Frequent dressing change and use of tape

  1. I would like to ask if I can use tape (Medipore) to fix dressings in place, if I need to change dressing for a patient 3 times a day; she has a pressure ulcer stage 3 in sacrum-coccyx area with no signs of infection or slough/necrotic tissue. The surrounding skin is in good condition. Thank you so much for your replies.
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    About Milkchoco

    Joined: Jul '16; Posts: 1

    6 Comments

  3. by   NMRN2017
    Tape is often a necessary evil. If skin is intact, not fragile and no allergies to tape are seen, then yes, minimal tape is often necessary. Just use caution when removing it so as not to damage skin.
    Good luck!
  4. by   vampiregirl
    I've found Medipore to be pretty gentle to skin... if removed with caution. I also try to vary my taping patterns. If the skin starts to show signs of irritation or breakdown, a skin barrier/ prep can be helpful.
  5. by   Turtle in scrubs
    For skin protection (before tape application), I like Cavilon No Sting Barrier Spray. I would recommend using this (or another skin barrier) to clean, dry skin before applying tape.

    If skin is impaired and it is a sacral injury you could also skip the tape by securing dressing with underwear. In acute care setting if you have access to mesh/disposable panties, those work nicely.

    But I can't help wondering why the patient needs dressing changes 3 times a day. It is highly exudative? Is it a wet to dry dressing?
  6. by   rkitty198
    Quote from Turtle in scrubs
    For skin protection (before tape application), I like Cavilon No Sting Barrier Spray. I would recommend using this (or another skin barrier) to clean, dry skin before applying tape.

    If skin is impaired and it is a sacral injury you could also skip the tape by securing dressing with underwear. In acute care setting if you have access to mesh/disposable panties, those work nicely.

    But I can't help wondering why the patient needs dressing changes 3 times a day. It is highly exudative? Is it a wet to dry dressing?
    This. The wound in an early phase might drain like this but should require only daily changes or q3day changes if the right product is used. We love using aquacel with abd pads and changing the pads prn. We also use allevyn dressings because they are waterproof, which if the patient has stool or urine they can be wiped off.
  7. by   jbudrick
    Another option is Montgomery straps. If you really need to change the dressing three times daily, this is low cost way to to keep the dressing in place and reduce skin damage. Best wishes.

    Diana
  8. by   Wound Nurse - Sales
    Placing and removing tape 3x day??
    I remember reading a study that stated wound healing is set back 4-6 hours per dsg change
    (I am sure there is someone on here smarted than I that can elaborate of this statement)

    Is excessive drainage the reason? if so, Previous post Montgomery straps excellent idea for tape trauma.
    Also there are a ton of products that will handle 500 - 800 ml of drainage.

    Incontinence soiling dressing?
    Consider covering dressing w/ transparent file (Tegaderm)
    Educate staff to wipe center of dressing out (to prevent rolling up of film)
  9. by   carrie276
    If the wound is clean, maybe a wound vac is appropriate

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