142383
Hospital name:
sacral pressure ulcer prevention guide
patient selection criteria
•
Criteria to be specified by facility clinician
Mepilex Border Sacrum application
®
sacrum
coccyx
1.Area to protect. Assess the patient’s anatomy
and evaluate if the dressing should be placed
according to Figure A or B based on coverage
and/or potential issues with incontinence.
2.Ensure the skin is dry and free of dimethicone, skin sealants, emollients and remove the
centre release film. Use of skin barrier under
dressingis not necessary.
3.With assistance from a colleague, hold
buttock apart. Apply dressing to sacral
area and into upper aspect of gluteal cleft.
4.Run side of hand along gluteal cleft
to ensure secure placement.
Gently smooth each side into place.
Figure A - Product placement.
Figure B - Product placement inverted.
Prophylaxis & Stage 1 ulcers
•Daily assessment under the dressing and document.
•Peel dressing back, assess & reapply. Ensure the border
of the dressing is smooth with no wrinkles.
•Document on the Wound Assessment Form.
•Remove and replace dressing after 3 days.
•Replace if the patient is still at risk.
18 x 18cm - Product code: 282000
23 x 23cm - Product code: 282400
Documentation
Pressure ulcer Stage 2 & over
•Treat as a wound.
•Document on Wound Assessment Form.
Wound
Assessment Form
Incident Report
Pressure Ulcer
Incident Sticker
References:
C. Tod Brindle, BSN, RN, ET, CWOCN, CLIN IV; Virginia Commonwealth University Health System, Richmond,
VA. Case study on: Use of an Absorbent Soft Silicone Self-Adherent Bordered Foam Dressing to Decrease Sacral
Pressure Ulcers in the Surgical Trauma ICU. Poster designed by Theresa Winston, Nurse Practitioner, Wound
Care and Stomal Therapy, Fraser Coast Health.
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