Wound Care Plan

Split Skin Graft – Moderate Exudate (AKA Macerated)

Last Updated
19 May 2025

Quick Overview

Reference ID Number: TWS-WCP-52

Categories

Scope of Practice (ScOP) Designation

Treatment Goals

To aid the split skin graft (SSG) adhere to the wound bed. This is especially important with SSG that have a large amount of exudate. You will need to take your time cleaning and applying and removing the dressing to aid in it's survival. Once integrated into the wound bed the skin wont have the same turgor, elasticity or resistance to sheering or blunt force trauma. ** WHEN REMOVING THIS DRESSING PLEASE NOTE IF THE AQUACEL IS DRY YOU MUST WET IT BEFORE REMOVING and then transition to another dressing that adds/maintains moisture **

Aim of Dressing

Wick away the exudate whilst applying downward pressure to aid the SSG adhering to the wound bed

Frequency of Dressing Change

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

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

Large amount of exudate

The split skin graft is macerate and is not adhered well to the wound bed. A large amount management is needed as well as a large amount of delicate attending is required due to its fragile state. The dressing also plays the roll of minimising sheering and blunt for trauma

 Swipe 
Step 1

Prepare you sterile field

Open products using ANTT onto your sterile field
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Step 2

Clean the split skin graft

Saturate your STERILE jumbo mouth swabs with normal saline. Gently ROLL (not scrub) from the center of the split skin graft to the outer edge and then discard. Repeat till the whole graft has been clean.
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Step 3

Apply Aquacel

Apply aquacel gently
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Step 4

Apply Zetuvit

Apply zeutvit
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Step 5

Secure

Secure with cotton bandage and eloflex
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