Wound Care Plan

Skin Tear – minimal dermis loss

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-47

Categories

Skin Tears

Scope of Practice (ScOP) Designation

Registered Nurse (RN),Enrolled Nurse (EN),Medical Officer,Assistant in Nursing (AIN)

Treatment Goals

To allow the loose skin flap to re-adhere to the wound base to minimise any tissue loss and maximise the re-adhesion of the dermis.

Aim of Dressing

Stabilise the skin flap whilst providing a moist wound environment

Frequency of Dressing Change

2 Days(s) Min - 2 Days (Max)

References

Shopping List

Dressing Pack (Small),Jelonet (10cm x 10cm),Mepilex Border Flex Lite (10cm x 10cm),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

    Skin tear

    this process is used when the skin has been able to be placed back onto the wound bed and is clean and healthy

     Swipe 
    Step 1

    Prepare sterile field

    Prepare sterile products
    Products Used
    Step 2

    Clean wound

    Clean the wound bed making sure that you are wiping in the direction that the skin needs to be reattached
    Products Used
    Step 3

    Double layer jelonet

    Products Used
    Step 4

    Secure with mepilex border

    When you place the mepilex border on please make sure you place an arrow in the direction it needs to be removed (direction the skin flap has been replaced)
    Products Used