Wound care question/wet-dry, can you use kling?

[ImShelly31]

To make a very long story short, can you please tell me if a wound that is ordered for a wet to dry packed dressing can be packed with kling/kerlix. Also can you tell me what a "b-roll" is? I recently packed a wound that was too big for 4x4's and too small for what they call a "b-roll" so I used Kling, which looks identicle to the "b-roll" but is much smaller in size. The material looks identical and they are by the same company. The essentially say the same on the package except the roll of "kling" says conforming. Anyway I packed a would (wet to dry) using the kling and later another nurse who also rides my case nearly had a STROKE and pulled out the dressing I had put in place 1.5 hours ago as if she were saving the patients life. I am a new nurse (RN for three months now) and I'm not sure how to find the answer to this. I've searced high and low in text books and can't find a black and white answer. Now I understand what they talked about in school about eating your young. Althought I'm not young (I'm 35, but new) I'm being eaten alive. Please help me. Thanks

[NRSKarenRN, BSN, RN]

can you please tell me if a wound that is ordered for a wet to dry packed dressing can be packed with kling/kerlix

YES with caveat:

Both are woven gauze rolls, with different brand names. If your order states a

brand name, then you should use the brand name for liability reasons. When order says "gauze roll," then you can interchange. However, If you have a wound care formulary, then the nurse is free to choose a product within that guide. I have found Kling to be less absorptive, but most importantly, it tends to shed fibers, whereas Kerlix does not.

Both can be used internally but only when you have a extremely large wound with tunneling. Kerllix is often preferred because its thicker, holds saline well, absorbs drainage better, and can be more easily removed. You have to be careful when packing with either wrap because people tend to pack the wound too tight. Wounds should be lightly packed to allow the wound edges to contract.

NEVER use an elastic roller gauze as internal packing as it swells, increases wound pressure along with increased wound size and have seen wound bed necrosis in matter of few hours.

Term "b roll" might mean "bard gauze roll" (specific manufacturer) ---otherwise can't think of meaning. tonight.

[ImShelly31]

Thank you very much!

YES with caveat:

Both are woven gauze rolls, with different brand names. If your order states a

brand name, then you should use the brand name for liability reasons. When order says "gauze roll," then you can interchange. However, If you have a wound care formulary, then the nurse is free to choose a product within that guide. I have found Kling to be less absorptive, but most importantly, it tends to shed fibers, whereas Kerlix does not.

Both can be used internally but only when you have a extremely large wound with tunneling. Kerllix is often preferred because its thicker, holds saline well, absorbs drainage better, and can be more easily removed. You have to be careful when packing with either wrap because people tend to pack the wound too tight. Wounds should be lightly packed to allow the wound edges to contract.

NEVER use an elastic roller gauze as internal packing as it swells, increases wound pressure along with increased wound size and have seen wound bed necrosis in matter of few hours.

Term "b roll" might mean "bard gauze roll" (specific manufacturer) ---otherwise can't think of meaning. tonight.

[redwinggirlie]

I use Kerlix for the above reasons. Also, because I can cut an amount off AFTER I have packed to ensure that only one piece is put in that wound. I can also explain this importance to the patient who can pass the info on (as I will) to the rest of the staff.

But still, you did nothing to require having a cow over..... be well!

[redwinggirlie]

oops, forgot the importance part if you were wondering..... More than one piece packed can mean one piece gets lost or forgotten.

[sweetielin]

b-roll could mean burn roll/kerlix:)

[Tom85]

B- roll might mean Bullke role from medlines gauze line. which really is kerlix. I know for a fact the Medlines Kerlix will leave string because it is a woven type of gauze but is thicker. Kling will not leave any stringy fibers but will not absorb as much. So u might want to go to bid, tid dresing changes for wet to dry with the kling.