Wound Care Plan

Amputation – Toe (foam dressing)

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-04

Categories

Amputation

Scope of Practice (ScOP) Designation

Registered Nurse (RN),Podiatrist,Enrolled Nurse (EN),Medical Officer

Treatment Goals

Reduce the bacterial load on wound bed whilst providing a moist wound healing environment for the granulation tissue to form. This patient in particular could not handle having a vac dressing placed on which is why it was not used.

Additional goals include:
1) Removing the flaking skin from the foot and applying white soft paraffin
2) Podiatrist review for the large toe nail before it causes a wound itself +/- complete wound care dressing

Aim of Dressing

Reduce the bacterial load on the wound bed and the chances of biofilm forming whilst providing a moist wound environment.

Frequency of Dressing Change

3 Days(s) Min - 7 Days (Max)

Consult(s) / Diagnostic Test Required

Refer to High Risk Foot Clinic (POWH)

References

Shopping List

Dressing Pack (Small),Biatain Foam (Non-adhesive) (10cm x 10cm),Urgo Clean Ag (10cm x 10cm),Hypafix (5cm x 10m),White soft paraffin (50g),Normal Saline
Page Table of Contents

    Product Selection Disclaimer:

    The wound care products being currently used are a suggestion ONLY. They do not take into account your patient's individual needs which you must assess. No funding from medical companies has been provided and wound care products are chosen on their merit and what is available on the NSW Health State Wound Care Contract. Where an exact brand name product is not available we suggest you review the alternative tab or use another wound care product from its category eg. Hydrofibre

    Photo Gallery

    Care Plans

    Toe amputation

    Amputation site that is unable to have a vacuum assisted closure device applied

     Swipe 
    Step 1

    Wash patient's legs thoroughly

    Clean the patient's legs in the shower thoroughly
    Products Used
    Step 2

    Prepare sterile field

    Prepare your sterile products
    Products Used
    Step 3

    Clean the wound bed

    If possible use loosely woven gauze to agitate the wound bed to remove and bioburden that may have accumulated since the last dressing
    Products Used
    Step 4

    Apply Urgo Clean Ag

    Apply the Urgo Clean Ag but cutting the foam to the shape of the wound and applying STICKY side down
    Products Used
    Step 5

    Apply biatain non adhesive and secure

    Apply the biatain non adhesive and then use the hyperfix to secure
    Products Used