List of Techniques Used By Nurses to Apply Bandages and Binders to Patients

Listed here are ways and procedures taken by nurses to apply bandages and binders to their patients in the hospital or clinics or for outpatients.

BANDAGING AND APPLICATION OF BINDERS

TECHNIQUES OF APPLYING BANDAGES

The technique for wrapping the bandages is called Tube because of its construction as a strip of materials.

There are six basic turns:

  1. Circular
  2. Spiral
  3. Spiral reverse
  4. Recurrent
  5. Figure – 8
  6. Spica
  7. THE CIRCULAR TURN: This is used to anchor the bandage at its beginning.  It may be used to bandage a small area such as a finger or waist.
  8. THE SPIRAL TURN: This is used to cover areas such as an upper arm or leg where the shape of the body part is uniform.
  9. THE SPIRAL REVERSE TURN:This is used to bandages areas of the body that are not uniform in shape, such as the lower legs.
  10. THE RECURRENT TURN:This is used to cover distal ends, such as the skull, distal end of the finger or the stump of an amputation.
  11. THE FIGURE -8 TURN: This is used to support jointed areas such as knees and elbows while allowing some movement of the body part covered.
  12. THE SPICA TURN: This is modification of the figure – 8 usually used to cover larger areas, such as the upper arm with the shoulder.

Requirement for Bandaging:

  • Bandage of approximate material, width and length
  • Dressing trolley
  • Safety pins, clips of tape

PROCEDURE:

  1. Explain the procedure and its purpose to the client
  2. Collect the elastic bandages and fasteners
  3. Wash hands
  4. Close door or drew bedside curtains
  5. Assist the client to assume a comfortable position, maintaining a position of normal function for the body.
  6. Place padding over bony prominences and separation surfaces
  7. Start the bandage from distal area (stand facing client) and wrap towards the proximal area.
  8. Hold the bandage in the dominant hand with the drum
  9. Unroll 3 to 4 inches of the bandage
  10. Hold the end of the bandage in place on top of the distal body part using the fingers of the non-dominant hand
  11. Leave a portion of the distal body part exposed, such as the toes or fingers
  12. Bring the bandage down and around the body part, unrolling and stretching slightly if elastic
  13. Wrap the bandage directly over the held and fasten it with safety pin, clip or tape.

NOTE:    Use circular turns to begin and end a bandage.  This is called anchoring.  It provides security and support to the bandage.

WRAPPING CIRCULAR TURNS

Make spiral turn bandaging

Complete step 1 through 12 as above

  1. Continue to wrap the bandage around the extremity using a 30° upward angle each turn, overlapping proceeding bandage width by approximately one-half to two thirds 2/3.
  2. Proceed with wrap until proximal border is reached
  3. Complete bandages with two circular turns and faster with clips, tapeor safety pins.

 

WRAPPING SPIRAL TURNS

TO MAKE A SPIRAL- REVERSE TURN

Complete step 1 through step 12 as above

  1. Place the thumb of the non-dominant hand on the upper center edge of the anchored bandage.
  2. Fold the bandage over the thumb and back on the bandage it itself halfway through each turn.
  3. Slide thumb from under next bandage and hold for the next turn.
  4. Advance bandage around the limb overlapping one-hand to two-thirds of bandage width, making turns at the same point of the limb.
  5. Continue to wrap to the proximal boundary fasten with two circular turns, clips, tape, safety pins or wrap at least 2 inches beyond underlying dressing and fasten.

 

WRAPPING SPIRAL-REVERSE TYPE BANDAGE

Make figure-8 turns

Complete step 1 through step 12 as above

  1. Anchor the bandage below the joints
  2. Bring the bandage obliquely above and behind joint, around and down obliquely below the joint.
  3. Cover one-half to two-thirds of the width of the previous bandage turn.
  4. End the bandage above the joint with two circular
  5. Fasten the tape, safety pins or clips to prevent unwrapping.

 

WRAPPING FIGURE -8 TURN BANDAGING

 

TO MAKE A RECURRENT TURN

Complete step 1 through step 12 as above

  1. Anchor bandage at proximal end of body part with two circular turns.
  2. Turn the roll perpendicular to the circular turns and place the bandage contrary over the distal end.
  3. Bring the bandage roll back over the end to the right of centre, holding it in place.
  4. Overlap one-half to two-thirds width of bandage with each turn.
  5. Bring the bandage back over to the left of centre.
  6. Continue in this manner until the area is covered
  7. End the bandage with two circular turns over initial circular turn.
  8. Fasten with tape, safety pins or clips.

 

WRAPPING RECURRENT TURNS ON THE HEAD.

Wrapa spica bandage

Complete step 1 through step 12 as above

  1. Anchor with two circular turns
  2. Bring the bandage up and around the body part
  3. Wrap bandage and around the other body part forming a figure-8
  4. Continue in this pattern until the area is covered. Leave tips of figures and toes exposed.
  5. End with two circular turns.
  6. Fasten with tape, safety pins or clips.

NOTE: Inspect bandage at frequent intervals for intactness and constant tension, the neurovascular status of the extremity, to ensure that bandage is in place of benefit to the client.

APPLYING A TRIANGULAR BANDAGE (SLING)

  1. Explain the procedure to the client
  2. Bring the triangular bandage to the bedside
  3. Wash bands
  4. Close the door or draw the bedside curtain
  5. Place the client in a sitting position with fingers higher than hand, hand higher than arm, and elbow flexed 90o, in correct alignment.
  6. Place the open end of bandage on the uninjured shoulder.
  7. Place the open bandage under the affected arm with the longest edge at the hand.
  8. Bring bandages other point up over the arm, across the affected shoulder and around the neck.
  9. Adjust the arm for the correct angle and alignment
  10. Tie a square knot with the points at the shoulder level
  11. Support the wrist and hand of the affect arm by manipulating the edge of the bandage.
  12. Fold the apex smoothly around the elbow and fasten with a safety pin.
  13. Apply padding to areas where the bandage press against the soft tissues (this may happen around the neck, the axilla, and between the wrist and a cast)
  14. Inspect the bandage for proper support of the arm, alignment, of the arm, and pressure of the knot against the shoulders, assess the neurovascular condition of the skin and arms.
  15. Instruct the client one caregiver to apply the sling using these same steps.

 

APPLYING BINDERS

Requirements:

  1. Binders, abdominal straight, single T-binders, double T- binder, breast binder.
  2. Safety pins
  3. Velcro closures (used to close some commercial binders (abdominal or breast)
  4. Cotton padding (lessen pressure against skin surface by secure binder)
  5. Dressing change supplies (used to change dressing that are soiled)

 

APPLYING A BREAST BINDER

  1. Prepare for the procedure
  2. Help the client to place her arms through the arm holes of the vast or place the binder on bed, with traps open at top.
  3. Assist client to a supine position on top of binder
  4. Place cotton padding under the breast
  5. Secure the binder securely at the nipple level with vertical safety pins or Velcro closures
  6. Continue securing below the centre closure, then above
  7. Secure the last bottom closure with a horizontal safety pin
  8. Monitor the clients comfort and ability to breathe
  9. Adjust the binder as heeded
  10. Fasten straps with safety pins if required.

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