AN 18 Undertake treatments and dressings of lesions and wounds

1. Understand safety measures specific to undertaking treatments and dressings of lesions and wounds

• 1.1 Summarise the current legislation, national guidelines, policies, protocols and good practice guidelines which inform undertaking treatments and dressings of lesions and wounds
• 1.2 Explain the importance of maintaining compliance with health and safety guidance at all times
• 1.3 Explain the importance of using aseptic techniques which follow local guidelines and procedures
• 1.4 Explain the importance of wearing personal protective equipment (PPE)
• 1.5 Explain the importance of working within own sphere of competence in relation to undertaking treatments and dressings of lesions and wounds

2. Understand wound infection and healing

• 2.1 Define asepsis, antisepsis and cross-infection
• 2.2 Describe the aspects of the anatomy and physiology of the skin which inform the application of dressings
• 2.3 Explain the process of wound healing and identify factors which promote and delay the process
• 2.4 Outline sources and consequences of wound contamination and measures to avoid and deal with these

3. Understand the rationale for carrying out procedures when treating wounds/lesions

• 3.1 Identify the types and functions of equipment, materials and dressings used in own work area
• 3.2 Explain the importance of following procedures outlined in the care plan

4. Be able to prepare to treat and dress lesions and wounds

• 4.1 Identify own responsibilities and accountability with regard to legislation, policies and procedures while caring for lesions/wounds
• 4.2 Confirm the individual’s identity and gain valid consent to carry out the procedure
• 4.3 Provide information, support and reassurance to address the individual’s needs and concerns
• 4.4 Confirm all equipment and materials to be used are fit for purpose as outlined in the care plan
• 4.5 Maintain the sterility of dressings prior to and during application.

5. Be able to carry out treatments and dressings to lesions/wounds

• 5.1 Apply standard precautions for infection control
• 5.2 Implement health and safety measures relevant to the procedure and environment
• 5.3 Scrutinise the lesion/wound for any change in appearance
• 5.4 Explain the importance of referring any changes in the wound/lesion or adverse reactions which are outside own competence to the practitioner
• 5.5 Carry out treatments as outlined in the care plan
• 5.6 Observe the individual for adverse reactions while carrying out treatment in accordance with the care plan
• 5.7 Apply/attach dressings in line with the care plan
• 5.8 Deal with hazardous waste

6. Be able to record and report outcomes of the activities

• 6.1 Record outcomes of the activity in line with national/local policy
• 6.2 Report the outcomes of the activity to a member of the care team in line with national/local policy