Wound Care Plan

Arterial Ulcer – Shepparton Retirement Village

Last Updated
09 August 2025
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Quick Overview

Reference ID Number: SRV-WCP-17

Categories

Arterial Ulcers

Scope of Practice (ScOP) Designation

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

Treatment Goals

To maintain wound bed stability while the agreed intervention goal—whether surgical management or ongoing wound stabilisation—is determined.

Aim of Dressing

Provide antimicrobial coverage while diagnostic investigations are undertaken to assess areas of arterial compromise, and while a long-term management plan is developed. For patients who are not surgical candidates, maintaining wound bed stability represents an appropriate long-term strategy.

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Arterial and venous duplex, Ankle Brachial Index/Toe Pressures

References

Shopping List

Iodine (100ml) – (Betadine) – Shepparton Retiremennt Village,Biatain Foam Adhesive – (12.5cm x 12.5cm) – Shepparton Retirement Village
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

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    Care Plans

    Arterial Ulcer

    Regardless of the aim of the dressing the management of the arterial ulcer is the same.

     Swipe 
    Step 1

    Clean the affected area

    Clean the affected area. If the area is on the legs then it is preferable to clean them in the shower. Make sure to remove any old iodine from the skin so that it doesn't build up
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    Step 2

    Prepare you sterile field

    Setup your sterile field with all your sterile products
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    Step 3

    Clean the wound bed

    Clean the wound bed thoroughly removing any cellular debris
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    Step 4

    Paint with betadine

    Paint the affected area and 5cm around the area with iodine. If the affected area is a toe make sure that in between the toes is painted.
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    Step 4a

    Optional **

    ** Toe spaces may need to be used if the toes are touching. This is where single piece of gauze are placed in between the toes AFTER the iodine has dried. This will stop moisture building up between the toes which could lead to more ulcers. Pressed rather than woven gauze is preferred as the woven gauze has become stuck easier.
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    Step 5

    Cover

    If the affected are is on the leg use a simple dressing. If it is on the toes you could use a zetuvit and cotton bandage and crepe to encapsulate the toes
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