Wound Care Plan

NovoSorb BTM

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-35

Categories

NovoSorb BTM

Scope of Practice (ScOP) Designation

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

Treatment Goals

To provide antimicrobial cover on and around the surrounding peri-wound whilst the matrix is granulated into whilst providing maximum adhesion through Vac therapy

Aim of Dressing

Reduce the chances of infection in the peri-wound whilst maximising the granulation tissue integrating with the BTM

Frequency of Dressing Change

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

References

Shopping List

Vac Dressing Foam – Black – Large,Normal Saline,Friars Balsam (25ml),Urgo Tul Ag (10cm x 10cm),Gauze squares,Sterile Gloves (Size 7.5),Activac,ACTIV.A.C.™ Cannister,Zetuvit Plus (10cm x 20cm),Cotton Bandage and Crepe,Tubifast (35 – 64cm – Yellow line),Tubular Form – Size D (26 – 35cm)
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

    BTM Dressing with Vac machine

    By using a Vac machine the patient's dressing is slim line and a 3m-KCI Bridge dressing can be used if footwear is required to be worn.

     Swipe 
    Step 1

    Prepare Sterile Field

    Prepare sterile field and sterile products ** You MUST use a large dressing pack**
    Products Used
    Step 2

    Clean BTM

    Clean the sealing membrane (see picture) and if required 'milk' collections of fluid under the membrane through rolling the mouth swabs over the membrane so that the liquid comes out through the perforations in the membrane
    Products Used
    Step 3

    Apply Urgo Tul Ag

    Cut the Tul to the shape of the wound bed and then place down on either side after removing the two plastic sheets
    Products Used
    Step 4

    Apply Vac

    Choose appropriately sized vac foam
    Products Used
    Step 5

    Connect to vac

    Connect vac dressing to cannister and then the vac machine
    Products Used
    Step 6

    Secure with catheter strap

    Secure vac tubing with a catheter strap
    Products Used
    Step 7

    Secure dressing

    If required you may find using tubifast or tubular form to secure dressing
    Products Used

    BTM Dressing with simple dressing

    Where a vac machine is either inappropriate or a patient can not handle then a simple dressing can be used but more care should be take to make sure compression is applied.

     Swipe 
    Step 1

    Prepare Sterile Field

    Prepare sterile field and sterile products ** You MUST use a large dressing pack**
    Products Used
    Step 2

    Clean BTM

    Clean the sealing membrane (see picture) and if required 'milk' collections of fluid under the membrane through rolling the mouth swabs over the membrane so that the liquid comes out through the perforations in the membrane
    Products Used
    Step 3

    Apply Urgo Tul Ag

    Cut the Tul to the shape of the wound bed and then place down on either side after removing the two plastic sheets
    Products Used
    Step 4

    Apply Zetuvit

    This will protect the BTM from blunt force trauma
    Products Used
    Step 5

    Secure dressing

    Secure with the appropriate sized tubifast or tubular form to secure dressing
    Products Used