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
- Clean and dry the wound area thoroughly.
- Select a film dressing that covers the wound with an extra margin around the edges.
- Remove the backing from the dressing and apply it gently over the wound, ensuring there is no stretching or wrinkling.
- 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