3M Tegaderm Hydrocolloid Dressing

More Information

• Dressing Selection:
  Evaluate the wound and select the dressing size to allow 2.5 cm (1 inch) of the hydrocolloid adhesive to extend beyond the wound edge.
• Site Preparation:
  1. Clip excess hair for patient comfort.
  2. Clean the skin and the wound thoroughly, according to your facility or agency protocol.
  3. Allow the skin to dry before applying the dressing.
  4. If the patient skin is easily damaged or if drainage is expected to go beyond the wound edge, 3M Cavilon No Sting Barrier Film may be applied.
• Application Instructions for Oval Dressing:
  1.Remove the paper liner from the dressing by lifting and pulling one of the square end tabs marked "1", exposing the adhesive surface. Minimize contact with the border or the adhesive (bottom) side of the dressing.
  2.Center the dressing over the wound. Gently press the adhesive (bottom) side down, and press from the center outward. Avoid stretching the dressing or the skin.
  3.Press down and smooth the film edges to ensure good adhesion.
  4.Remove the top delivery film by lifting and pulling one of the center tabs marked "2" toward the edge of the dressing. Smooth down the dressing edges as you are removing the film. Remove the other side of the top film in the same way.
  5.Gently tear off the square end tabs marked "1" at the perforations in a downward direction and discard. Avoid lifting the film edge while removing the tabs. Secure the entire film edge by pressing firmly.
  Note: The dressing should be changed if it is leaking, falling off, or has been on the wound for seven days.
• Application Instructions for Square Dressing:
  1. Remove the top liner from the back of the dressing.
  2. Peel the dressing from its paper liner, minimizing contact with the dressing adhesive surface.
  3. Center the dressing over the wound.
  4. Gently press the adhesive side down, and press from the center outward.
  5. Avoid stretching the dressing or the skin.
  6. Place tape around the edges of the dressing, pressing the tape firmly. The dressing can be custom cut before removing its top liner.
• Application Instructions for Sacral Dressing:
  1.Before removing the printed liner, fold the dressing in half.
  2.Hold the tabs together. Remove the printed liner on one side of the dressing until the adhesive (bottom) is exposed.
  3.Continue to remove the printed liner from the other side until the adhesive surface is completely exposed.
  4.While still holding both tabs, position the dressing over the wound, tilting the dressing toward the anal area. Spread the buttocks to get better placement. Secure the dressing notch in the anal region first. This will minimize chances of incontinence contamination or wrinkling.
  5.Gently press the adhesive side of the dressing down from the center outward. Avoid stretching the dressing or the skin.
  6.Remove the dressing frame, starting at the top and pulling down. Do not lift the film edge. Reinforce and smooth the dressing from the center outward. Repeat until all sections of the frame are removed.
  Note: The dressing should be changed if it is leaking, falling off, or has been on the wound for seven days.
• Removing the Dressing:
  1. Carefully lift the dressing edges from the skin. If there is difficulty lifting the dressing, apply tape to the edge of the dressing and use the tape to lift.
  2. Continue lifting the edges until all are free from the skin surface.
  3. Remove the dressing slowly, folding it over itself. Pull carefully in the direction of hair growth.
  Note: It is not unusual for wounds to have an odor. This may be noticed when the dressing is removed or when leakage occurs. The odor should disappear after the wound is cleaned.
• Precautions:
  - Treatment of any skin ulcer should be part of a well-defined plan for ulcer management and under the supervision of a health care professional.
  - When using Tegaderm Hydrocolloid Dressings, the wound initially appears larger in size and depth as unnecessary tissue is cleaned away. This increase should be accompanied by an improved appearance of the wound. If the wound gets larger after the first few dressing changes, see a health care professional.
  - Observe the wound for signs of infection. If infection occurs, the signs of which may be fever, increased pain, redness, bleeding, swelling, or an unusual odor or discharge see a health care professional. Tegaderm Hydrocolloid Dressings may be used on infected wounds only under the care of a health care professional.
  - Rarely, irritation (reddening, inflammation), maceration (whitening of the skin), or hypergranulation (excessive tissue formation) may develop in some wounds under hydrocolloid dressings. Should these occur, consult a health care professional.
  - If the wound does not begin to show signs of healing or if any other unexpected symptoms occur, consult a health care professional.

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