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How to Change Dressing on Stitches?

Published in Wound Care 3 mins read

Changing the dressing on your stitches involves several important steps to ensure proper wound healing and prevent infection. Here's a guide:

1. Preparation is Key:

  • Gather Supplies: You'll need sterile gloves, sterile saline solution or wound cleanser recommended by your doctor, sterile gauze pads, medical tape, and a clean workspace.
  • Clean Your Workspace: Choose a clean, flat surface (like a table) and wipe it down with disinfectant.
  • Wash Your Hands Thoroughly: Use soap and water and scrub for at least 20 seconds. Dry with a clean towel.

2. Removing the Old Dressing:

  • Put on Sterile Gloves: This helps prevent introducing new bacteria to the wound.
  • Carefully Remove the Old Dressing: Gently peel the dressing away from the skin, being careful not to pull on the stitches. If the dressing is stuck, moisten it with sterile saline to loosen it.
  • Dispose of the Old Dressing Properly: Place the used dressing in a sealed plastic bag and dispose of it in the trash.
  • Remove Gloves: Discard gloves properly.
  • Wash Your Hands Again

3. Cleaning the Incision:

  • Put on new Sterile Gloves:
  • Inspect the Wound: Look for any signs of infection, such as increased redness, swelling, pus, or warmth. Contact your doctor immediately if you notice any of these signs.
  • Clean the Incision Gently: Moisten a sterile gauze pad with sterile saline solution or a wound cleanser recommended by your doctor. Gently clean the incision, wiping away from the center outward. Avoid scrubbing.
  • Pat Dry: Use a clean, dry sterile gauze pad to gently pat the incision dry.

4. Applying a New Dressing:

  • Apply Antibiotic Ointment (Optional): If your doctor recommended an antibiotic ointment, apply a thin layer to the incision.
  • Cover with a Sterile Dressing: Place a sterile gauze pad over the incision. Make sure the pad is large enough to cover the entire wound.
  • Secure the Dressing: Use medical tape to secure the dressing in place. Ensure the tape doesn't pull too tightly on the skin.
  • Change Regularly: Change the dressing as often as your doctor recommends, or if it becomes wet or soiled. This is typically once or twice a day.

Important Considerations:

  • Doctor's Instructions: Always follow your doctor's specific instructions for wound care. If you have any questions or concerns, contact your doctor or nurse.
  • Signs of Infection: Be vigilant for signs of infection, such as increased pain, redness, swelling, pus, or fever. Seek immediate medical attention if you suspect an infection.
  • Keep the Area Dry: Avoid getting the incision wet for the first 24-48 hours, or as directed by your doctor.
  • Proper Hand Hygiene: Washing your hands thoroughly before and after changing the dressing is crucial for preventing infection.
  • Allergies: If you have an allergy to tape, be sure to inform your doctor. There are hypoallergenic alternatives.