Small483

I currently have a pt with an enterocutaneous fistula that weighs 98.2lbs..... The fistula is located in the middle of her lower abdomen right above her pubic hair line..... I have had this pt for a week now and so far we have kept the surrounding skin completely intact..... The treatment were are doing is: 1- Cleanse area with Hibicleanse and pat dry, 2- Apply NonSting Skin Prep to surrounding intact skin (we are using this GENEROUSLY and make sure you apply the skin prep to all skin that will have the adhesive dressing over it), 3- Apply Aquacel AG Extra directly to open area (we take 1/2 of a 4x4 and fold it... Then place over open area), 4- Apply 4x4 NonAdhesive Foam Dressing (lay this over the Aquacel), 5- Secure with (4) Tegaderm 4x4 Transparent Film Dressings by completely covering the above layers. By using the Tegaderm transparent film..... It will keep the dressing intact and prevent leaking. The Aquacel and Foam layers really help keep the drainage confined instead of leaking out onto the pts clothes or sheets (before this current treatment I was changing this dressing 4-6 times in a 12hr shift) If the area is hairy.....SHAVE IT! It will help seal your dressing and put a smile on your face bc you don't have to change it all the time :)

I currently work in rehab and get a lot of postop, chf, cellulitis, lympedema pts ETC...... For pitting edema without open wounds we will: Apply Aquaphor Oint (really thick Oint that usually comes in a tub) to intact skin, wrap with 1 layer Kerlix gauze roll (this helps keep Acewraps clean from Oint getting on them) then secure with Acewraps from toes to knees. For pts with an open area..... There is usually a special Oint/treatment for the open area and then we will put the Aquaphor Oint around the open area and wrap the same: Kerlix and Acewraps.