3 - Taping Technique Protocol.pptx

8/18/2019 3 - Taping Technique Protocol.pptx

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Taping TechniqueProtocol

(Taping with Care)

Norberto G. Prepose, Jr., RN, MAN

Nurse VI, Assistant Chief Nurse

ITRMC, Nursing Service Division


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Course Description This course focuses on protocols for

taping and use of dressing in I..

Therap!.


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General "b#ecti$eDiscuss the protocols, dressing and

taping techni%ue in I Therap!.


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Course Content&and &!giene

Manage'ent of (harps

&a)ardous 'aterials and *aste

+se Personal Protecti$e %uip'ent-PP


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&o* to opti'i)e adhesion *ithout

da'aging patient/s s0in1. Clean and dr! s0in

.Re'o$e substances that contain oils

and 'oisturi)ers 2 tapes *ill notstic0 *ell if s0in is oil! and contains'oisturi)ers li0e lotions.


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If the s0in is oil! 2 please use 'ildsoap and *ater to re'o$e e3cess oiland pat it dr!. Do not rub thepatient/s s0in. As0 the patient if the!

put lotion on their s0in beforeinserting an I.. (ee0 per'ission fro'the patient that *e need to re'o$e

the lotion and e3plain its purpose.


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Alcohol *ipes 'a! be used, but use it

*ith care. Alcohol causes dr!ness ofs0in. +se sparingl! in cleaning thepatient/s s0in.

If using s0in prep solution li0e alcoholor iodine 2 allo* it to dr! co'pletel!

before appl!ing tape to a$oid che'icalin#ur!. It onl! ta0es 45 seconds for thealcohol to e dr! on the s0in and 6'inutes for the iodine.


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6. Mini'i)e touching of the adhesi$e

ach ti'e the tape touches anothersurface, a little of its adhesi$e getsused up.

7i'it the length of ti'e the tapestrips are e3posed to air.


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4. +se su8cient pressure to the tape

The s0in has hills and $alle!s. That is*h!, it is i'portant to appl! gentle9r'l! stro0e to be in contact *ith 'ore

surface on the s0in.

Tape is pressure sensiti$e. The

techni%ue to adhere the tape on the s0inis rub:do*n pressure. Place the tapefro' center out b! rub do*n pressure.


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;. Co$er ade%uate surface area *ith

the tapeIn securing a dressing, ha$e at least

< inch or 1 inch tape that adheres on

the patient/s s0in. This decreases thetendenc! of rolling the edge of thetape or accidental re'o$al of

dressing *hich is $er! critical forpatients *ith he'orrhage.


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=. "btain full contact bet*een tapeand s0in

The tape should ha$e full contact onthe tubing to a$oid 'oisture

Mini'i)e *rin0les and gaps


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Taping Techni%ue ProtocolA.I.. -Intra$enous 7ine

Techni%ue> (terile Techni%ue -onehand 2 *ithout notch dressing? t*ohand 2 *ith notch dressing

APP7ICATI"N>

a. Prep the catheter site according to!our facilit!/s protocol. 7et all prepsolutions dr! co'pletel!.


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b. "pen the pac0age, re'o$e sterile

dressing

c. Re'o$e the liner fro' the dressing,e3posing the adhesi$e surface of the

dressing. Center the transparent portionof the dressing o$er the insertion site.

d. 7ine up the notch in bet*een the port.Appl! the dressing, notch until the baseof the port. Press the transparentportion of the dressing into place.


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e. Pinch the 9l' together under the

catheter. Do not stretch the dressingduring application.

f. @hile slo*l! peeling o the paper

fra'e, s'ooth do*n the dressingedges *ith !our 9ngertips.

g. ('ooth do*n the dressing fro' thecenter to*ard the edges b! doingrubdo*n pressure.

h. (tabili)e e3tensionsB tubings using lift'ethod, using transparent tape.


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Intravenous Tray


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U-Method Chevron


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H-Method

Transparent


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With notch 7ine up the

notch inbet*een the

port


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!pplication o"sterile gau#e


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Application of I

Tape


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Re'o$al

a. Re'o$e an! tape strips applied ontop of the dressing.

b. To aid in lifting a dressing edge, use

the docu'entation label or secure apiece of 'edical tape to one cornerand rub 9r'l!.

c. (upport the s0in and catheter *ith!our 9ngers *hile re'o$ing thedressing.


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7o* and (lo*>

+sing the label or tape tab, slo*l! peelthe dressing fro' the s0in. old thedressing bac0 o$er itself rather than

pulling it up fro' the s0in. Re'o$e thedressing fro' the hub to*ard theinfection site.

(tretch release>

Grasp one edge of the dressing andgentl! pull it straight out to stretch andrelease adhesion.


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. NGT -Naso:Gastric

Tubea. Adult -age range

Techni%ue> 6 (plit Che$ron

Techni%ue Tape> (il0 Tape -(ensiti$e (0in orCloth Tape -nor'al s0in

(i)e> 1 inch


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Applicationa. Prep the catheter site according to

!our facilit!/s protocol. 7et all prepsolutions dr! co'pletel!.

b. Cut or tear the tape at least ; inch inlength.

c. Place untorn portion on the nose.

Gentl! appl! rubdo*n pressure, to'a3i'i)e adhesion. nd of the tornportion 'ust be at the tip of the nose.


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RM"A7a. 7ast to appl!, 9rst to re'o$e.

b. (tart to un*ind the tape fro' the

tube -6nd *rap.c. Re'o$e the tape placed straight on

the tube. (pread the edge then peel

until the tube is free fro' the tape.


