3M Tegaderm Absorbent Clear Acrylic Dressings€¦ · 3M TM Tegaderm TM Absorbent Clear Acrylic...

Useful Tips for the Use of 3M™ Tegaderm™ Absorbent Clear Acrylic Dressing

1. The acrylic pad is not intended to be cut. If needed, the film border may be trimmed before the paper frame is removed.

2. There is no stated wear time for the dressing. The dressing should be changed if it is leaking, lifting off, or if there is wound fluid under the adhesive border.

3. Evaluate the wound and select the correct dressing size so that 1 cm (3/8 inch) of the absorbent pad extends beyond the wound edge.

4. Smooth the border down as you gently peel off the outer paper frame of the dressing.

5. The crackling appearance of the absorbent pad will not affect the performance of the dressing.

6. The dressing pad may appear to bubble up at times. This will flatten down as it releases some of the moisture vapour. If this does not flatten out, it may be time to change the dressing.

7. You may overlap two dressings if necessary to cover large and/or multiple areas of skin damage.

8. This dressing can also be used as a secondary (cover) dressing over wound fillers, such as alginate dressings. If using a wound filler, the dressing change is determined by the filler used.

9. For dressing removal, grasp one edge of the dressing and gently pull it straight out to stretch it and release adhesion. If having difficulty lifting film edge, apply a piece of tape to the film and gently lift.

10. Apply 3M™ Cavilon™ No Sting Barrier Film to protect peri-wound skin.

IndicationsP Skin Tears

P Pressure Ulcers

P Abrasions and superficial wounds

P Donor sites

P Superficial thickness burns

P Post-operative wounds

3Available in Canada from:

Skin & Wound Care 3M Canada CompanyP.O. Box 5757London, Ontario N6A 4T1Canada1-800-364-3577

www.3m.com/ca/healthcare3M, Cavilon and Tegaderm are trademarks of 3M. Used under license in Canada. Please recycle. Printed in Canada. © 2011, 3M. All rights reserved. 1103-01058

3M Health Care

3M Center, Building 275-4W-02St. Paul, MN 551144-1000USA

Dressing Change Guidelines

The edges have rolled compromising the viral and

bacterial barrier.

TIME TO CHANGE!

Wound fluid is visible within the acrylic pad and the edges

remain sealed to the skin.

PLEASE LEAVE ON!From time to time, the acrylic

pad in the centre of the dressing may appear

“crackled”. This will not affect dressing performance.PLEASE LEAVE ON!

Wound fluid is visible within the acrylic pad and the edges

remain sealed to the skin.

PLEASE LEAVE ON!Wound fluid is visible within

the acrylic pad and the edges remain sealed to the skin. Note bubbling appearance.

PLEASE LEAVE ON!

Wound fluid has expanded beyond the acrylic pad

leaking into the border of the dressing.

TIME TO CHANGE!

3M™ Tegaderm™ Absorbent Clear Acrylic Dressings

P This dressing can also be used as a secondary (cover) dressing over wound fillers (such as alginate dressings)

ain wound management

™

clear advance

Tegaderm

3M Health Care3MTM TegadermTM Clear Acrylic Dressings Application and Removal Techniques

3

Absorbent ClearAcrylic Dressings

3MTM TegadermTM Absorbent Clear Acrylic Dressing3MTM TegadermTM Absorbent Clear Acrylic dressing is a sterile wound dressing consisting of a conformable acrylic pad enclosed between two layers of transparent adhesive film. The film in contact with the wound surface is perforated to allow uptake of the wound fluid by the absorbent acrylic pad. The top film backing is not perforated. The non-perforated film backing is moisture vapour permeable, but impermeable to liquids, bacteria and viruses.* The dressing maintains a moist wound environment, which has been shown to enhance wound healing. The moist skin adhesive

formulation provides secure yet gentle adhesion. The dressings are not designed, sold or intended for use except as indicated.

*Laboratory testing has proven that the film provides a barrier against HIV-1 and

HBV while the dressing remains intact without leakage.

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1 2 3

Dressing Application

Prior to ApplicationNote: Follow facility guidelines for infection control.

1. Clip excess hair for best adhesion and patient comfort.

2. Clean the skin and wound thoroughly.

3. Allow the skin to dry before applying the dressing.

4. If the patient’s skin is easily damaged or drainage is expected to go beyond the wound edge, 3MTM CavilonTM No Sting Barrier Film may be applied.

