Table 6.
Scoring criteria for surgical dressing
| Resident name: Examiner name: Total score: | |||
|---|---|---|---|
| Item | Scoring criteria | SS | AS |
| Patient preparation | Understand the situation of the part to be changed and can evaluate the conditions that may occur during the operation (oral expression) | 0.5 | |
| Inform the patient about the purpose of dressing change and the conditions that may occur during the process (oral expression) | 0.5 | ||
| Take appropriate posture of patients and protect the privacy of patients (oral expression) | 0.5 | ||
| Proper analgesia for complex wounds or when patients feel pain (oral expression) | 0.5 | ||
| Operator preparation | Understand the patient's wound condition and assist the patient in placing the appropriate position (oral expression) | 0.5 | |
| Choose a suitable dressing location, emphasize environmental sanitation, do not clean the dressing room half an hour before dressing change (oral expression) | 0.5 | ||
| Aseptic preparation by the operator: clothes mask, hat, hand washing, etc. | 1 | ||
| Material preparation | 1. Material: dressing bowl, plier, scissors, iodine volts or disinfectant alcohol, sterile cotton ball, dressing, tape, sterile gloves | 1.5 | |
| 2. Others: drainage material, probe, syringe, turpentine or gasoline, cotton swab, bandage, etc. | 0.5 | ||
| Wound exposure | 1. Uncover the outer dressing by hand and place it in the dressing plate | 0.5 | |
| 2. Gently peel the inner dressing with plier | 0.5 | ||
| 3. If the wound adheres to the dressing, moisten it with saline and then uncover it | 0.5 | ||
| Wound observation | 1. Secretion traits | 0.5 | |
| 2. Observe the wound: redness, bleeding, suppuration, etc. | 0.5 | ||
| 3. Observe the characteristics of skin, mucous membrane, and granulation tissue | 0.5 | ||
| Wound disinfection | 1. One plier is used to touch the wound, and the other is used to touch the sterile dressing. The two cannot be in direct contact | 3 | |
| 2. Hold the disinfecting cotton ball with the plier that touch wound and disinfect the wound three times from the inside-out | 3 | ||
| Wound coverage | 1. Covering at least 8 layers of dressing; the edge of the dressing is more than 3 cm from the wound | 1 | |
| 2. The direction of the tape is perpendicular to the long axis of the dressing. No tension | 1 | ||
| Overall evaluation | 1.Proficient in operating | 1 | |
| 2.Gentle operation | 1 | ||
| 3. Aseptic consciousness | 1 | ||
SS: standard score; AS: actual score