Bandages and Binders

1
Bandages and Binders

• Module E (Lab)

2
Elastic Bandages

• Elastic bandages can be used on any body part and
  to apply compression to any area, with the
  exception of the neck.

3
Assessment

• Assess Circulation
• Inspect skin for temp, color, pulses, abrasions,
  edema, discoloration, or exposed wound edges

4
Continued

• Cover exposed wounds or open abrasions with a
  sterile dressing

5
Continued

• Assess the condition of underlying dressings and
  change them if soiled

6
Assessment

• Assess the skin of underlying body parts and
  parts that will be distal to the bandage for
  sings of circulatory impairment to provide a
  basis for comparison

7
Principles

• Position the body part to be bandaged in a
  comfortable position of normal anatomical
  alignment

8
Continued

• Prevent friction between against skin surfaces by
  applying gauze or cotton padding

9
Continued

• Apply bandages securely to prevent slippage
  during movement

10
Continued

• When bandaging extremities, apply bandage first
  at the distal end and progress toward the trunk

11
Applying Bandages

• Apply bandages firmly, with equal tension exerted
  over each turn or layer
• Avoid excess overlapping of bandage layers

12
Continued

• Position pins, knots, or ties away from wound or
  sensitive skin areas

13
Evaluation Reassessment

• Assess circulation and/or respiratory 20 minutes
  after application then every 2 hours thereafter
• Remove and reapply bandages and binders every 8
  hours

14
Antiembolism Stockings

• Assess circulation in both extremities pay
  particular attention to color, temperature, and
  texture of skin and note quality of pulses. Also
  note capillary refill-it should be less than 3
  seconds

15
Measurement

• Knee-hi measure the circumference of the widest
  part of the calf and the length of the lower leg
  from heel to fold of popliteal fossa

16
Continued

• Thigh-hi Measure the circumference of the widest
  part of the calf plus the widest part of the
  thigh the length is from the base of the heel to
  the gluteal fold