All wound management including wound cleaning/irrigation and dressing requires the use of an aseptic non touch technique (ANTT). Refer to ANTT Wound Care protocol
Irrigation is the preferred method of cleaning wounds
Assess pain levels and consider the need for appropriate pain management throughout procedures
Wound Cleaning / Irrigation
Irrigate wound with 0.9% saline to remove obvious foreign material
Antiseptics may damage tissue defences and potentially impede healing.
Exception: Contaminated wounds may benefit from Chlorhexidine 0.05% or 1% Povidine-iodine irrigation.
Irrigation fluid delivery
Use a 30mL syringe with a large bore needle (18g or 19g non-bevelled or sharp removed) filled with 0.9% saline to slowly irrigate the wound
Hold the syringe just above the wound’s top edge, and use gentle continuous pressure to flush fluid into the wound
Consensus opinion (due to minimal clinical evidence) guides wound dressing choice. A thorough wound assessment (including underlying aetiology; wound size, tissue type, exudate, blood supply and infection status) is to be carried out to determine the appropriate dressing.