How Often To Change Tegaderm Dressing
Past Nancy Morgan, RN, BSN, MBA, WOC, WCC, DWC, OMS
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Transparent film dressings are thin sheets of transparent polyurethane (polymer) coated with an adhesive. These dressings are bachelor in a variety of sizes and shapes.
Clarification
Transparent film dressings provide a moist, healing environment; promote autolytic debridement; protect the wound from mechanical trauma and bacterial invasion; and act as a cicatrice roof or "second skin." Because they're flexible, these dressings can conform to wounds located in awkward locations such as the elbow. The transparency makes it like shooting fish in a barrel to visualize the wound bed.
Transparent motion-picture show dressings are waterproof and impermeable to leaner and contaminants. Although these dressings can't blot fluid, they're permeable to moisture—allowing i-style passage of carbon dioxide and excess moisture vapor away from the wound.
Indications
Examples of when a transparent picture dressing may be beneficial include:
- fractional-thickness wounds with no or minimal drainage
- when protection is needed for intact skin, for instance, protection of bony prominences such every bit elbows and heels from friction
- to promote debridement of eschar
- to protect and secure I.V. catheters
- to secure some other dressing.
Precautions and considerations
Consider the post-obit when deciding whether to choose this blazon of dressing:
- A transparent film dressing won't adhere to a moist surface because its adhesive properties are deactivated by moisture.
- Don't apply this dressing in patients who have moderate to heavy exudate, tertiary-
- caste burns, suspected or active infection, fungal infection, or active herpetic lesions.
- These dressings tin can cause periwound maceration.
- Transparent film dressings aren't recommended for patients with fragile or thin skin, especially elderly patients, or in patients receiving steroids considering removal may cause epidermal stripping or peel tears.
View: Applying a transparent movie dressing
How to apply
Follow these steps to use a transparent film dressing.
1 Launder your hands and put on gloves.
2 Remove the soiled dressing and place it in a trash bag. (Note the date on the bandage earlier removing information technology.)
three Remove your gloves, wash your hands, and put on new gloves.
4 Make clean the wound with normal saline solution or prescribed cleanser.
5 Dry the tissue surrounding the wound by patting it with a 4″ × four″ gauze pad.
six Remove your gloves, wash your easily, and put on new gloves.
vii Make certain the skin is clean and dry out. Some manufacturers recommend defatting the pare with alcohol to increased dressing adhesion. Employ a liquid barrier film or moisture barrier to the periwound area to protect the peel from wound exudate.
8 For deep wounds, apply wound filler or packing fabric as indicated.
9 Skin the liner from the dressing to betrayal the adhesive surface.
ten View the wound or site through the picture show and centre the dressing over it. Don't stretch the dressing during application.
11 Smooth the dressing in place from the heart outward.
12 Recall that the dressing should be at least 1″ larger than the wound. Check individual manufacturer recommendations because some dressings require a 2″ border.
13 Dispose of the waste; and so remove your gloves and discard them.
How to remove
Follow these steps to remove a transparent film dressing.
1 Lift a corner of the dressing and stretch it horizontally forth the skin surface to suspension the agglutinative bond.
2 Continue stretching from the edge of the dressing toward the center.
three When two sides of the dressing are partially removed, grasp both sides and stretch them horizontally and parallel to the skin until the entire dressing lifts.
Frequency of dressing changes
The average time between transparent film dressings is three to v days, although the dressing may exist left in place upward to 7 days. The frequency of change can vary based upon manufacturer recommendations. If the transparent dressing becomes loose, if leakage is nowadays, or new skin irritation or redness is noted, change the dressing and reassess whether continued utilize is advisable.
Nancy Morgan, cofounder of the Wound Care Teaching Institute, combines her expertise as a Certified Wound Intendance Nurse with an extensive groundwork in wound care education and program development as a nurse entrepreneur.
Data in Apple Bites is courtesy of the Wound Care Education Constitute (WCEI), copyright 2014.
DISCLAIMER: All clinical recommendations are intended to assist with determining the appropriate wound therapy for the patient. Responsibility for final decisions and deportment related to intendance of specific patients shall remain the obligation of the establishment, its staff, and the patients' attention physicians. Nothing in this information shall exist deemed to constitute the providing of medical care or the diagnosis of any medical condition. Individuals should contact their healthcare providers for medical-related data.
Source: https://woundcareadvisor.com/what-you-need-to-know-about-transparent-film-dressings-vol3-no4/
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