Wound Care Plan

Skin Tear (Stage 3 – 100% skin flap loss) – Shepparton Retirement Village

Last Updated
09 August 2025
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Quick Overview

Reference ID Number: SRV-WCP-05

Categories

Skin Tears

Scope of Practice (ScOP) Designation

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

Treatment Goals

Stop any bleeding and provide a moist wound care environment

Aim of Dressing

Aid in haemostasias and then provide a moist wound care environment

Frequency of Dressing Change

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

References

Shopping List

Dressing Pack Basic – Shepparton Retirement Village,Normal Saline,Algisite M Dressing (10cm x 10cm) – Shepparton Retirement Village,Zetuvit Plus (20cm x 20cm) – Shepparton Retirement Village,Softban Natural Padding (15cm x 2.7m) – Shepparton Retirement Village,Crepe Bandage (15cm x 1.6m) – 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

    Photo Gallery

    Care Plans

    Immediately after trauma has occured

    Your resident has sustained a skin tear and it is actively bleeding and there is 100% skin loss.

     Swipe 
    Step 1

    Clean the wound

    Clean the wound using normal saline and gauze and as you are cleaning.
    Products Used
    Step 2

    Apply Primary dressing

    Apply the alginate dressing
    Products Used
    Step 3

    Secure the dressing

    Use a highly absorbent non-adhesive dressing. This is because it will absorb any exudate that occurs and you wont need to change it. This lessens the chances of the skin flap being disturbed and dying. It also adds protection to the area through adding bulk to the dressing
    Products Used
    Step 4

    Apply Compression

    Use a highly absorbent non-adhesive dressing. This is because it will absorb any exudate that occurs and you wont need to change it. This also adds protection to the area through adding bulk to the dressing
    Products Used
    Step 5

    Monitor

    Recheck in 2-3 days
    Products Used

    Once bleeding has stopped

    Bleeding has stopped and the wound requires a moist wound environment to epithelise.

     Swipe 
    Step 1

    Clean the wound

    Clean the wound using normal saline and gauze. Do not scrub the area but 'dab' softly. If blood or crusting does not come off easily leave it.
    Products Used
    Step 2

    Apply Primary dressing

    Apply a double layer of jelonet
    Products Used
    Step 3

    Secure the dressing

    Use a highly absorbent non-adhesive dressing. This is because it will absorb any exudate that occurs and you wont need to change it. This lessens the chances of the skin flap being disturbed and dying. It also adds protection to the area through adding bulk to the dressing
    Products Used
    Step 4

    Apply Compression

    Use a highly absorbent non-adhesive dressing. This is because it will absorb any exudate that occurs and you wont need to change it. It also adds protection to the area through adding bulk to the dressing
    Products Used
    Step 5

    Monitor

    Recheck in 2-3 days
    Products Used