Wound Care Plan

Venous Leg Ulcer – moderate exudate (non-infected)

Last Updated
03 August 2025
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Quick Overview

Reference ID Number: TWS-WCP-66

Categories

Venous Ulcers

Scope of Practice (ScOP) Designation

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

Treatment Goals

Improve venous return and reduce oedema causing the venous leg ulcers to occur

Aim of Dressing

Wick away exudate from the wound bed and apply appropriate circumferential pressure to aid in the reduction of oedema in the leg

Frequency of Dressing Change

2 Days(s) Min - 7 Days (Max)

Consult(s) / Diagnostic Test Required

Arterial and Venous Duplex, Ankle Brachial Index (ABI) +/- Toe pressures (particularly if they are diabetic)

References

Shopping List

Dressing Pack (Small),Debrisoft (10cm x 10cm),Aquacel Extra (15cm x 15cm),Zetuvit Plus (20cm x 40cm),Cotton Role – Multigate,Setopress
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

    Single Leg

    Newly diagnosed venous leg ulcer. This care plan can be used till appropriate duplexs, ABIs or toe pressures can be arranged.

     Swipe 
    Step 1

    Wash patient's legs thoroughly

    Clean the patient's legs in the shower thoroughly. Assess if diluted betadine is required.
    Products Used
    Step 2

    Prepare sterile field

    Prepare your sterile products
    Products Used
    Step 3

    Apply aquacel

    Apply aquacel and cut to approximate size of the wound bed. The aquacel will shrink approx. 20%
    Products Used
    Step 4

    Apply absorbent pad

    Apply zetuvit
    Products Used
    Step 5

    Apply setopress

    Apply setopress using the GREEN squares
    Products Used

    Long Term

    Has appropriate ABIs or toe pressures

     Swipe 
    Step 1

    Wash patient's legs thoroughly

    Clean the patient's legs in the shower thoroughly. Assess if diluted betadine is required.
    Products Used
    Step 2

    Prepare sterile field

    Prepare your sterile products
    Products Used
    Step 3

    Apply aquacel

    Apply aquacel and cut to approximate size of the wound bed. The aquacel will shrink approx. 20%
    Products Used
    Step 4

    Apply absorbent pad

    Apply zetuvit
    Products Used
    Step 5

    Apply farrowwraps

    Order a review from either Occupational Therapist, Orthotist, Wound Care CNC
    Products Used