Name of the Procedure:

Application of Gauze, Non-impregnated, Non-sterile, Pad Size More than 16 sq. in. but Less than or Equal to 48 sq. in., Without Adhesive Border (HCPCS Code: A6217)

Summary

This procedure involves using a non-impregnated, non-sterile gauze pad, sized between 16 and 48 square inches, to dress a wound. The gauze pad does not have an adhesive border, meaning it must be secured to the wound using additional methods like medical tape or bandages.

Purpose

Gauze dressings like these are used to protect wounds, absorb exudate, and promote healing. The goal is to cover the wound, prevent infection, and manage the wound environment to support the body's natural healing processes.

Indications

• Open wounds or abrasions that need protection and require a dressing
• Post-surgical wounds
• Pressure ulcers, diabetic ulcers, or other chronic wounds
• Burns or lacerations

Preparation

• Clean the wound thoroughly using saline solution or an appropriate wound cleanser.
• Ensure hands are properly washed or use gloves to maintain a sterile environment.
• Gather all necessary materials including the gauze pad, medical tape, and potentially additional dressings or bandages.

Procedure Description

1. Wound Cleaning: Clean the wound thoroughly with saline or sterile water.
2. Pad Placement: Place the non-sterile gauze pad over the wound.
3. Securing the Pad: Use medical tape or secondary dressings to secure the pad without causing further harm or discomfort to the patient. Ensure the gauze covers the entire wound.
4. Final Check: Inspect to make sure the gauze is securely in place and that no part of the wound is exposed.

Duration

The procedure typically takes about 5-15 minutes, depending on the size and condition of the wound.

Setting

This procedure can be performed in various settings including hospitals, outpatient clinics, nursing homes, or at home under the guidance of a healthcare professional.

Personnel

• Nurses
• Wound care specialists
• Physicians (if the wound is complex)

Risks and Complications

• Common Risks: Minor irritation or skin reaction to the tape or dressing.
• Rare Risks: Infection if the gauze becomes soiled or isn't changed regularly.
• Management: Regular monitoring of the wound for signs of infection or adverse reactions.

Benefits

• Protects the wound from environmental contaminants.
• Absorbs wound exudate, helping to keep the wound dry and promote healing.
• Reduces the risk of infection when used and changed appropriately.

Recovery

• Care: Change the dressing as advised by a healthcare professional, typically once a day or when soiled.
• Recovery Time: Varies based on wound size and severity. Regularly follow up with a healthcare provider to monitor progress.
• Restrictions: Avoid activities that may contaminate or stress the wound.

Alternatives

• Other Dressings: Impregnated gauze, adhesive dressings, hydrocolloid or foam dressings.
• Pros and Cons: Impregnated dressings may provide additional antimicrobial benefits but could irritate some patients. Adhesive dressings may be easier to apply but can cause skin reactions.

Patient Experience

• During the Procedure: Minimal discomfort, primarily associated with cleaning the wound.
• After the Procedure: Patients may experience slight tightness or discomfort from the dressing. Pain management strategies include over-the-counter pain relief and ensuring the dressing is not too tight.
• Comfort Measures: Change dressings regularly and follow healthcare instructions to maintain comfort and promote healing.