Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS code
Name of the Procedure:
Foam Dressing Application (A6213)
Common names: Foam dressing, Sterile wound cover
Medical term: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border.
Summary
A foam dressing is a sterile wound cover designed to manage moderate to heavy exuding wounds. The dressing, which includes an adhesive border, helps protect the wound while promoting a moist healing environment.
Purpose
The foam dressing is used to cover and protect wounds, absorb exudate, and maintain a moist environment that facilitates faster healing. It is particularly useful for moderate to heavily exuding wounds.
Indications
Foam dressings are typically used for:
- Pressure ulcers
- Venous leg ulcers
- Diabetic foot ulcers
- Surgical wounds
- Traumatic wounds
Preparation
- Clean the wound area with a suitable wound cleanser or saline solution.
- Ensure the skin around the wound is dry to help the adhesive border stick effectively.
- No specific fasting or medication adjustments are needed.
Procedure Description
- Preparation: Unpack the sterile dressing.
- Cleaning: Clean the wound thoroughly.
- Application: Align the foam dressing over the wound so that it covers the entire wound area. Ensure the adhesive border sticks to the surrounding skin.
- Inspection: Check for proper adhesion and any signs of leakage.
Duration
Applying the foam dressing typically takes about 10-15 minutes.
Setting
Foam dressing application can be performed in various settings:
- Home care setting
- Outpatient clinics
- Hospital settings
Personnel
The procedure can be carried out by:
- Registered nurses
- Healthcare aides under supervision
- Physicians or wound care specialists
Risks and Complications
Common risks include:
- Adhesive irritation
- Skin maceration from excessive moisture
- Allergic reaction to the dressing material
Rare risks involve:
- Infection if the dressing is not properly secured or changed regularly
- Trauma to the wound during dressing changes
Benefits
- Protection of the wound from external contaminants
- Absorption of exudate
- Maintaining a moist environment conducive to healing Benefits can be realized within days to weeks, depending on wound severity.
Recovery
- Keep the applied dressing clean and dry.
- Follow instructions on how often to change the dressing.
- Visit healthcare professionals for regular wound assessments. Expected healing time can vary widely based on the wound type and patient’s overall health status.
Alternatives
- Hydrocolloid dressings: Effective for low to moderate exuding wounds.
- Alginate dressings: Suitable for heavily exuding wounds.
- Transparent film dressings: Best for superficial wounds. Each alternative has unique benefits and limitations depending on wound type and exudate levels.
Patient Experience
- Minimal discomfort during dressing changes.
- Dressing will feel like a soft, cushioned pad over the wound.
- Pain may be managed using over-the-counter pain relief if needed.
- Instruction on maintaining hygiene around the foam dressing is essential to reduce the risk of infection.