Alternative Negative Pressure Dressing Sealing Trick

  • Tue, 9/6/11 - 2:11pm
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  An easy way to seal a negative pressure wound dressing on a sacral wound (or any place that has a very irregular surface) is to take a flat barrier ring used as an alternative to stoma paste for ostomy appliances, and cut 1/3 to 1/2 off the bottom to make a “smile.” Apply skin prep to the entire periwound. Place the smile-shaped barrier (the piece of flat barrier ring) and while it is tacky, but not wet, press it into the skin prep at the most distal part of the sacral wound between the cheeks. Then apply a bit more skin prep to the top of the ring and wait until it is tacky. Apply the drape as usual. This keeps the drape intact and stops the dreaded leak that happens between the cheeks.

–Beth Culpepper, RN, BSN, WCC, CHT

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