Applies One Knee-High Elastic Stocking — 방법
Applying an anti-embolism stocking is graded on technique and a wrinkle-free finish. With the client lying down, you turn the stocking inside-out to the heel, ease it over the toes, foot, and heel, then smooth it up the leg with the heel pocket over the heel and absolutely no twists or wrinkles.
단계별
- 1
Explain the procedure, speaking clearly, slowly and directly while keeping face-to-face contact.
- 2
Provide privacy with a curtain, screen, or door.
- 3
Position the client supine, lying down in bed, while the stocking is applied.필수
- 4
Turn the stocking inside-out, at least down to the heel.필수
- 5
Place the foot of the stocking over the toes, foot, and heel.
- 6
Pull the top of the stocking up over the foot, heel, and leg.
- 7
Move the foot and leg gently and naturally, avoiding force or over-extension of the limb and joints.
- 8
Finish with no twists or wrinkles, the heel of the stocking over the heel, and the toe opening over or under the toe area; on a mannequin you may state the stocking must be wrinkle-free.필수
- 9
Place the signaling device within reach and put the bed in the low position.
- 10
Wash your hands after completing the skill.
필수 단계 (놓치지 마세요)
- Apply the stocking with the client lying down, before they rise, when leg swelling is lowest.
- Turn the stocking inside-out to the heel first, then ease it over toes, foot, and heel.
- The finished stocking must have no twists or wrinkles, or it will cut off circulation.
- The heel pocket must sit over the client's heel, with the toe opening over or under the toe area.
흔한 실수
- Applying the stocking with the client sitting or standing instead of supine.
- Bunching or rolling it on instead of turning it inside-out to the heel first.
- Leaving twists, wrinkles, or the heel pocket off the heel.
- Forcing or over-extending the foot and leg while pulling the stocking on.
왜 중요한가
Anti-embolism stockings apply graduated pressure to push venous blood back toward the heart and prevent clots, but that only works if the stocking lies perfectly smooth. A wrinkle or twist concentrates pressure into a band that acts like a tourniquet, cutting circulation and risking skin breakdown, which is exactly why the wrinkle-free finish is the make-or-break scored step. Applying it while the client is lying down, before dependent swelling builds, lets the stocking seat correctly with the heel pocket over the heel.