Equinox Medical Latest “NPWT Black Foam Wound Dressing Clinical Webinar” By Holly Desimone, RN, BSN, WCC

 

Back On January 28, 2016 held a free clinical webinar on “NPWT Black Foam Wound Dressing Standard Application” hosted by Holly Desimone, RN, BSN, WCC.

Discussed what its inside the Equinox Medical  negative pressure wound therapy black foam wound dressing kits.

What is inside the UNI NPWT Wound Dressing Kit?

  1. Hydrophobic Black foam wound dressing
  2. UNI NPWT Drape
  3. UNI NPWT Dome Pad (suction dome)
  4. UNI Adapter

What tools you need before placing the wound dressing?

  • Pair of sharp scissors
  • Skin Prep
  • Oil Emulsion
  • Saline Bullets
  • Ruler (to measure the wound)

 

Video Transcript Below:

0:25
from a company I’m clinical
0:29
anybody else on I see a 570 and I was wondering who I was talking to a couple
0:48
of contraindications negative pressure in the past I’ve used it yes ok so we’ll
0:55
just sort of fly through this I always tell people know ask our present when
1:03
the sloth level of course have always preferred that it be depleted out but
1:08
maybe if you had like 5 or 10% of sale of you could put negative pressure on
1:15
you could still get that automatic debridement of course you don’t ever
1:21
want to use it over pacemaker where a malignancy was actually present have
1:27
been in any way surgically take it out we just don’t want to put anything
1:31
doctrinaire untreated osteo of course explores blood vessels nerves and
1:39
Oregon’s anything like that but I always say is just use really really extreme
1:45
caution when the leading shoes anti-coagulant a lot of people you are
1:50
on come within happen and they still going negative pressure
1:56
if there’s a type of bleeding warnings or anything like that
2:01
let me know don’t let me know but definitely sort of walk away from it if
2:07
the person had a shot to believe me I know sometimes the doctors like to put
2:11
it on but I always sort of say I I still feel like I was like a 24 hour ago
2:19
against doctors orders but sometimes I have in the past call the doctors and
2:23
just asked unexplored official is once you know where the official is going in
2:31
the physician can make a decision and always read all the book any negative
2:38
pressure or just go through the book make sure you really know what you doing
2:41
with the negative pressure on and how to properly use the machine but you’d be
2:45
surprised some of the calls I got people really you may know it very well but
2:48
some people really are on here so different ones that are sort of
2:57
appropriate and of course this is not i mean every situation but these are just
3:02
some things that they’ve been used in the past when should you see him all the
3:07
time
3:11
sort of had to have to figure out what made one chronic and then a lot of times
3:16
the negative pressure has been known
3:21
stimulate and every once in a while so kick start that once again I material
3:28
most of the time you’ll see that has to be protected
3:33
something in the air to protect if there’s attention exposed or anything
3:38
times a good opportunity is to put in something like and diabetic ulcers
3:45
pressure ulcers stage two three four and then of course you’ll also see them use
3:50
with grass as well and sometimes you’ll see them run at a lower setting it was
3:55
natural growth graft by Patricia I saw that you joined in
4:06
just by Patricia I did see that you joined in
4:15
Patricia can you hear me
4:20
ok so far anyway we’ll just keep going and maybe Patricia maybe you can write
4:26
me a note or something to let me know that you can hear me quickly I’m going
4:33
to educate you on the basics contraindications techniques and things
4:37
like that and then this is my email here so if by any chance you want any
4:45
information from me you can email me here and there are other opportunities
4:51
to do clinical education says well okay so here’s the kid ok and like I said
5:04
this is the unique platform dressing kit is completely sterile so when you get
5:12
everything pretty much everything inside that you’re going to need you need a few
5:15
extra things but this is what comes inside the kit you have no one to three
5:19
drape it is very easy to use
5:21
you’ll have your black foam and it will depend in large depending on what you
5:27
need at that time here is your don’t and it’s basically like
5:43
starting really good with extra I can try to assess the one that I think this
6:08
is the biggest thing that I always say anything you want to say this is where
6:11
you really want to know your mornings and contraindications is appropriate
6:15
so we’re going to be doing this weekend today and I have gotten a few calls in
6:21
the past about well why would you put the dome on this carrier because should
6:26
be bridge but this is not a bridging video so when I do is I do put it here
6:32
just for the safe I don’t have a lot of opportunities on the moon but I do have
6:40
other ones that would actually create bridges between and as she conceived
6:46
technically this would not be appropriate because here we have our
6:50
black US car so we definitely would not want to put up signs all over that on
6:55
here we have some potential of osteo has a whole bunch of stuff but again I’m
6:59
using this is a sample so just so you know I’m just gonna do very well and it
7:08
is important to irrigate I I know some nurses will just like poor little in but
