PULSAR II™ ADVANCED WOUND IRRIGATION (AWI)™ WOUND DEBRIDEMENT SYSTEM Application Video
Summary
TLDRSue Teeter, Clinical Director at Sanera MedTech, provides a step-by-step guide for the bedside application process of the Pulsar 2 Advanced Wound Irrigation system. The process includes reviewing provider orders, gathering supplies, setting up the equipment, and applying the treatment bag. Sue explains the importance of maintaining sterile technique, using proper personal protective equipment, and assessing patient comfort during the procedure. The summary highlights key steps, such as preparing the irrigant solution, performing the irrigation, and documenting the treatment for patient records, ensuring a smooth and safe wound care process.
Takeaways
- 📝 Review the provider's orders for pulsed irrigation or hydro-mechanical debridement.
- 🧼 Wash your hands and gather necessary supplies, including personal protective equipment, irrigation bags, irrigant solution, and biohazard waste materials.
- 🧤 Use personal protective equipment as required by the facility's protocol, including disposable gloves and a protective pad under the treatment area.
- 💧 Select the appropriate irrigation bag size based on the treatment area, such as extremity or trunk sizes.
- 🔧 Attach the irrigator tip to the Pulsar 2 handpiece and prime the irrigation tubing before use, ensuring the clamp is in place.
- 🏥 Prepare the drainage collection bag and use a solidifier to prevent spills, positioning it for proper fluid flow.
- 👩⚕️ Ensure patient privacy, explain the procedure, and assess pain levels before starting the treatment.
- 🚿 During the procedure, maintain the irrigator tip approximately one inch away from the wound, using a circular motion without touching the skin.
- ⛔ If the patient experiences discomfort, stop treatment and reassess pain management needs.
- 📝 After treatment, document key details including treatment date, irrigant type and amount, pre and post-treatment assessments, and the patient’s response.
Q & A
What is the main purpose of the Pulsar 2 Advanced Wound Irrigation (AWI) system?
-The Pulsar 2 AWI system is designed to provide pulsed irrigation or hydromechanical debridement, aiding in the cleaning and debridement of wounds using prescribed irrigation solutions.
What supplies are necessary for the Pulsar 2 wound irrigation procedure?
-You will need personal protective equipment (PPE), a protective pad, disposable gloves, the Pulsar 2 AWI irrigator, an appropriately sized irrigation bag, prescribed irrigant solution (e.g., saline or antimicrobial solution), a biohazardous waste bag, an IV pole, skin protectant (if needed), and prescribed wound dressing materials.
How should the irrigation bag be selected and prepared?
-Irrigation bags are available in extremity or trunk sizes, and the opening can be customized to fit the wound. The bag comes with a standard disposable irrigator tip, but a tunneling tip can be used if needed. Label the bag with the patient’s name and date before use.
What steps should be taken to prepare the equipment before starting the procedure?
-Consider warming the irrigant in a basin of warm tap water, then pat the container dry. Hang the irrigation solution and the Pulsar 2 AWI battery pack from the IV pole, attach the irrigator tip securely to the handpiece, prime the tubing, and prepare the drainage collection bag with a solidifier.
What is the correct procedure for applying the irrigation bag to the wound area?
-Apply the treatment bag by positioning it over the wound area, securing the open end to the skin by removing the tape backing and applying it smoothly. Start from the bottom of the area and work upwards.
How should the handpiece be used during the irrigation process?
-Insert the tip of the irrigator handpiece through the treatment bag entrance, unclamp the tubing, and hold the tip about one inch away from the skin and wound. Adjust the flow using the handpiece and use a steady circular motion to irrigate the wound, ensuring the handpiece does not touch the wound.
What should be done if the patient experiences discomfort during the procedure?
-If the patient expresses discomfort, stop the procedure and reassess pain management. It is important to ensure the patient is comfortable throughout the treatment.
How should the equipment and waste be managed post-procedure?
-After treatment, turn off the unit, re-clamp the tubing, discard the irrigator tip into biohazardous waste, and ensure all fluid drains into the collection system. The solidifier in the collection system may take up to 15 minutes to fully gel.
What cleaning steps should be taken after the procedure?
-Clean the exterior surface of the irrigator following the facility’s infection control policies, dispose of biohazardous waste according to facility requirements, and hang the handpiece in a tip-down position to prevent reflux of residual fluid.
What documentation is required after the procedure?
-Document the date and time of treatment, the amount and type of irrigant used, patient and wound assessments pre- and post-treatment, any items removed during therapy, how the patient tolerated the procedure, and the post-procedure dressing applied.
