Question

The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. What does the nurse do just before changing the dressing?

a. Assesses the patient's readiness for the procedure
b. Gathers and organizes needed supplies
c. Decides on goals and outcomes for the patient
d. Calls for assistance from another nursing staff member

Answer 1

Before changing a complex dressing, the nurse should conduct a time out to confirm the patient's identity, the surgical site, and the procedure, and ensure all supplies are ready and risks have been evaluated.

Step-by-step explanation:

The nurse is preparing to change a complex dressing for a patient. Just before changing the dressing, the nurse should perform a time out to confirm critical details with the team. This involves ensuring that the patient's identity, the surgical site, and the procedure are verified; the necessary equipment is available and sterile; and any potential allergies or airway risks have been addressed. It is also essential that the nurse has gathered and organized the needed supplies and made sure that assistance from other nursing staff is available if required. The goal is to ensure the patient's safety, readiness, and the smooth functioning of the procedure.

These steps reflect comprehensive care protocols, which include reviewing patient history and current condition, assessing and responding to patient needs, and monitoring the entire process to ensure accuracy and sterility. Moreover, it is important for the nurse to confirm that all team members, including surgeons and anesthesia professionals, are aware of any anticipated critical events.