Wound Care Guide

Faith Peoples

Types of Wounds

Abrasion: the skin is scraped against a rough surface; the top layer of skin wears away; if an abrasion is exposed to dirt and foreign materials, if often leads to an increased risk of infection
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Laceration: a sharp or pointed object tears tissues- results in wound with jagged edges
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Incision: wound with smooth edges
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Puncture Wound: can easily occur during activity but could be fatal

  • Could introduce tetanus bacillus to the bloodstream

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Avulsion Wound:

  • skin is torn from body= major bleeding
  • place avulsed tissue in moist gauze (saline), plastic bag and immerse in cold water
  • take to hospital for reattachment

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Wound Care

Immediate Care

  • Use universal precaution: All wounds need to be treated as if they carry a bloodeborne pathogen
  • First step is to always put on gloves
  • To minimize infection: clean wound with copious amounts of soap, water and sterile solution


  • sterile dressing
  • antibacterial ointment are effective in limiting bacterial growth and preventing wound from sticking to dressing

Steps to Control Bleeding

  1. Direct Pressure

  • Pressure on wound with gauze
  • Do not remove if blood comes through-add more gauze

2. Elevation

  • Elevate above heart if possible- slows bleeding
  • Continue pressure

3. Pressure Points

  • Apply pressure to an artery to decrease blood flow to an area
  • 2 main options: Brachial Artery (upper arm) Femoral artery (top of thigh)

Tips for Stitches

  • Deep lacerations, incisions and occasionally punctures need stitches
  • May be needed if the wound edges can't be easily pushed back together
  • Decision should be made by a physician
  • Sutures should be used within 12 hours
  • Can use steri-strips if stitches are not required

Signs of Wound Infection

5 Signs

  1. Pain
  2. Heat
  3. Redness
  4. Swelling
  5. Disordered function

  • Pus may form due to accumulation of white blood cells
  • Fever may develop as immune system fights bacterial infection