Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
HCPCS code
Name of the Procedure:
Common Names: Transparent film dressing
Medical Term: Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing (HCPCS Code: A6258)
Summary
A transparent film dressing is a clear, adhesive, sterile protective cover used for wounds. This particular dressing is sized between 16 and 48 square inches. It helps to keep the wound clean and is often used for minor wounds, surgical sites, and to protect IV sites.
Purpose
Medical Conditions Addressed:
- Minor cuts, burns, and abrasions
- Surgical incision sites
- Intravenous (IV) catheters
- Superficial pressure ulcers or sores
Goals/Expected Outcomes:
- Protects wounds from bacteria and contamination
- Keeps the wound environment moist to enhance healing
- Allows the healthcare provider to visually inspect the wound without removing the dressing
Indications
- Patient has minor skin injuries
- Post-surgical wound care
- To secure and protect IV catheter sites
- Superficial ulcers needing protection but no significant drainage
Preparation
Pre-procedure Instructions:
No specific preparation is needed from the patient.
Diagnostic Tests or Assessments:
- Initial wound assessment by a healthcare provider
- Measurement of wound size to determine the appropriate dressing
Procedure Description
- Cleaning: The wound area is thoroughly cleaned and allowed to dry.
- Preparation: The transparent film dressing is carefully removed from its sterile packaging.
- Application: The protective backing of the film is peeled off, and the film is gently placed over the wound, ensuring it covers the entire area without stretching or wrinkling.
- Fixation: The edges are smoothed down to ensure a secure fit.
Tools/Equipment Used:
- Sterile transparent film dressing (size: 16–48 square inches)
- Antiseptic solution or saline for cleaning the wound
- Sterile gloves
Anesthesia or Sedation:
- Not required for this procedure
Duration
- The application of the transparent film dressing takes approximately 5 to 10 minutes.
Setting
- Typically performed in a hospital, outpatient clinic, or at home under the guidance of a healthcare professional.
Personnel
- Nurse or wound care specialist
Risks and Complications
Common Risks:
- Skin irritation or allergic reaction to the adhesive
Rare Risks:
- Infection if the dressing is not changed as recommended
- Maceration (skin softening) around the wound if moisture accumulates
Management of Complications:
- Remove the dressing and clean the area thoroughly.
- Apply a new dressing or seek alternative treatment if irritation persists.
Benefits
- Protection from external contaminants
- Visualization of the wound without needing to remove the dressing
- Promotes a moist healing environment which can speed up the healing process
Expected Timeframe for Benefits:
- Benefits are usually immediate, protecting the wound upon application.
Recovery
Post-procedure Care:
- Keep the dressing in place as recommended, typically for several days unless it becomes loose or soiled.
Replace the dressing according to healthcare provider instructions or when it no longer adheres well.
Expected Recovery Time:
Varies depending on the wound; minor wounds may heal within a week, while surgical sites may need longer-term care.
Restrictions and Follow-up:
- Follow-up appointments as needed to monitor wound healing.
Alternatives
Other Treatment Options:
- Gauze dressings (may require more frequent changes)
- Hydrocolloid dressings (for wounds with more exudate)
- Foam dressings (for highly exudating wounds)
Pros and Cons:
- Transparent film dressings are less bulky and allow visual inspection but may not be suitable for heavily exudating wounds.
Patient Experience
During the Procedure:
Minimal discomfort during application.
After the Procedure:
- Some patients may feel slight tightness or pulling sensation if the skin moves.
- Pain management typically not needed.
Comfort Measures:
- Patients can resume normal activities immediately, taking care not to dislodge the dressing.