Outlines
🩺 Introduction to Pulsar 2 Wound Irrigation System
Sue Teeter, the clinical director at Sanera MedTech, introduces the Pulsar 2 advanced wound irrigation system. She outlines the basic process of preparing for bedside wound care, including reviewing the provider's orders for pulsed irrigation or hydro-mechanical debridement, gathering necessary supplies, and adhering to hand hygiene protocols. The required materials include personal protective equipment (PPE), a protective pad, gloves, the Pulsar 2 device, and a properly sized irrigation bag. Irrigation bags come in different sizes to fit extremities or trunks, and a variety of irrigant solutions can be used based on the provider’s prescription.
🛠️ Setting Up the Equipment
The setup process begins with warming the irrigant solution if needed and assembling the Pulsar 2 equipment. Sue explains how to attach the irrigator tip to the handpiece and prime the irrigation tubing. The procedure includes hanging the irrigation solution on an IV pole, ensuring proper priming, and setting up the drainage collection system with solidifier. A biohazard waste bag should also be prepared for safe disposal. Finally, the patient is informed about the procedure, and pre-procedure assessments of wound and pain levels are conducted.
🧤 Preparing for the Procedure
After explaining the procedure and positioning the patient for optimal drainage, hand hygiene is again emphasized, along with donning PPE. Sue discusses how to remove the soiled dressing using clean techniques, dispose of it appropriately, and re-sanitize hands before applying new gloves and continuing with the treatment. This section highlights the importance of infection control and personal protection during the treatment process.
💧 Applying the Irrigation Bag and Treatment
The selected irrigation treatment bag is applied to the wound area, and the irrigation handpiece is carefully inserted into the treatment entrance. The irrigation is performed using a steady circular motion, keeping the irrigator tip at a safe distance from the skin. The flow of the irrigant solution is adjustable, and the process is monitored to ensure proper cleaning and drainage. Patient comfort is prioritized, with the procedure paused if discomfort occurs, allowing for reassessment of pain management.
🧼 Post-Treatment Procedures and Cleanup
After completing the irrigation treatment, Sue details the proper shutdown process for the equipment, including turning off the unit, reclamping the tubing, and safely removing and disposing of the irrigator tip. The treatment bag is carefully removed to prevent fluid spillage, and the solidifier in the collection system may take up to 15 minutes to gel. The exterior of the irrigator is disinfected according to facility protocols, and biohazardous waste is disposed of properly. The irrigator is stored in a way that prevents fluid reflux, and the peri-wound area is dried and dressed as prescribed.
📝 Documenting the Procedure
Sue emphasizes the importance of accurate documentation following the procedure. The medical record should include the date and time of the treatment, the amount and type of irrigant used, pre- and post-treatment assessments of the patient and the wound, any removed debris, the patient’s tolerance of the procedure, and details about the dressing applied post-treatment. Proper record-keeping ensures continuity of care and compliance with medical guidelines.
Mindmap
Keywords
💡Pulsar 2 Advanced Wound Irrigation (AWI) System
💡Hydromechanical debridement
💡Personal Protective Equipment (PPE)
💡Irrigant solution
💡Biohazardous waste
💡Wound dressing materials
💡Pain assessment
💡Irrigator handpiece
💡Prime the tubing
💡Solidifier
Highlights
Review the provider's orders for pulsed irrigation or hydro-mechanical debridement before starting the procedure.
Gather essential supplies such as personal protective equipment, a protective pad, disposable gloves, and the Pulsar 2 AWI irrigator.
Irrigation bags come in different sizes for extremities or trunks, and can be customized to fit the wound.
A tunneling tip for the irrigator is available if needed in addition to the standard disposable tip.
Irrigant solutions may include saline or an antimicrobial solution like BioCoase.
Consider warming the irrigant solution in a basin of warm tap water for patient comfort.
The Pulsar 2 AWI irrigator is for single patient use only, and should be properly labeled with the patient’s name and date.
The irrigator tip clicks securely into place on the Pulsar 2 handpiece, and the tubing should be primed before use.
A biohazard waste bag should be prepared for easy disposal of contaminated items after the procedure.
Ensure that the fluid in the treatment bag flows downward into the collection system to prevent spills.
The Pulsar 2 handpiece allows for two speeds of irrigant flow, between 8 to 15 PSI, to suit different treatment needs.
During the procedure, assess the wound periodically and adjust the collection bag as needed to maintain fluid flow.
If the patient experiences discomfort during the procedure, pause and reassess pain management.
After treatment, ensure that all fluid is drained and follow infection control policies for cleaning the equipment.
