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Hospital Corpsman 3 & 2 - Intro Navy Nursing manual for hospital training purposes | Next
Barton Bandage |
pinched between the turns, with resulting
discomfort.
In bandaging any extremity, it is advisable to
include the whole member (arm or leg, excepting
the fingers or toes) so that uniform pressure may
be maintained throughout. It is also desirable in
bandaging a limb that the part is placed in the
position it will occupy when the dressing is finally
completed, as variations in the flexion and exten-
sion of the part will cause changes in the pressure
of certain parts of the bandage.
The initial turns of a bandage on an extrem-
ity (including spica bandages of the hip and
shoulder) should be applied securely, and when
possible, around the part of the limb that has the
smallest circumference. Thus, in bandaging the
arm or hand, the initial turns usually are applied
around the wrist, and in bandaging the leg or foot,
the initial turns are applied immediately above the
ankle.
The final turns of a competed bandage usually
are secured in the same manner as the initial turns,
by employing two or more overlying circular
turns. As both edges of the final circular turns
are exposed, they should be folded under to pre-
sent a neat, cufflike appearance. The terminal end
of the completed bandage is turned under and
secured to the final turns by either a safety pin
or adhesive tape. When these are not available,
the end of the bandage may be split lengthwise
for several inches, and the two resulting tails may
be secured around the part by tying.
ROLLER BANDAGE FOR ELBOW.– A
spica or figure-of-eight type of bandage is used
around the elbow joint to retain a compress in
the elbow region and to allow a certain amount
of movement. Flex the elbow slightly, if you can
do so without causing further pain or injury, or
anchor a 2- or 3-inch bandage above the elbow
and encircle the forearm below the elbow with a
circular turn. Continue the bandage upward
across the hollow of the elbow to the starting
point. Make another circular turn around the up-
per arm, carry it downward, repeating the figure-
of-eight procedure, and gradually ascend the arm.
Overlap each previous turn about two-thirds of
the width of the bandage. Secure the bandage with
two circular turns above the elbow and tie. To
secure a dressing on the tip of the elbow, reverse
the procedure and cross the bandage in the back
(fig. 4-26).
ROLLER BANDAGE FOR HAND AND
WRIST.– For the hand and wrist, a figure-of-
eight bandage is ideal. Anchor the dressing,
Figure 4-26.—Roller bandage for the elbow.
Figure 4-27.–Roller bandage for the hand and wrist.
whether it is on the hand or wrist, with several
turns of a 2- or 3-inch bandage. If on the hand,
anchor the dressing with several turns and con-
tinue the bandage diagonally upward and around
the wrist and back over the pain. Make as many
turns as necessary to secure the compress properly
(fig. 4-27).
ROLLER BANDAGE FOR ANKLE AND
FOOT.– The figure-of-eight bandage is also used
for dressings of the ankle, as well as for support-
ing a sprain. While keeping the foot at a right
4-28
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