Mepilex Transfer Protocol

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Policy: Use and application of Mepilex Transfer Ag

Purpose: To ensure that all patients receiving Mepilex Transfer Ag during wound care are cared for effectively and safely.

Definition: Mepilex Transfer Ag can be used in the treatment of partial thickness burns, pressure ulcers and for the management of moderate to high exuding wounds. Mepilex Transfer Ag is a soft and highly conformable anti-microbial foam dressing with holes that allows exudates to transfer to an absorbent secondary dressing. It differs from Mepilex Ag which has an impermeable outer layer that does not allow exudate to move through to an outer dressing. Both Mepilex Transfer Ag and Mepilex Ag inactivates wound related pathogens within 30 minutes with sustained effect up to 14 days.

Standard: Mepilex Transfer Ag minimizes pain and trauma associated with dressing changes. Does not adhere to the moist wound bed but, to dry skin only. Can be lifted and adjusted without losing adhering properties or decrease in anti-microbial coverage. Can be used in partial thickness burns as well as donor sites.

Precautions: Do not use on patients with a known sensitivity to silver. Do not use during radiation treatment, X-rays, ultrasound, diathermy or MRI. Does not use together with oxidizing agents such as hypochlorite solutions or hydrogen peroxide

Preparation:

1. Explain procedure to patient.
2. Clean all burn wound areas according to wound cleansing guidelines
3. Gather supplies

Procedure:

1. Partial Thickness Burn:
   • Remove the film barrier from the surface of the Mepilex Transfer
   • Place over wound bed. The piece should overlap the wound bed by at least 2 cm onto the surrounding intact skin. Apply the sticky side down. Do not stretch.
   • If necessary secure with wrap of Kerlix or ACE bandage.
2. Donor Sites:
   • Do NOT remove or change Mepilex Transfer Ag placed on donor sites until directed by burn physician team.
   • Mepilex Transfer Ag can remain in place for 10-14 days.
   • Staples may be removed on same schedule as autografts.
   • Outer dressing should be changed PRN as it becomes soiled with exudate. Water can be used to loosen the outer dressing if stuck.
   • Do NOT remove Mepilex Transfer Ag on donor sites for wound rounds (M-W-F) unless directed by the Burn Attending.
   • Mepilex Transfer Ag should allow donor sites to dry faster than with standard Mepilex Ag, accelerating time to closure. It should also obviate the need to change donor site Mepilex that becomes saturated with exudate.
3. Continuing Care:
   • Monitor area for coverage of wound, if slips or moves can be lifted gently off wound bed and repositioned to cover and re-secure with Kerlix.
   • Monitor patient for signs and symptoms of infection.