Another note for application - you can see at 10:02 there is a big air pocket where the tegaderm isn't actually stuck to the patient. In my experience, that's from trying to make dressings *look* pretty, but can actually cause shearing forces that pull against the skin, leading to pain and irritation. Instead of pushing on the outer edges, making the dressing tight at the sides like in the video, I like to smooth over the centre part of the dressing first (gently, of course!), and making sure the tegaderm immediately at the border of the foam dressing is stuck to the skin, and *then* smooth out the edges. Sometimes, doing it this way this can make the tegaderm have creases, but it's way more important that it be comfortable and effective, than it is to be "pretty" but quick to fail. You can see how much of it is NOT adhered at the right side at 10:06, where the video actually cuts to the next scene as the nurse was trying and failing to smooth the area down :P All our few comments aside, I still think this is a very good instructional video, and gets the procedure across quite well, and in a short amount of time!
1. There are 4 alcohol wipes and he used 3. What's 4th one for or I missed it? 2. 6:14, the contaminated pleurx catheter is put on the sterile field which is wrong.
Yeah, the bit I didn't love was at 4:00 when he took the drainage bottle out, handling the tubing, then proceeded to lay the tubing he'd just touched right over the sterile objects, including the gloves! They should've reshot that bit imho, or at least mentioned the danger of letting the now-non-sterile tubing accidentally fall on other objects on the field. I know the most critical bit to keep sterile is the adapter tip which has its own sheath, but what should be shown is best practice, especially for new nurses.
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Another note for application - you can see at 10:02 there is a big air pocket where the tegaderm isn't actually stuck to the patient. In my experience, that's from trying to make dressings *look* pretty, but can actually cause shearing forces that pull against the skin, leading to pain and irritation. Instead of pushing on the outer edges, making the dressing tight at the sides like in the video, I like to smooth over the centre part of the dressing first (gently, of course!), and making sure the tegaderm immediately at the border of the foam dressing is stuck to the skin, and *then* smooth out the edges. Sometimes, doing it this way this can make the tegaderm have creases, but it's way more important that it be comfortable and effective, than it is to be "pretty" but quick to fail. You can see how much of it is NOT adhered at the right side at 10:06, where the video actually cuts to the next scene as the nurse was trying and failing to smooth the area down :P
All our few comments aside, I still think this is a very good instructional video, and gets the procedure across quite well, and in a short amount of time!
1. There are 4 alcohol wipes and he used 3. What's 4th one for or I missed it? 2. 6:14, the contaminated pleurx catheter is put on the sterile field which is wrong.
Yeah, the bit I didn't love was at 4:00 when he took the drainage bottle out, handling the tubing, then proceeded to lay the tubing he'd just touched right over the sterile objects, including the gloves! They should've reshot that bit imho, or at least mentioned the danger of letting the now-non-sterile tubing accidentally fall on other objects on the field. I know the most critical bit to keep sterile is the adapter tip which has its own sheath, but what should be shown is best practice, especially for new nurses.
I have this!