5. Evaluate the wound and select the correct dressing size so that 3/8" (1 cm) of the absorbent pad extends beyond the wound edge.

6. Dressings are not intended to be cut.

1. Hold the dressing by a tab and peel the liner from the dressing, exposing the adhesive surface.

2. Hold the dressing by the tabs and centre the dressing over the wound, adhesive side down. Avoid stretching the dressing.

3. Gently press the dressing in place, smoothing from the centre outward.

4. Slowly remove the paper frame while pressing down and smoothing the film border to ensure good adhesion.

Indications for UseTegadermTM Absorbent Clear Acrylic Dressings are ideal for:• Pressure ulcers • Skin tears • Abrasions• Donor sites • Superficial burns • Post-surgical wounds

This dressing can also be used as a secondary (cover) dressing over wound fillers (such as alginate dressings).

1 2 3

Dressing Application: Sacral Design

1. Fold the dressing in half with the liner side exposed.

2. Holding both tabs with one hand, remove the liner.*

3. Spread buttocks to get a better surface for dressing placement. While still holding both tabs, position the dressing over the wound, tilting the dressing toward the anal area.

*The acrylic pad is not intended to be cut. If needed, the film border may be trimmed before the paper frame is removed.

4 5 6

4. Secure dressing notch in the anal region first and press in place.

5. Press dressing in place from the centre outward. Avoid stretching the dressing or the skin.

6. Remove the dressing frame, starting at the top and gently pulling down. Do not lift the film edge. Smooth the dressing in place from the centre outward. Repeat until all sections of the frame are removed.

31 2

Dressing Application – Overlap Technique Dressing may be overlapped to cover large and/or multiple areas of skin damage.

1. Select dressing size to adequately cover wounds. Apply the first dressing per steps 1–4 in Dressing Application.

2. Overlap second dressing as needed to cover remaining wounds.

3. Gently press the dressing in place, smoothing from the centre outward.

1. Carefully lift the film edges from the skin. If there is difficulty lifting the dressing, apply tape to the edge and use tape to lift.

2. Continue lifting the film until all edges are free from the skin surface.

3. Remove the dressing slowly, folding it over itself. Pull carefully in the direction of hair growth.

Removal Technique

1. Treatment of any wound should be part of a well-defined plan under the supervision of a health care professional.

2. When using 3MTM TegadermTM Absorbent Clear Acrylic Dressing, the wound may initially appear 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, consult a health care professional.

3. Observe the wound for signs of infection. Consult a health care professional if any of the following are noted: fever, increased pain, redness, bleeding, swelling, unusual odour, increased drainage or cloudy or foul drainage. 3MTM TegadermTM Absorbent Clear Acrylic Dressing may be used on infected wounds only under the care of a health care professional.

4. If irritation (redness) or maceration (whitening) of the surrounding skin, or hypergranulation (excessive tissue formation in the wound) develops, consult a health care professional.

5. If the wound does not begin to show signs of healing or if any other unexpected symptoms occur, consult a health care professional.

Considerations and Precautions

For more information, contact your 3M Skin Health representative or call the 3M Health Care Customer Helpline at 1 800 364-3577.

3

3M Canada Company 3M Health CareP.O. Box 5757 3M Centre, Building 275-4W-02 London, ON N6A 4T1 St. Paul, MN 55144-1000Canada USA

1 800 364-3577

www.3M.com/ca/healthcare

3M, Cavilon and Tegaderm are trademarks of 3M. Used under license in Canada.Please recycle. Printed in Canada.© 2008, 3M. All rights reserved. 0806-2463

Catalogue No.Dressing Pad Size (W x L)

Fits Wounds Up To (W x L)

Overall Dressing Size (W x L)

