Has anyone encountered the dressing incorporating into the wound area itself? Working on a case (I am a Legal Nurse Consultant) and the dressing had incorporated itself into the underling tissue and the hardware used in a spinal instrumentation. Second surgeon was trying to revise first surgery and KCI did not have any suggestions as to what to do. What would cause this? Is it only the black dressing that would do this or would the silver also do this?Obviously it was retained somehow! Is there a recommendation for dressing count to be done per KCI or is it just protocol per each hospital or home care units? Any input appreciated Thanks!
We had one incident where part of the KCI black wound packing remained in a wound but fortuantely was found the next wound change and was removed like a debridement. We never were able to figure out if the dressing tore while being removed or if a sliver of the dressing was packed at the time the bulk dressing was placed. We learned to carry a flash light and to look into the wound especially if there was a tunnel to make sure that we did not have a repeat.
There is no way to count number of dressings like sponges because the dressing is cut to fit the wound.
Last edit by gkrn on Dec 19, '06
: Reason: Addressing more of question.