Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
HCPCS code
Name of the Procedure:
Contact Layer, Sterile Dressing Application
Common Names:
- Contact Layer Dressing
- Sterile Dressing Application
Technical/Medical Terms:
- A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
Summary
In this procedure, a sterile contact layer dressing, sized between 16 and 48 square inches, is applied to a wound. This type of dressing helps protect the wound, encourages healing, and minimizes discomfort.
Purpose
The primary purpose of a contact layer dressing is to treat various types of wounds, such as:
- Surgical incisions
- Ulcers (e.g., pressure, diabetic)
- Minor burns
- Trauma wounds
By providing a protective barrier, the dressing aims to:
- Prevent infection
- Absorb wound exudate
- Promote optimal healing conditions
Indications
This procedure is indicated for:
- Patients with wounds that require a sterile environment for healing
- Cases where a non-adherent dressing is necessary to minimize pain and trauma during dressing changes
- Wounds with moderate to heavy exudate that need an absorbent dressing
Preparation
Patient Instructions:
- Clean the wound as directed by a healthcare provider.
- Avoid applying any ointments or medications unless specified.
- Follow any fasting or medication adjustment guidelines given by the healthcare provider.
Pre-Procedure Assessments:
- Wound assessment to determine the size and type of dressing required.
- Evaluation for any allergies to dressing materials or adhesives.
Procedure Description
- Preparation of Materials: Gather sterile dressing, gloves, and any other necessary medical supplies.
- Hand Hygiene: Perform hand hygiene and don sterile gloves.
- Wound Cleaning: Clean the wound using an appropriate solution to remove any debris or bacteria.
- Dressing Selection: Choose a sterile contact layer dressing sized between 16 and 48 square inches.
- Application: Carefully place the contact layer dressing over the wound, ensuring it covers all areas without overlapping onto healthy skin.
- Securing the Dressing: Use secondary dressings or adhesive tape to secure the contact layer in place if required.
Tools, Equipment, or Technology:
- Sterile contact layer dressing (A6207)
- Sterile gloves
- Wound cleaning solution
- Secondary dressings or adhesive tapes
Duration
The dressing application typically takes about 10-15 minutes, depending on the wound's complexity and size.
Setting
This procedure can be carried out in various settings, including:
- Hospitals
- Outpatient clinics
- Home care settings
Personnel
The procedure is generally performed by:
- Nurses
- Wound care specialists
- Physicians (if part of a larger treatment plan)
Risks and Complications
Common Risks:
- Minor discomfort
- Allergic reaction to dressing material or adhesive
Rare Risks:
- Wound infection
- Delayed wound healing
Management of Complications:
Healthcare providers will monitor the wound and change dressings regularly to manage any complications.
Benefits
Expected Benefits:
- Reduced risk of infection
- Enhanced wound healing
- Minimized pain and discomfort from dressing changes
Realization of Benefits:
Benefits can usually be observed within a few days to weeks, depending on the wound's severity and the patient's overall health.
Recovery
Post-Procedure Care:
- Keep the dressing dry and intact.
- Follow any wound care instructions provided by your healthcare provider.
- Monitor the wound for signs of infection (redness, swelling, increased pain).
Recovery Time:
- Varies depending on the wound type but generally spans several days to weeks.
- Follow-up appointments may be necessary to assess healing progress.
Alternatives
Other Treatment Options:
- Non-sterile dressings
- Advanced wound care products (hydrocolloids, foam dressings)
- Surgical interventions for severe wounds
Pros and Cons of Alternatives:
Non-Sterile Dressings:
- Pros: Accessible and cost-effective
- Cons: Higher infection risk
Advanced Wound Care Products:
- Pros: May promote faster healing
- Cons: Can be more expensive
Surgical Interventions:
- Pros: Effective for severe or complicated wounds
- Cons: Higher risk and longer recovery time
Patient Experience
During the Procedure:
- Mild discomfort during cleaning and application
- Generally no pain, as the procedure is non-invasive
After the Procedure:
- Slight tightness or pulling sensation from the dressing
- Minimal pain, which can be managed with over-the-counter pain relievers if necessary
Pain Management and Comfort Measures:
- Over-the-counter pain relievers as needed
- Regular dressing changes to promote comfort and healing