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many nursing programs still teach and test students on wet to dry dressing changes a wet to dry dressing change is a form of mechanical debridement to remove necrotic tissue from the wound bed during this procedure saline moisten gauze is placed in the wound and allowed to dry completely then it is removed from the wound bed without moistening it first and this removes the dead tissue unfortunately this is often very painful for the patient and in addition to removing dead tissue it often removes viable tissue as well as a certified wound care nurse I can tell you that this approach is generally contraindicated we have many alternative products and approaches we can use to debride a wound bed and remove necrotic tissue without causing trauma and damage to the healthy cells this includes autolytic debridement chemical debridement and enzymatic debridement if you are a nursing student or nurse looking for Reliable wound care information that you can use in your clinical practice check ou