---RE: Pattie n : Adhesives Revisited

[Guest guest]

I think you can. Did you go to the website I sent with info on skin prep?

Here it is again. http://wound.smith-nephew.com/us/Home.asp that's the

main page. To get directly to the skin prep info I have cut and pasted

below use this: http://wound.smith-nephew.com/us/Product.asp?NodeId=649

General | Instructions for Use

Description

Skin-Prep* is a liquid film-forming dressing that, upon application to

intact skin, forms a protective film to help reduce friction during removal

of tapes and films. Skin-Prep can also be used to prepare skin attachment

sites for drainage tubes, external catheters, surrounding ostomy sites and

adhesive dressings.

Indications

* Apply as a coating to prepare the skin for adhesives.

* Provides a protective interface that may reduce friction during the

removal of tape.

* For skin attachment sites: drainage tubes, external catheters,

surrounding ostomy sites and other adhesive dressings.

* For use in sensitive stoma areas as a skin protectant.

* May reduce irritation from contact with body wastes and stoma fluid.

* Forms a protective film on skin which may reduce exposure to urine

and feces.

* Skin-Prep should only be used on intact skin.

Precautions

For external use only. Keep out of the reach of children. Avoid contact with

eyes. In the case of accidental contact, flush eyes well with water. Do not

apply directly to open wounds or in deep puncture wounds. Should redness or

other signs of irritation appear, discontinue use.

Features & Benefits

* Helps tape and film adhesion.

* Fast and easy to use, only one coat is required, so less product is

used per application.

* Removes easily using skin cleanser or soap and water, so unsanitary

residue isn't left in or around the wound area.

* Applies easily, even on awkward areas such as elbows, knees, and

heels. Moves naturally with patients' skin and won't crack or peel.

* Allows skin to " breathe " so tapes and films adhere better.

* May increase intervals between dressing changes.

Reimbursement Information

Usual Allowable Amount: Liquid skin barrier wipes: 3 boxes of 50 per 6

months. Adhesive remover: 16 oz. per 6 months. Tape: 20 units (360 sq.

in.) per month. (Note: a unit is based on 1 in. wide tape.)

Specific Coverage Criteria: Covered with any type of ostomy.

Instructions for Use:

For OTC applications, please follow Directions and Instructions for Use

provided by your physician, nurse or healthcare professional. If no

instructions were provided, follow the directions below:

Step 1:

Skin should be clean and dry prior to application of Skin-Prep*.

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Step 2:

Apply a uniform coating over entire area you wish to protect, i.e., around

stoma, under dressing, catheter site, etc.

Step 3:

Skin-Prep will dry in approximately 30 seconds. If you miss an area that

you intended to cover, wait until the original area of application has

dried, then reapply to the missed area.

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Step 4:

For maximum protection, an optional second coating of Skin-Prep may be

applied and allowed to dry before covering area with dressing or other

adhesive product.

Step 5:

If Skin-Prep is applied to an area with skin folds or other skin-to-skin

contact, make sure that skin-contact areas are separated to allow the

coating to thoroughly dry before returning to normal position.

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Removal:

Step 1:

The removal of adhesive products may also remove Skin-Prep, so reapplication

is necessary any time that adhesive products are changed.

Step 2:

Removal of Skin-Prep is not necessary before reapplication. Clean and dry

the area and apply fresh Skin-Prep as directed above.

~Pattie~

" What matters is not great deeds, but great love. " ~ St. Therese of Lisieux

Family website: www.shwachman.50megs.com

_____

From: [mailto: ] On Behalf Of

S

Sent: Thursday, May 04, 2006 7:42 AM

Subject: RE: Pattie n : Adhesives Revisited

Hi ,

I had never heard of Skin Prep until Pattie mentioned it. I'm not sure what

it is, but plan on looking into it. Does anyone know if we can use it near

his port?

Since Conner has a port, this makes the use of tegaderm almost a must, but

he does better with the cloth type cover, rather than the clear stuff.

When he was using Emla/LMX on his arm, we would wrap the area on his arm

with plastic wrap (press and seal stuff works best) and then wrap that with

Coban or an Ace bandage. We have also found that paper tape works best for

him, but it doesn't hold very well. We haven't found a lot of other

options! Also, Conner does much better if we use the adhesive remover pads

as we are peeling off tape, it doesn't work so well with the regular

tegaderm, but it's better than nothing.

When Conner was on the Rocephin a couple of weeks ago we had to go get his

port needle changed out and I wasn't paying attention when they put on the

Emla. They used a HUGE piece of tegaderm to cover the cream over his port.

He was screaming as they pulled it off! His chest was extremely red and

bleeding in small areas where the skin came off. I was so mad at myself for

not realizing what they were doing! I have to stay on top of everything!

_____