Name of the Procedure:

Skin Barrier, Wipes or Swabs, Each (HCPCS Code: A5120) Common name(s): Skin prep wipes, barrier wipes Technical or medical terms: Skin barrier wipes, perineal barrier wipes

Summary

Skin barrier wipes or swabs are medical products used to protect the skin from irritation caused by adhesives, incontinence, or other factors. These disposable wipes create a protective layer on the skin, shielding it from irritants and reducing the risk of damage.

Purpose

Skin barrier wipes are designed to:

• Protect the skin from adhesive tape, dressings, or ostomy appliances.
• Shield the skin from incontinence-associated dermatitis (diaper rash).
• Provide a barrier between the skin and moisture or irritants.

Indications

These wipes are appropriate for patients who:

• Use adhesive medical devices such as ostomy bags or wound dressings.
• Suffer from incontinence that can lead to skin irritation.
• Have sensitive or compromised skin requiring additional protection.

Preparation

No special preparation is needed for using skin barrier wipes. However, patients should:

• Ensure the skin is clean and dry before application.
• Discuss with their healthcare provider if they have any known allergies to ingredients commonly found in barrier wipes.

Procedure Description

1. Clean and gently dry the area where the skin barrier wipe will be applied.
2. Open the package and remove a single wipe.
3. Gently wipe the area to form a thin, even layer.
4. Allow the solution to air dry completely before applying any adhesive devices or clothing in the area.

Tools/Equipment: Pre-packaged skin barrier wipes. Anesthesia/Sedation: Not applicable.

Duration

The application of a skin barrier wipe takes only a few minutes.

Setting

This procedure is typically performed at home by the patient or caregiver, but can also be done in a clinical setting if necessary.

Personnel

No specialized healthcare professionals are required; however, instructions for use can be provided by nurses, primary care physicians, or other medical staff.

Risks and Complications

• Common risks: Mild skin irritation or allergic reaction to the ingredients.
• Rare risks: Severe allergic reaction (anaphylaxis), which requires immediate medical attention.

Benefits

• Protects the skin from damage due to adhesives, moisture, or irritants.
• Reduces the incidence of skin breakdown and infection.
• Immediate protective effect, aiding in comfort and healing.

Recovery

Post-Procedure Care: Maintain skin hygiene and reapply barrier wipes as directed. Expected Recovery Time: Immediate protection with continuous use as needed. Restrictions/Follow-Up: No specific restrictions; regular skin assessments might be required in clinical settings.

Alternatives

• Adhesive remover wipes: Specific for removing adhesive residues but do not provide a barrier.
• Cream-based skin protectants: Offer similar benefits but might not be as convenient as wipes.
• Moisture barrier ointments: Effective but may be messier to apply.

Patient Experience

During the Procedure: Patients might experience a cooling sensation but no pain. Post-Procedure: The skin may feel slightly tacky until the product dries. Patients should notice immediate protection and reduced irritation. Pain management is generally not necessary for this procedure.