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b. PDIA -age range Techni%ue> 6 (plit Che$ron

Tape> -Reco''ended> (il0 Tape or&igh Adhesion Paper Tape 2&!poallergenic and gentle feature

(i)e> < inch


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a. Prep the catheter site according to


b. Cut or tear the tape at least 1:6 inch

in length.c. (plit tape length*ise into t*o

sections, lea$ing an untorn section

at the top -1B6 inch


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d. ir'l! adhere 9rst EsplitF of tapedo*n the center of tubing. old theend to for' a tab.

e. @rap second strip around tubing.

f. A reinforcing tape strip 'a! beapplied o$er the untorn section.


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c. T -ndotracheal Tubea. Adult -age range


Techni%ue

Tape> (il0 Tape or Cloth Tape

(i)e> 1 inch


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APP7ICATI"Na. Prep the catheter site according to

!our facilit!/s protocol. 7et all prep

solutions dr! co'pletel!.b. Cut or tear a inch tape -length

c. (plit tape length*ise into t*o

sections, lea$ing an untorn sectionof 4 inch.


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d. ir'l! adhere the untorn portion on the

corner of the 'outh *here the T tube is.Appl! rubdo*n pressure to 'a3i'i)eadhesion.

e. Place the split tape portion on the upper

lipBlo*er lip -alternating sites, dependingon the patient/s oral:s0in status. or' atab at the edge of the tape.

f. @rap second strip around tubing:4 loops.or' a tab at the edge of the tape.


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RM"A7a. 7ast to appl! 9rst to re'o$e

b. 7ift the tape fro' the upper or lo*er lip,lo* and slo* considering the hair

gro*thc. +sing the re'o$ed tape, stic0 it to the

edge of the untorn portion to lift theedge. Re'o$e it lo* and slo* follo*ingthe direction of the hair gro*th.

d. Re'o$e the tape looped fro' the tubegentl!.


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b. PDIA -age range


Tape> -Reco''ended> (il0 Tape or&igh Adhesion Paper Tape 2&!poallergenic and gentle feature

(i)e> 1 inch


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!our facilit!/s protocol. 7et all prep

solutions dr! co'pletel!.b. Cut or tear the tape at least 6:4 inch

in length.

c. (plit tape length*ise into t*osections, lea$ing an untorn section.-1 inch


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d. ir'l! adhere the untorn portion on

the corner of the 'outh *here the Ttube is.

e. Place the split tape portion on the

upper lip. or' a tab at the edge ofthe tape.

f. @rap second strip around tubing.

or' a tab at the edge of the tape.


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RM"A7a. 7ast to appl! 9rst to re'o$e.b. 7ift the tape fro' the upper or lo*er lip,

lo* and slo* considering the hair gro*th.c. +sing the re'o$ed tape, stic0 it to the

edge of the untorn portion to lift the edge.Re'o$e it lo* and slo* follo*ing the

direction of the hair gro*th.d. Re'o$e the tape looped fro' the tube

gentl!.


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d. Dressing

Tape> (tretchable Tape

a. @hen co'pression is needed>

Co'pression should co'e fro''ultiple la!ers of the dressing

'aterial.


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a. Place 9rst section of tape *ithout

tension onto s0in on one side of thedressing.

b. @ith one hand, secure tape on oneedge of the dressing, *hile slightl!stretching ne3t section of tape o$erthe dressing.

c. (ecure tape on opposite edge of the

dressing

d. Press re'aining tape onto s0in*ithout tension.


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b. Choose the desired t!pe of tape-paper or cloth, cut or tearappropriate si)e.

c. Cut or tear suitable length. Ma0esure to ha$e at least < inch to 1 inchborder *hen appl!ing the dressing.


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d. or' a tab -considering direction ofthe hair gro*th. 7a! one side, appl!rub do*n pressure then do the sa'e

*ith the other side. A$oid stretchingthe tape and putting pressure.

nsure there/s a co'plete seal on the

dressing. If there/s a need to o$erlaptapes, H inch o$erlap isreco''ended.


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e. Drains

Tape> (tretchable tape, (il0 Tape orCloth Tape

APP7ICATI"Na. Prep the catheter site according to!our facilit!/s protocol. 7et all prep

solutions dr! co'pletel!.b. (plit ;3; sterile gau)e and place

one around the drain.


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c. Place the second gau)e *ith slit aroundthe drain, opposite side.

d. (plit a 6 inch cloth tape and place onearound the drain securing both the drainand the gau)e. Repeat on the opposite

side.e. Cut or tear ; inch of the sa'e tape to

ser$e as a platfor', for' a tab at theedge -*here the hair gro*th direction is.Appl! *ith rubdo*n pressure.

f. Cut or tear 4 inch tape. Perfor' lift'ethod as !ou secure the drain tube.


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Re'o$ala. Re'o$e an! tape strips applied to the

tip of the dressing to*ard the drain site.

b. (eparate the tape splits as !ou release

the drain and the dressing.c. Repeat on the opposite side.

d. A$oid s0in trau'a b! peeling thedressing bac0 on itself, rather thanpulling it up fro' the s0in. Consider hairgro*th. Re'o$e the tape lo* and slo*as !ou support the s0in


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f. ole! Catheter

Tape> (il0 Tape or Cloth Tape

APP7ICATI"Na. Prep the catheter site according to!our facilit!/s protocol. 7et all prep

solutions dr! co'pletel!.b. Cut or tear ; inch tape -length


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Tape it%&&Tape it%&


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3 - Taping Technique Protocol.pptx

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