Verbandwechsel

Verbandwechsel, also known as dressing change, is a fundamental nursing procedure involving the removal of a used wound dressing and the application of a new one. This process is crucial for promoting wound healing, preventing infection, and managing wound exudate. The frequency and method of Verbandwechsel depend on the type of wound, the dressing material used, and the patient's individual condition.

During a Verbandwechsel, sterile technique is paramount to minimize the risk of introducing microorganisms into the wound. This typically involves thorough hand hygiene, the use of sterile gloves, and the sterile handling of all dressing materials and instruments. The nurse will carefully assess the wound for signs of infection such as redness, swelling, increased pain, or purulent discharge. The amount and type of exudate are also noted, as this informs the choice of the next dressing.

The old dressing is gently removed, taking care not to disturb the healing tissue. The wound bed may be cleansed with a sterile saline solution or a specific wound cleanser, depending on the wound characteristics and physician's orders. After cleansing and drying the surrounding skin, the new dressing is applied. The choice of dressing material is critical and can include gauze, films, hydrocolloids, alginates, or foams, selected based on the wound's needs for absorption, moisture balance, and protection. Proper application ensures the dressing remains in place and effectively protects the wound. Documentation of the Verbandwechsel, including the wound appearance, any interventions, and the type of dressing applied, is essential for continuity of care and monitoring healing progress.