7:13
especially when using the black phone there’s the potential telling small
7:16
particles and if the small particles in the air sometimes they sorta get
7:20
mistaken as tissue things like that so just know that we’re measuring the wound
7:29
and you’re probably gonna want to document that again for your fertility
7:33
protocol most likely every week so here we can prob around the edges of the just
7:44
as a barrier there is an on Steam version takes a little bit longer to dry
7:49
but I think the patients appreciate it you may also decide to protect this area
7:55
further with either so uptight song during whatever your facility protocol
8:04
is for window pane e ok so this is not put this in here and just so you have it
8:12
does not comment to get this is contact but because I do have a bone I want to
8:20
make sure I protect that area and this is one thing that you can use
8:24
I’m used that protect exposed bone it also helps in to utilize it to prevent
8:30
any type of sticking to the water bad this is an there’s a few different file
8:36
motions requests I think this one is like an Adaptec or something you just
8:41
don’t want to use one with us
8:43
oil based I think if you’ve ever used in their song that very thick oil that
8:48
would not be appropriate to use and of course you need a doctor’s order to be
8:51
able to put this and and the only other thing an ad about the real emotions just
8:57
be careful to avoid it does sort of disappear on the wound bed and blend in
9:02
so you just want to make sure whatever goes and comes back out
9:05
so this is the white phone the hydrophilic phone the difference the
9:09
black phone is hydrophobic it does not like water so that’s why everything
9:13
passes through very well it also doesn’t contain it doesn’t get soft up white
9:19
foam actually likes moisture on it’s a great thing
9:24
undermining tunneling
9:26
may be protecting an area there’s more sensitive if you do a problem with the
9:34
wind really sticking or something like that maybe putting this down again
9:39
need a physician’s order to add this but this phone has sort of a higher tensile
9:44
strength so it makes it a really good option for you know protecting those
9:51
areas
9:52
undermining in the tunnel yet we can’t really see him so I you just always and
9:57
I think I have a picture of it
9:59
ok I’m going to cut this is the reason I’m doing this is all my room to help
10:05
them undermining so I want to cut the white phone away from my bed so I know
10:11
fibers but we’ll see the white film is great you don’t get many fibers at all
10:14
now I’m gonna police into the wound bad gently and as you can see undermining
10:24
somewhere up like that so this is in they have you can see that’s quite a
10:30
long tail have left and I like really big tails on things because I want to
10:35
make sure that in no way could this get lost
10:42
platform I’m gonna get fantastic parish says hers because sometimes when I’m
10:48
gonna wanna do is I might have to fillet a fish and make the DEP more shallow for
10:54
example even on this one I have to sort of come down a little on one side
10:58
because it’s just that it’s just too much phone
11:04
so I cut my black foam to fit my bed again away from away from my warm bed
11:12
soon or fragments go in and then place it in and you’ll see here just as
11:18
exaggerated example I made sure they came up higher because it compresses
11:24
down I wanted to compress almost level I don’t want it to be like a holla when
11:32
you work with this one but it really impresses down really well so you might
11:37
see a little bit hollow leader now I wait for me in my black home in
11:45
everybody does things different people cut their whole after a place here to
11:52
read what I like to do is determine where I want my hole to be on my great
11:56
figure how much I can cut away like I don’t have that much on my mind you know
12:04
my margins doubling wanna be out of here so I get a nice good seal but this help
12:11
me determine they can cut the hole right here I what I do is I actually caught us
12:18
so I feel like a little nickel size allowed and that way represent prevents
12:26
any ripping my hole is nice and round it’s not a slip sometimes you get when
12:32
you lift the trade when you go to do it and then later you end up with a nice
12:35
little and then I want to make sure that my whole line over the center of my
12:40
phone for best results
12:44
love the Strip District was created definitely with a nurse in mind
12:51
energy of you guys that a listen I think there was somebody else joins us well
12:55
anybody listening the nightmares of draped with gloves this is not a
13:00
nightmare treat this is fantastic i’m able to hold here
13:05
great number one thing I can flip it over her position at some holes in the
13:14
middle and then very lightly go around and just make sure that I’m in here down
13:21
I don’t press my black home I just sitting around and want some I’ll put
13:26
like a little tiny be your something where maybe I have to follow the career
13:30
since it’s important to do that so here again I’m just doing everything very
13:37
gently on sealing edges i dont wanna pull on the tree I don’t a lot of times
13:42
that’s nothing keeping a treat to talk not a good thing because then the soon
13:47
as the patient gets up and you end up having buckles and it starts to cum alot
13:52
