Wound Care Dressing Protocol - The Negative Pressure ...



Wound Care Dressing Protocol

Clinical Suggestions for Use

Gently remove old dressing.

Irrigate the wound bed with wound cleanser or normal saline.

Debride any necrotic tissue.

Prepare periwound for re-application of adhesive.

Apply a non-adherent gauze to wound bed.

Place a drain (Jackson-Pratt, Lavacuator or other) in wound

bed on top of or between open weave gauze (the drain is never placed on pink granulating tissue).

Select primary wound care products; use kit or you may

complement with non-adherents, open weave gauze or Kerlix.

Obliterate (pack loosely) dead space with saline moistened

gauze or Kerlix. Chariker, Jeter, 1989

Consider using in combination with a silver dressing to decrease

bioburden or enzymatic debriding agent for debridement if indicated.

Select secondary dressing- use kit- or you may complement

with transparent films, composite dressings, thin film hydrocolloids, and adhesives that are vapor permeable and semi-occlusive.

Place vapor permeable film dressing to achieve a seal- lift the

tubing and pinch the dressing underneath it.

Reinforce with waterproof tape to achieve seal if necessary.

Attach tubing to canister, which is placed into the suction

pump.

References:

• Biblehimer H. (1986). Dealing with a wound that drains 1.5 liters a day. RN, August

• Chariker M., Jeter K., Tintle T., Bottsford J. (1989). Effective management of incisional and cutaneous fistulae with closed suction wound drainage. Contemporary Surgery, 34, June.

• Garcia-Rinaldi R., Defore W., Green A., McBride C. (1975). Improving the efficiency of wound drainage catheters. Volume 130.

• Wooding-Scott M., Montgomery B., Coleman D. (1988). No wound is too big for resourceful nurses. RN, December.

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