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Transparent film, sterile, more than 48 sq. in., each dressing

HCPCS code

Name of the Procedure:

Transparent Film Dressing Application
Common name(s): Transparent film dressing
Technical or medical terms used: A6259, sterile transparent dressing, semi-permeable dressing

Summary

Transparent film dressings are adhesive, clear films that are applied to wounds to promote healing and protection. They are sterile and create a barrier against contaminants while allowing moisture and oxygen to pass through.

Purpose

Transparent film dressings are used for:

  • Protecting wounds from infection and external contaminants
  • Maintaining a moist wound environment for optimal healing
  • Allowing the wound to be monitored without removal of the dressing

Indications

Specific conditions that warrant the use of transparent film dressings include:

  • Superficial wounds, abrasions, and minor burns
  • Post-surgical incisions
  • Areas with low to moderate exudate Patient criteria:
  • Clean, non-infected wounds
  • Skin areas that need visual inspection without frequent dressing changes
  • Wounds that benefit from a moist healing environment

Preparation

Patients may need to:

  • Ensure the area is clean and dry prior to dressing application
  • Avoid using lotions or creams on the area unless prescribed Diagnostic tests/assessments:
  • No specific tests required, but proper wound assessment is crucial

Procedure Description

  1. Clean and dry the wound area thoroughly.
  2. Select a film dressing that covers the wound with an extra margin around the edges.
  3. Remove the backing from the dressing and apply it gently over the wound, ensuring there is no stretching or wrinkling.
  4. Press the adhesive edges firmly to secure the dressing.

Tools and equipment used:

  • Transparent film dressing (size more than 48 sq. in.)
  • Sterile gloves
  • Antiseptic solution (if needed)

Anesthesia or sedation details:

  • None required, as the procedure is non-invasive

Duration

The application process typically takes around 5-10 minutes.

Setting

The procedure can be performed in various settings:

  • Hospital
  • Outpatient clinic
  • Home care (with proper instruction)

Personnel

Healthcare professionals involved may include:

  • Nurses
  • Doctors
  • Certified wound care specialists

Risks and Complications

Common risks:

  • Skin irritation or allergic reaction to the adhesive
  • Maceration of surrounding skin due to trapped moisture Rare risks:
  • Infection if not properly applied or if the wound becomes overhydrated

Benefits

Expected benefits:

  • Protection against infection
  • Transparent, providing easy wound monitoring
  • Promotes faster and more efficient healing in a moist environment Benefits realization timeline:
  • Most patients notice improved wound conditions within a few days to a week.

Recovery

Post-procedure care:

  • Monitor the dressing for signs of leakage or loosening.
  • Replace the dressing according to healthcare provider's instructions, typically every 3-7 days. Expected recovery time:
  • Varies based on wound severity; generally, minor wounds heal within 1-2 weeks.

Alternatives

Other treatment options:

  • Gauze dressings
  • Hydrocolloid dressings
  • Foam dressings Pros and cons of alternatives:
  • Gauze dressings: absorbent but need frequent changes
  • Hydrocolloid dressings: good for moderate exudate but more occlusive
  • Foam dressings: highly absorbent but may not allow visual inspection

Patient Experience

What to expect:

  • Minimal discomfort during application
  • Possible mild itching or irritation at the site Pain management:
  • Over-the-counter pain relief if necessary
  • Contact a healthcare provider if significant pain or irritation occurs

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