90800 Oval 11/2 in. x 21/4 in.3.8 x 5.7 cm

11/8 in. x 1 7/8 in.2.9 x 4.8 cm

3 in. x 3 3/4 in.7.6 x 9.5 cm

90801 Oval 2 3/8 in. x 3 in.6.0 x 7.6 cm

2 in. x 2 5/8 in.5.1 x 14.3 cm

4 3/8 in. x 5 in.11.1 x 12.7 cm

90802 Square 3 7/8 in. x 4 in.9.8 x 10.1 cm

3 1/2 in. x 3 5/8 in.8.9 x 9.2 cm

5 7/8 in. x 6 in.14.9 x 15.2 cm

90803 Oval 3 3/8 in. x 4 1/4 in.8.5 x 10.7 cm

3 in. x 3 7/8 in.7.6 x 9.8 cm

5 5/8 in. x 6 1/4 in.14.2 x 15.8 cm

90805 Square 5 7/8 in. x 6 in.14.9 x 15.2 cm

5 1/2 in. x 5 5/8 in.14.0 x 14.3 cm

7 7/8 in. x 8 in.20.0 x 20.3 cm

90807 Sacral 4 1/2 in. x 5 5/8 in.11.75 x 14.3 cm

4 1/8 in. x 5 1/8 in.10.5 x 13.0 cm

6 5/8 in. x 7 1/2 in.16.8 x 19 cm

Ordering Information: 3MTM TegadermTM Absorbent Clear Acrylic Dressing should overlap the wound margins by at least 3/8" (1 cm).

3M™ Tegaderm™ Absorbent Clear Acrylic Dressing

Dressing Overall Dressings/ Boxes/ Catalogue No. Pad Size Dressing Size Box Case

90800 Oval 3.8 x 5.7 cm 7.6 x 9.5 cm 5 6 1.5 x 2.25 in. 3.0 x 3.75 in.


90802 Square 10.1 x 10.1 cm 14.9 x 15.2 cm 5 6 4.0 x 4.0 in. 5.9 x 6.0 in.


90805 Square 14.9 x 15.2 cm 20.0 x 20.3 cm 5 4 5.9 x 6.0 in. 7.9 x 8.0 in.

90807 Sacral 14.9 x 15.2 cm 20.0 x 20.3 cm 5 4 5.9 x 6.0 in. 7.9 x 8.0 in.

Ordering Information

3M™ Cavilon™ No Sting Barrier Film

Catalogue No. Size Items/Box Boxes/Case

3343E 1.0 mL wand applicator 25 4

3344E 1.0 mL wipe 30 6

3345E 3.0 mL wand applicator 25 4

3346E 28.0 mL spray bottle 12 1

For more information, contact your Skin & Wound Care Representative or call the 3M Health Care Customer Help Line at 1 800 364-3577

1 Payne RL, Martin MC. Defining and classifying skin tears: Need for a common language. Ostomy/Wound Management. 1993;39(5):16-26.2 O’Regan A. Skin tears: A review of the literature. World Council of Enterstomal Therapists Journal. 2002;22(2):26-31.3 Registered Nurses’ Association of Ontario (RNAO). Nursing Best Practice Guideline: Assessment and Management of Pressure Ulcers. Toronto: RNAO. 2002.4 LeBlanc K, Christensen D. An approach to managing skin tears in the elderly population: A case series. Poster Presentation presented at the Canadian Association of Wound Care Annual Conference, Montreal, QC. 2005.5 Fleck C. Preventing and treating skin tears. Advances in Skin & Wound Care. 2007;20(6):315-320.6 Roberts J. Preventing and managing skin tears: A review. Journal of Wound Ostomy Continence Nursing. 2007;34(3):256-259.7 LeBlanc K, Christensen D, Cuillier B. Managing skin tears in long-term care. Poster Presentation presented at the Canadian Association of Wound Care Annual Conference Montreal, QC. 2005.8 Baranoski S. How to prevent and manage skin tears. Advances in Skin and Wound Care. 2003;16(5):268.

*LeBlanc K, Christensen D, Orsted H, Keast D. Best Practice Recommendations for the Prevention and Treatment of Skin Tears. Wound Care Canada, The Official Publication of the Canadian Association of Wound Care (CAWC). 2008; 6(1):14-30.

**Use caution with heavily exudating wounds. Control bleeding first. Dressings are designed to be left in place for extended periods of time, and early removal may interfere with skin tear healing.

