Experience Summary

In this 360-degree video, observe the procedure of preparations the patient, and applying, a leg dressing.

Clinical Context

Proper application of a leg bandage is essential in managing conditions such as venous leg ulcers, oedema, or post-operative support. Ensuring the patient is prepared and the bandage is applied correctly promotes comfort, healing, and prevents complications such as pressure damage or impaired circulation.

1. Patient Preparation

Begin by explaining the procedure to the patient to gain informed consent and reduce anxiety. Check for any allergies, especially to materials such as latex or adhesives. Assess the leg for signs of infection, skin damage, or circulatory issues, and confirm whether compression bandaging is appropriate—this may require a recent Doppler ultrasound assessment to evaluate arterial supply.

Ensure the patient is in a comfortable position, ideally lying down with the leg slightly elevated to reduce swelling. Remove any previous dressings or bandages gently and inspect the wound, measuring and recording its condition. Cleanse the wound using an aseptic non-touch technique (ANTT) to reduce the risk of infection. Apply appropriate wound dressing based on the wound assessment.

2. Equipment Preparation

Gather all necessary equipment before starting, including the prescribed bandage type (e.g., short stretch, long stretch, or multi-layer), appropriate wound dressings, scissors, skin protection if needed, and gloves. Perform hand hygiene and wear gloves and apron to maintain infection control standards.

3. Bandage Application

Start the bandaging at the base of the toes, ensuring the toes remain visible for later circulation checks. Apply the bandage in a spiral or figure-of-eight technique, depending on the bandage type and protocol. Maintain even, gentle pressure throughout, using more pressure at the ankle and gradually decreasing it towards the knee to encourage venous return.

Overlap each layer of the bandage by about 50% to ensure consistent coverage and avoid gaps. Avoid creases or folds, as these can cause pressure points and skin breakdown. Do not bandage above the knee unless specifically instructed. Secure the end of the bandage using appropriate tape or clips, avoiding excessive tightness.

4. Post-Application Checks

Once the bandage is applied, check the patient’s toes for warmth, colour, and movement to ensure circulation is not compromised. Ask the patient about comfort and educate them on signs of complications, such as increased pain, numbness, or swelling.

Document the procedure, including the type of bandage used, wound condition, patient tolerance, and any advice given. Regular reassessment and reapplication are vital to ensure continued effectiveness and patient safety.

Learning Outcomes

1. Observe the correct procedure for applying a leg bandage.
2. Understand the steps involved in applying a leg bandage.
3. Understand the key safety steps when applying a leg bandage.

External Resources

• Back to Basics: Correct Bandaging