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Wound Vac Treatment via Medicare

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    #1

    Wound Vac Treatment via Medicare

    I have been on a wound vac since end of January but Medicare only allows three applications a week; Monday, Wednesday, and Friday. So if it comes apart which is does on weekends and sometimes during the week depending on the application, I am to apply a rescue bandage. The problem is the secretions far outweigh the bandage's ability to stay put for any length of time.

    Does anyone know of an absorbent bandage application that can last beyond four hours? My home health care nurses haven't been much help in this area.

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    #2
    Your home care nurses should consult with the clinical consultant from the NPWT (negative pressure wound therapy) company about better methods for achieving a long-lasting seal on your device dressing. Are you using the brand name Wound V.A.C.? In my area, these consultants will make home visits and hospital visits to provide such consultation. (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      I am using 3M ACTIV.A.C. unit and rented thru KCI.

      I will ask my home health care nurse to contact KCI. How long should the installation stay in place? I was thinking until the next visit since they come every other day other than the weekend.

      Thank you for advice.
      Back of unit.
      1 Photo

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        #4
        A well applied dressing using the right techniques should stay in place for 3 days.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.
        • 1 like

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          #5
          The routine is usually change mon-weds did friday. How often does it leak? CWO
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment

            #6
            The nurse came today at 8 am but by 5:30 pm, it was leaking. My nurse has instructed me to now report the leaks because the vac keeps running and does not beep. I was told to reapply a piece of the drape in the leak location. I hope it will hold until morning as I don't have anymore vac supplies (last Wednesday's nurse forgot to reorder). A supply order is expected end of day Tuesday.

            The weekend is the toughest as I usually don't have the wound vac connected on Sunday as it literally falls off at the wound site area. I have been instructed to just apply a rescue bandage which rarely stays any length of time due to the amount of seepage.

            Comment

              #7
              Get a new vac. Check the settings. What is the pressure set at? Does she windowpane with waterproof tape? When turned on, the foam should suck down, with leak it won’t and the alarm should go off. Have her call KCI vac specialist while she is there to troubleshoot it. CWO
              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.
              • 1 like

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                #8
                The pressure is set at 125. Nurse applies skin protectant than does the windowpane using pieces of the drape that she cuts. Nurse then applies the foam into the wound with the extension.

                The nurse reported that her supervisor has taken over the issue of getting this vac replaced. It does concern her that the leaks are not being noticed by me until the application is already falling off. I try to not transfer very much so I don't see the little leaks until they are bigger.

                Comment

                  #9
                  Skin protectant around wound but too much sponge is not good and should not overlap. The entire one piece drape or layered of more than one over the entire wound, skin protectant and windowpane. CWO
                  The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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