Documentation should include the date and time of treatment, the amount and type of irrigant used, and how the patient tolerated the procedure.
Transcripts
hello I'm sue Teeter clinical director
of sanera medtech I'm here to present
the bedside application process for the
pulsar to advanced wound irrigation
system first review the providers orders
for pulsed irrigation or hydro
mechanical debridement wash your hands
and gather your supplies you'll need
personal protective equipment is
required by your facility a protective
pad to place under the area of treatment
and several pairs of disposable gloves
you'll also need your pulsar to AWI
urugay tur and select the appropriate
size of irrigation bag note that
irrigation bags are available in an
extremity size or two trunk sizes of
which the opening may be cut to
customize to the shape of the wound each
irrigation bag comes with a standard
size disposable irrigator tip but a
tunneling tip is also available if
needed gather the prescribed irrigants
solution which could be saline or an
antimicrobial solution such as bio Coase
you will also need a bio hazardous waste
bag and an IV pole a skin protectant may
be required for those with very friable
skin be sure to gather the prescribed
wound dressing materials for post
procedure application label the
equipment and protective cover bags the
patient or residence name and date note
that the irrigator is for single patient
use only let's set up your equipment
consider warming the irrigant and a
basin of warm tap water prior to use
what's warmed Pat the container dry and
hang the prescribed irrigation solution
along with the pulsar to AWI battery
pack from the IV pole attach the
irrigator tip to the pulsar 2 handpiece
you will hear a click when the tip is
securely in place uncap and puncture the
irrigation solution and Prime the tubing
close the irrigation tubing after
priming with the clamp located near the
handpiece using the hook located on this
clamp hang the pulsar 2 handpiece from
the IV pole until ready for use prepare
the drainage collection bag with
solidify er make sure it is not twisted
and his position so that the fluid will
flow downward into the collection bag
place a biohazard waste bag around the
solidify portion of the drainage
collection bag for easy disposal of
items after the procedure provide
privacy and then explain the procedure
to the patient or the resident provide
appropriate pre-procedure wound and pain
level assessment position the patient
comfortably ensuring an unobstructed
downward flow of the fluid into the
collection bag well this is a contained
system a protective pad under the area
to be treated may be used wash your
hands and Don disposable gloves using
clean technique remove the soil dressing
and dispose of it in accordance with
universal precautions discard your
gloves in a biohazard is waste
receptacle and Reese Anna ties your
hands put on personal protective
equipment as per facility protocol
including new gloves you're now all
ready to begin treatment with pulse are
to apply the selected treatment bag to
the wound area make sure that the
irrigator entrance is positioned over
the area designated for treatment gently
secure the open nut of the bag to the
skin by removing the tape backing while
smoothly applying the pre-taped bag
beginning at the bottom of the area
being treated and working upward insert
only the tip the irrigator handpiece
through the treatment entrance unclamp
the primed
tubing hold the sleeve around the
irrigator handpiece and maintain the tip
approximately one inch away from the
skin and wound the handpiece allows you
to adjust the flow of irrigant at two
speeds 8 to 15 pounds per square inch
irrigate using the handpiece with the
prescribed irrigant solution using a
steady circular motion do not allow the
handpiece to touch any part of the wound
or patient if the patient expresses
discomfort during the procedure stop
treatment and reassess pain management
periodically assess the wound that is
being thoroughly clean and make sure the
fluid is draining properly position and
adjust the collection bag is may be
needed irrigate the wound until the
prescribed amount of solution is been
administered post treatment when you
finish the therapy turn off the unit and
re clamp the irrigant tubing carefully
remove the irrigator handpiece from the
access sleeve on the bag holding the
hand unit with the irrigator tip down
remove and discard the tip into
biohazardous waste ensure that all fluid
in the treatment bag is drained into the
collection system carefully remove the
treatment bag beginning at the top of
the securement area so that all fluid is
contained within the pulsar to system
note that the solidify er in the
collection system may take up to 15
minutes to completely gel clean the
exterior surface of the irrigator
following your facility infection
control policies for equipment
disinfection dispose of biohazardous
waste as per facility requirements re
glove and hang the hand irrigator unit
in the tip down position on the IV pole
this prevents reflux of any residual
fluid into the irrigator cover with the
clean storage bag pet the peri wound
area dry and apply the wound dressing as
prescribed please remember in your
documentation to place the following in
the medical record the date and time of
treatment the amount and type of
irrigant the assessment that was
completed of the patient and the wound
pre and post-treatment any items removed
during therapy such as debris exude a
sloth how the patient or a resident
tolerated the procedure and the dressing
that was applied post procedure thank
you
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you
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