of the skin and that’s not what it really needs to follow those body curves
14:00
so that doesn’t happen now I’m just removing great number two and as you can
14:05
see I lift up the side and a call from the bottom so if you’re not used to that
14:11
type of a dream that’s where that is that little clout is underneath
14:18
and then I just press that down gently and neatly and follow my body
14:23
contractors and then I’m able to pull off that pollute out at the end
14:27
ok so this is number three what you can do is you gonna hold this blue tab here
14:34
and as you can see there’s little straight edge just grab this raided
14:38
edged up number three nothing sixty hymns is no issues at all and no
14:44
struggling with the removal of the top three and then you can pull off your
14:50
caps I was a little too quick on that but they pull up very nicely this is
14:54
what you’re left with it as you can see if the patient was to get up this one
14:59
bottle because I just made this will be here to make it a little bit easier
15:09
alright here’s a little video and this is how you do the new domes
15:24
is extremely user friendly as you can tell and then House pl to you can see
15:42
the Astros are going this way and then appealed to on this side of the arrows
15:47
coming this way and then just a number three that’s just don’t hold in tier so
15:52
what we’re gonna be doing is we’re gonna be lining up are doing with the whole
15:57
that we’ve gotten a transparent tree do that by just he’s only number 11 have
16:06
number one can see you gonna do it with just started where actual beings gonna
16:11
come out I’m gonna make sure the holes are completely lined up so that we don’t
16:18
end up having any blockages and we’re very gently to spin around edges then
16:24
we’re gonna grab your number two you can tell you it’s just left and thats and
16:38
these are number three that while this is his last year
16:42
take another crucial can now are to be connected to canister and turn it on
16:55
going to check the doctor’s orders what he actually quite a few millimeters of
16:59
mercury just to doublecheck gonna turn it on and you’re gonna be good to go
17:07
and very very good meaning nurses because what we want is once this is
17:14
done and it’s taking awhile God knows that sometimes you want to keep it on so
17:18
people will put transparent trip began over this whole area and that actually
17:26
causes like an airlock within it needs a transmission oxygen to some degree so
17:35
therefore
17:37
and alarming later on I might take a little while but you want to belong so
17:41
we don’t want to cover the stone had we might have to put some extra things like
17:48
that just two extra protective
17:57
that done we’ve connected to the canister and we compress picture was
18:05
taken but it’s all compressed and then here you can do all different things I
18:12
just happen to have a little piece of extra weight foam so I cut a little
18:15
tunnel I’ll because this patient happen to have very very bad skin integrity and
18:21
we’re worried about the tubing so there was an idea or you can do all different
18:27
things I then created like little Chevron or something
18:31
taped the tubing down is that some point you don’t want this to be pulling up and
18:37
then pulling this pop up because although it won’t completely break seal
18:41
it will cause alarms to go off and drive nurses crazy and I don’t want that to
18:45
happen this is just one way another way that way is this is natural Chevron just
18:52
putting the Chevron putting it down and making sure everything is completely
18:59
healed him up so that again you’re not gonna be sitting here and saying oh my
19:06
god this was a very simple basic of course there’s also bridging there is
19:13
bridging to offload this bridging two together some reasons you would do Y
19:19
port versus a bridge things like that so they come up in other mixed up w
19:27
abridging video next month they do want to thank you for joining me today in
19:33
what I would love is as people do I put my Holly WCC @ yahoo.com and what my
19:43
hope is that people realize these are
19:46
you know these I just given for the ability of helping out people so please
19:53
look at my other products please call me if you have any other educational hero
19:59
and please email me with where you’re from I know I have Taylor patricia is
20:06
Caroline today so please email me with you know your thoughts and also where
20:11
you’re from things like that so that as I get things like an email you were to
20:16
tease and things like that but thank you very much for today I hope you enjoyed
20:21
the webinar alright by anybody have any questions
20:29
forgot to ask that hollywood you do give me that email address again in fact I
20:37
don’t know what about screen doesn’t come off its Holly H O L ly WCC @
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yahoo.com so it’s Holly we don’t care certified initials at yahoo.com and I’ll
20:53
also give you my number my number as I think I have a nurse’s on my numbers 40
20:58
1808
21:01
9301 it’s wonderful people let me know where they’re from there from long-term
21:07
key are there you know work with a certain product it’s great to know what
21:13
you know and sort of make up a nice little collaboration of nurses so feel
21:19
thank you you’re very welcome I hope everybody enjoyed it and my next one
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thank you have a great day