Gauze, non-impregnated, 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:
Common Names: Sterile Gauze Dressing
Medical Term: Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border (HCPCS Code: A6220).
Summary
A sterile gauze dressing is a medical device used to cover and protect wounds. It is non-impregnated (does not contain added substances like antibiotics) and includes an adhesive border to keep it securely in place.
Purpose
Medical Conditions: Wound care for surgical incisions, lacerations, burns, or ulcers.
Goals: To protect the wound from infection, absorb exudate (fluid), and aid in the healing process.
Indications
- Large wounds requiring a sterile covering
- Post-surgical incisions
- Lacerations or abrasions
- Pressure ulcers and burns
Patient Criteria: Those with wounds larger than 16 sq. in. but not exceeding 48 sq. in.
Preparation
Pre-procedure Instructions:
- Clean the area around the wound with antiseptic.
- Ensure the surrounding skin is dry for optimal adhesion.
Assessments: Check for signs of infection (e.g., redness, swelling) before application.
Procedure Description
- Cleanse the Wound: Use a sterile solution to clean the wound.
- Prepare the Area: Pat the area dry, surrounding the wound.
- Apply the Gauze: Carefully position the sterile gauze pad over the wound.
- Secure in Place: Press the adhesive border to ensure it adheres firmly to the skin.
Tools/Equipment Used: Sterile gauze dressing, antiseptic solution, gloves.
Duration
The process of applying the sterile gauze dressing typically takes about 5-10 minutes.
Setting
Sterile gauze dressings can be applied in various settings, including:
- Hospitals
- Outpatient clinics
- At home (under medical guidance)
Personnel
- Nurses
- Physicians
- Medical Assistants
- Trained caregivers (for home application)
Risks and Complications
Common Risks:
- Skin irritation from the adhesive
- Allergic reactions to the adhesive or materials
Rare Risks:
- Infection if the dressing is contaminated
Management: Monitoring the wound for infection and changing the dressing regularly.
Benefits
- Reduces the risk of infection
- Absorbs excess fluid from the wound
- Facilitates faster and cleaner healing
Realization: Benefits can often be observed within a few days to weeks, depending on the wound's severity.
Recovery
Post-procedure Care:
- Change the dressing as advised by a healthcare provider.
- Monitor for signs of infection.
- Maintain good hygiene.
Recovery Time: Varies based on wound type and severity; may range from a few days to several weeks.
Restrictions: Avoid excessive movement that could disturb the dressing. Regular follow-up may be necessary.
Alternatives
- Non-adhesive gauze dressings with tape
- Impregnated dressings with additional substances like antibiotics
- Hydrocolloid or foam dressings
Pros and Cons of Alternatives:
- Non-Adhesive Dressings: May be less irritating but require separate adhesive means.
- Impregnated Dressings: Can provide additional benefits like infection control, but might be more expensive.
- Hydrocolloid/Foam Dressings: Offer advanced wound care but can be more costly.
Patient Experience
During Procedure: Patients might feel slight pressure while the gauze is applied. Adhesive areas might create mild discomfort.
After Procedure: There may be minor skin irritation due to adhesive. Proper pain management includes over-the-counter pain relievers, if necessary. Comfort measures include wearing loose clothing and following care instructions diligently.