Wound Care Plan

Split Skin Graft – Regular Exudate

Last Updated
19 May 2025
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Quick Overview

Reference ID Number: TWS-WCP-53

Categories

Skin Grafts

Scope of Practice (ScOP) Designation

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

Treatment Goals

To aid the meshed skin graft adhere to the wound bed. Once integrated into the wound bed the skin wont have the same turgor, elasticity or resistance to sheering or blunt force trauma.

Aim of Dressing

To remove bacterial load from the wound bed after 5 days of primary dressing being on without disturbing it. If required antimicrobial dressings will need to be applied.

Frequency of Dressing Change

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

References

Shopping List

Jelonet (10cm x 10cm),Dressing Pack (Small),Jumbo Sterile Mouth Swabs,Urgo Tul Ag (10cm x 10cm),Normal Saline,Biatain Foam (Non-adhesive) (10cm x 10cm),Mefix (15cm x 10m),Tubifast (24 – 40cm – Blue Line),Tubular Form – Size B (12 – 14cm)
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

    Regular exudate (non-infected)

    The split skin graft is not macerate and is not dry. Minimal management is needed. The dressing 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
    Products Used
    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.
    Products Used
    Step 3

    Apply jelonet

    Apply the jelonet DOUBLE layer. This will allow the dressing to be done second daily. If the jelonet dries out it will adhere to the skin graft
    Products Used
    Step 4

    Adhere the secondary dressing on

    Place the biatain non-adhesive over the jelonet and secure with mefix
    Products Used
    Step 5

    Secure

    Choose appropriate size tubifast or tubular form
    Products Used

    Regular Exudate - (Infected)

     Swipe 
    Step 1

    Prepare you sterile field

    Open products using ANTT onto your sterile field
    Products Used
    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.
    Products Used
    Step 3

    Apply Urgo Tul Ag

    Cut out the Urgo Tul AG to the size of the wound bed and plac directly onto the split skin graft making sure it is touching all areas of the split skin graft
    Products Used
    Step 4

    Adhere the secondary dressing on

    Place the biatain non-adhesive over the jelonet and secure with mefix
    Products Used
    Step 5

    Secure

    Choose appropriate size tubifast or tubular form
    Products Used