PARTIAL THICKNESS WOUNDS
COMMUNITY HOSPITALS AND WELLNESS CENTERS
WOUND CARE ORDER SET
Date and Time: _______________
1. Cleanse wound with
N/A soap and water saline wound wash sterile water
2. Culture
N/A Aerobic Anaerobic
3. Periwound
N/A Elta No-sting wipe Critic Aid Clear Hydrocolloid
4. Contact layer
Tegaderm Xeroform Tegaderm + pad Critic-aid Clear
HydroGel Gauze Betadine swab Mepitel Telfa
SilvaKollagen Elastogel Mepilex AG Mepilex Transfer Mepiform Aquacel AG Aquacel Sorbsan Iodosorb
Saline moist gauze Santyl Antimicrobial gauze Telfa Interdry AG
Paste wrap
Other ______________
5. Cover Dressing
N/A Gauze Tegaderm + pad Band-aid Mepilex Border
Tegaderm Foam Roll gauze Telfa Antimicrobial Gauze
ABD pad Mepilex Transfer Chux Exu-dry Paste wrap
Other_______________
6. Secure
N/A Paper Tape Tape Medipore Tape stretch net Tubigrip Coban Tegaderm 4 layer wrap 3 layer wrap
Other ________________
7. Change
Twice daily Daily Every other day Every 3 days
Every 4 days Weekly PRN loose or soiled
Other ________________
________________________________________________ per order set
_______________________________________________MD
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