ROSIEK

With the recent changes to F-Tag 315 it is not appropriate to use a urinary catheter unless medically indicated. A catheter to prevent contamination to a wound is considered a convenience and is a red flag to surveyors. Gladase and gladase c are less costly to the facility than accuzyme and panafil and have similar ingredients and same mode of action check the PI in the box for the ingredients. Also while the wound covered with eschar is unstagable for the MDS it is considered a stage IV. Your documentation in your NN or Progrss report should indicated that it is unstagable due to eschar.

The wound bed preparation platform addresses these issues. In order to close a wound you must first remove the barriers. Necrotic tissue Bacterial Burden Unmanaged Moisture Choose a dressing based on what the bARRIERS ARE.

Search for books by Cathy Thomas Hess and Sharon Baronowski and Elizabeth Ayello. I know this is an old message from you but others will have the same concerns.

I would suggest revisiting the allevyn sacrum, being sure to use skin prep making sure it is dry before applying the bordered allevyn. Start at the bottom to ensure you do not have gaps near the orifice. Fold and smooth from the center of the dressing. Allevyn can be cleaned from the surface and not changed unless breached. Have you considered using acticoat as an antimicrobial barrier. It will help to prevent further contamination to the wound and allow for an enviorment conducive to healing.

I use smith and nephews Extra Protective cream(EPC) for the denuded skin. It is not ordered from the phamacy but can be kept on the shelf saving lots of money. it has 30% zinc oxide. works well around exuding wounds to protect the peri-wound area as well