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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