Wound Care Plan

Haematoma – deroofed

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-22

Categories

Haematoma

Scope of Practice (ScOP) Designation

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

Treatment Goals

To support clot formation and to have haemostasias return and then wound healing to begin.

Aim of Dressing

To apply atraumatic wound care dressings with NO tape. The dressings will support clot formation but will not cause further bleeding or skin tears

Frequency of Dressing Change

1 Days(s) Min - 1 Days (Max)

References

Shopping List

Dressing Pack (Small),Normal Saline,Alginate Dressing (10cm x 10cm),Zetuvit Plus (10cm x 10cm),Tubifast (35 – 64cm – Yellow line)
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

    Not actively bleeding

    When the roof of the haematoma has been removed in surgery and has been cleaned and there is NO active bleeding

     Swipe 
    Step 1

    Setup sterile field

    Setup your sterile field with all your sterile products
    Products Used
    Step 2

    Clean the wound

    Clean the wound gently as to not agitate the wound bed
    Products Used
    Step 3

    Apply alginate

    Apply the alginate dressing. There is not right or wrong way to put it down
    Products Used
    Step 4

    Cover

    Cover the wound with zetuvit (DO NOT anchor with tape). Have the patient or a fellow healthcare worker hold it for you
    Products Used
    Step 5

    Secure

    Secure the dressing using the appropriately sized tubifast or tubular form from the toes to the knee. One piece covering from the toes to just below the calf and then another piece from the ankle to just below knee
    Products Used

    Actively Bleeding

    When the above dressing plan does not stop the bleeding and strike through can be seen this wound care plan can be utilised. *** A pharmacist/medical officer should be consulted about the appropriate strength of tranexamic acid ***t

     Swipe 
    Step 1

    Setup sterile field

    Setup your sterile field with all your sterile products
    Products Used
    Step 2

    Clean the wound

    Clean the wound gently with the extra loosely woven gauze squares. Try not agitate the wound bed. **The gauze in the dressing pack will be used in the next step**
    Products Used
    Step 3

    Create Tranexamic acid mixture

    Soak the pressed gauze (the one from the packet) in the tranexamic acid solution. Placed directly on do not squeeze out.
    Products Used
    Step 4

    Cover

    Cover the wound with the biatain and then the zetuvit (DO NOT anchor with tape). Have the patient or a fellow healthcare worker hold it for you
    Products Used
    Step 5

    Secure

    Secure the dressing using the appropriately sized tubifast or tubular form from the toes to the knee. One piece covering from the toes to just below the calf and then another piece from the ankle to just below knee
    Products Used