SKIN IQ

Advances in Skin & Wound Care, Sep 2004 by Hess, Cathy Thomas

Pouching a Wound

If a wound is draining heavily or if drainage may damage surrounding skin, it may be necessary to apply a pouch. The procedure for applying a pouch is as follows:

* Measure the wound. Cut an opening 3/8 inch (slightly less than a centimeter) larger than the wound in the facing of the collection pouch (see photo A).

* Apply a skin protectant as needed. (Note: Some protectants are incorporated into the pouch system; they may also provide adhesion.)

* Close the drainage port at the bottom of the pouch. Gently press the contoured pouch opening around the wound, starting at the lower edge to capture any drainage (see photo B).

* To empty the pouch, don gloves, a face shield or mask, and eye protection. Insert the bottom of the pouch into a graduated biohazard container and open the drainage port (see photo C).

Note the color, consistency, odor, and amount of drainage fluid. If ordered, obtain a culture specimen and send it to the laboratory right away. Always follow standard precautions from the Centers for Disease Control and Prevention (CDC) when handling infectious drainage.

* Use a gauze sponge to clean the bottom of the pouch and drainage port of any residual fluid. Reseal the port.

* Replace the pouch only if it has a leak or fails to adhere properly. More frequent changes are unnecessary and may irritate the skin.