Wound Care Plan

VAC dressing – Sloughy 5th toe amputation

Last Updated

12 June 2025

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Quick Overview

Reference ID Number: TWS-WCP-60

Scope of Practice (ScOP) Designation

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

Treatment Goals

Granulation of amputation divot and allow for mobilisation

Aim of Dressing

Remove bioburden and slough to improve granulation tissue growth

Frequency of Dressing Change

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

Consult(s) / Diagnostic Test Required

Orthotics (for darcoe shoe - forefoot offloading), Medical or Wound Care CNC to sharp debride the wound with a curette

References

Shopping List

Dressing Pack (Large),Normal Saline,Vac Bridge Dressing,Sterile Scissors,Sterile Gloves (Size 7.5),Activac,ACTIV.A.C.™ Cannister

Associated Tutorials

Vac – Amputated great toe

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

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Care Plans

Acute care setting - 5th toe amputation

This plan was used whilst the patient was in hospital but later changed to the one below due to her being a falls risk with the activac machine at home.

Swipe

Step 1

Setup sterile field

Setup your sterile field with all your sterile products

Products Used

Dressing Pack (Large),Vac Bridge Dressing,Normal Saline,Sterile Gloves (Size 7.5),Sterile Scissors,Curette ** Wound Care CNC use only **

Step 2

Clean the wound

Clean the wound gently as to not agitate the wound bed

Products Used

Gauze squares,Normal Saline

Step 3

Remove bioburden and slough

Cleans the wound using the octenilin. Place some dry gauze into the wound and then soak with the octenilin and leave for 10min. Have the Wound CNC or Medical Staff member curette the wound afterwards.

Products Used

Curette ** Wound Care CNC use only **

Step 4

Apply Vac dressing

Using the bridge dressing pack the wound with the black foam. When placing on the extension part of the dressing make sure it is running up the patient's leg to minimise a fall.

Products Used

Vac Bridge Dressing,Sterile Scissors