The 3M Skin Tear Management SystemCAWC Best Practice Recommendations*

Please recycle. Printed in Canada.© 2011, 3M. All rights reserved.3M, Cavilon and Tegaderm are trademarks of 3M. Used under license in Canada.1104-01099E

Available in Canada from:Skin & Wound Care3M Canada CompanyP.O. Box 5757London, Ontario N6A 4T1Canada1 800-364-3577www.3M.com

3M Health Care3M Center, Building 275-4W-02St. Paul, MN 551144-1000USA

Dressing Selection Specific to Skin TearsPayne-Martin Skin Tear Classification1,2 Description Skin Tear Considerations

Do not suture or staple due to the fragility of the skin3,2

Category I: Skin Tears without Tissue Loss

Linear type (full thickness)

Category I skin tear:Linear type

Linear type (full thickness): epidermis and dermis are pulled in one layer from supporting structures. The wound is incision-like in appearance.

Based on assessment: Control bleeding, approximate edges, secure edges with 2-octylcyanoacrylate topical bandage (skin glue).4,5,6

orApproximate edges. Cover with silicone or low-tack foam dressing. Use alginate under foam if skin tear is bleeding.

orApproximate edges. Control bleeding. Cover with absorbent clear acrylic dressings.7 Do not remove for 21 days or if peri-wound exhibits signs and symptoms of infection.**

Flap type (partial thickness)

Category I skin tear:Flap type:

Flap type (partial thickness): epidermis and dermis are separated. Flap can be completely approximated or approximated to expose no more than 1 mm of the dermis.

Based on assessment: Control bleeding, approximate edges, secure edges with 2-octylcyanoacrylate topical bandage (skin glue).8,5,6

orApproximate edges. Cover with silicone or low-tack foam dressing. Use alginate under foam if skin tear is bleeding.


Category II: Skin Tears with Partial Tissue Loss

Scant tissue loss type, < 25% partial tissue loss

Category II skin tear: < 25% Partial Tissue Loss

Scant tissue loss type: 25% or less of the epidermis flap is lost.

Based on assessment: Approximate edges. Cover with silicone or low-tack foam dress-ing. Use alginate under foam if skin tear is bleeding.


Moderate to large tissue loss type: > 25% partial tissue loss

Category II skin tear:>25% Partial tissue loss

Moderate to large tissue loss type: more than 25% of the epidermal flap is lost.

Based on assessment: Cover with silicone or low-tack foam dressing. Use alginate under foam if skin tear is bleeding.


Category III: Skin Tears with Complete Tissue Loss

Category III skin tear:Complete tissue loss

The epidermal flap is absent. Based on assessment: Cover with silicone or low-tack foam dressing. Use alginate under foam if skin tear is bleeding.


The 3M Skin Tear Management SystemRecommended Best Practices for the Treatment of Skin Tearspublished in Wound Care Canada* Vol. 6 No. 1, 2008

3M™ Tegaderm™ Absorbent Clear Acrylic DressingCenter 3M™ Tegaderm™ Absorbent Clear

Acrylic Dressing over the wound. Gently

press dressing in place. Slowly remove

frame while pressing down and smoothing

the film border.

▲

▲

3M™ Cavilon™ No Sting Barrier FilmApply a uniform coating of 3M™ Cavilon™

No Sting Barrier Film over the entire area of

the peri-wound. Allow film to dry thoroughly

before applying the dressing.

The solution to managing skin tears

Fragile skin, decreased sensation and limited mobility can be predisposing factors to the occurrence of a skin tear.

The 3M Skin Tear Management System is a simplified, cost-effective approach to the management of these potentially painful wounds.

Step one 3M™ Cavilon™ No Sting Barrier Film 3M™ Cavilon™ No Sting Barrier Film is a transparent, protective film between the skin and potential irritants that cause breakdown.

• Prevent peri-wound maceration

• Alcohol-free so it won't sting reddened or denuded skin

• Non-cytotoxic so it doesn't interfere with skin healing

• Provides superior skin protection from adhesive tape trauma

Step two3M™ Tegaderm™ Absorbent Clear Acrylic Dressing3M™ Tegaderm™ Absorbent Clear Acrylic Dressing is a transparent, absorbent dressing for optimal clinical performance and wear time.

• Easy monitoring of the wound, exudate andperi-wound skin

• Extended wear time over other leading dressings

• Comfortable for patients to wear

3M Tegaderm Absorbent Clear Acrylic Dressings€¦ · 3M TM Tegaderm TM Absorbent Clear Acrylic...

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