Step 1. Wash your hands and set up

• Use liquid soap. Lather and scrub vigorously for at least 20 seconds. Scrub between your fingers and under your nails.

• Rinse with clean, running water, keeping fingers pointing down. Use a clean paper towel to dry your hands and turn off the faucet.

• If soap and water aren't available, it's okay to clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.

• Put all your supplies on a clean cloth or paper towel. Open a plastic trash bag.

• Peel back the edges of the dressing packages. Pour any irrigation solutions into solution cups.

• Clean the scissors with soap and water. Cut each piece of tape 4 inches longer than the dressing.

Step 2. Remove the old dressing

• Put on new disposable medical gloves.

• Loosen the tape by pulling gently toward the incision. Remove the dressing one layer at a time. Put it into the plastic bag.

• Remove your gloves, and put them in the plastic bag. Wash your hands again, as described above. Then put on new gloves.

Step 3. Clean and dress the incision

• Clean the incision and apply a new dressing as directed.

• Put all used supplies in the plastic bag.

• Remove your gloves last, and put them in the bag.

• Seal the bag, and put it in the trash.

• Be sure to wash your hands again.

When to call a doctor

Contact your health care provider or seek medical care right away if:

• Your incision suddenly opens.

• You have bleeding from the incision or an increase in its size.

• You have increased redness, swelling, or drainage.

• You have pain in or around the incision.

• There's a change in the color of the incision.

• You have a fever of  100.4°F  ( 38°C ) or higher, or as directed by your health care provider.

• You have chills.