2. the scope and limitations of your own competence, responsibilities and accountability as it applies to your job role
  3. how to access and interpret all relevant work instructions and information
  4. specific procedures for reporting issues which are beyond your competence, responsibilities and accountability
  5. the duty to report any acts or omissions that could be unsafe/detrimental to you or others
  6. the hazards and risks which may arise during the execution of your work role and how you can minimise these
  7. how to adapt communication styles in ways which are appropriate to the needs of the individual  
  8. the correct use of any equipment and PPE to protect the health and safety of you and others
  9. the principles, practice and procedures associated with informed consent
  10. the needs of individuals including issues relating to dignity, confidentiality, and privacy
  11. organisational management structures, roles, and responsibilities
  12. the application of standard precautions to the preparation and application of dressings, wound supports and drains and the of potential consequences of poor practice
  13. the anatomy of the skeleton and peripheral nervous system related to the application of cast materials
  14. the anatomy and physiology of the skin related to the application of dressings and wound supports
  15. the principles of wound healing
  16. potential complications of wound healing

    • asepsis
    • antisepsis
    • cross infection
  17. how the surgical field contributes to the control of infection

  18. potential sources of contamination when preparing surgical fields and appropriate measures to reduce or deal with them
  19. the types and action of pathogens specific to the individual and wound infection
  20. the potential consequences of wound contamination
  21. the types, purpose and function of medical devices used in the application of dressings, wound supports and drains
  22. factors which affect the choice of medical devices for individuals
  23. factors which affect the choice of appropriate sites for attaching medical devices during individual preparation
  24. factors to consider in choosing dressings, wound supports and drains
  25. the principles of wound care and dressings, including peripheral circulation assessment (manual or doppler) wound care and drainage
  26. methods and techniques for preparing and applying dressings and wound supports
  27. methods and techniques for preparing, attaching and securing drains
  28. the specific lines of accountability within the surgical team
  29. how to complete and safely store all relevant documentation in accordance with organisational requirements

Scope/range


Scope Performance


Scope Knowledge


Values


Behaviours


Skills


Glossary


Links To Other NOS


External Links


Version Number

2

Indicative Review Date

2026

Validity

Current

Status

Original

Originating Organisation

Skills for Health

Original URN

SFHPCS18

Relevant Occupations

Health and Social Care, Health and Social Services Officers, Health Associate Professionals, Health Professionals, Health, Public Services and Care, Healthcare and Related Personal Services

SOC Code

2259

Keywords

Perioperative, care, prepare, apply, attach, dressings, wound, supports, drains