1. T.L.C. for Buttocks

2. Sensi Care ® This an excellent skin barrier unless it is used incorrectly. It contains zinc oxide which is important in wound healing. This an excellent skin barrier unless it is used incorrectly. It contains zinc oxide which is important in wound healing. Never spread this on entire buttocks. It dries excessively and causes peeling with friction from linen or when patient is not lifted properly. Never spread this on entire buttocks. It dries excessively and causes peeling with friction from linen or when patient is not lifted properly. Applied correctly only around anus it remains moist enough to protect skin from erosion from diarrhea but will not cause drying and peeling. Applied correctly only around anus it remains moist enough to protect skin from erosion from diarrhea but will not cause drying and peeling.

3. Aloe Vesta ® Protective Ointment This a skin barrier that also moisturizes. This can be used on entire buttocks to prevent drying and peeling from friction from linen. This a skin barrier that also moisturizes. This can be used on entire buttocks to prevent drying and peeling from friction from linen. Use PRN incontinence. Use PRN incontinence. First cleanse with Comfort™ Shield wipes. First cleanse with Comfort™ Shield wipes.

4. Aloe Vesta® Antifungal This ointment has This ointment has Miconazole Nitrate 2%. Miconazole Nitrate 2%. Use over rashes in perianal, perineal and all buttocks areas PRN incontinence. Use over rashes in perianal, perineal and all buttocks areas PRN incontinence. Can also be used under breasts and in armpits. Add gauze to minimize moisture buildup. Can also be used under breasts and in armpits. Add gauze to minimize moisture buildup. Take care not to contaminate the ointment when used in different areas. Take care not to contaminate the ointment when used in different areas. Always change gloves when applying to a different area. Always change gloves when applying to a different area. Always pour the amount needed on a piece of gauze so the spout will not be contaminated with feces or fungus or other contaminant on your gloves. Always pour the amount needed on a piece of gauze so the spout will not be contaminated with feces or fungus or other contaminant on your gloves.

5. Comfort™ Shield Wipes These are specifically made for perineal and perianal areas. These are specifically made for perineal and perianal areas. Cleanses, moisturizes, deodorizes and applies a skin protectant Cleanses, moisturizes, deodorizes and applies a skin protectant These wipes have dimethicone which is a skin barrier which protects skin from excessive moisture. These wipes have dimethicone which is a skin barrier which protects skin from excessive moisture. Protects better than regular bath cloths which have no similar protective additive for this area. Protects better than regular bath cloths which have no similar protective additive for this area.

6. Comfort™ Bath Cloths These are made specifically for sponge bathing a patient. These are made specifically for sponge bathing a patient. They do not have the dimethicone and are not recommended for perianal, perineal incontinence care. They do not have the dimethicone and are not recommended for perianal, perineal incontinence care. They do however have a good pH fluid and other additives which protect skin from excessive drying therefore is very good for bed baths but not good for constant use on the buttocks. They do however have a good pH fluid and other additives which protect skin from excessive drying therefore is very good for bed baths but not good for constant use on the buttocks.

7. Triad Paste™ a Hydrophyllic Wound Dressing Triad Paste™ a Hydrophyllic Wound Dressing Contains zinc oxide and can dry out very much like Sensi Care®. Contains zinc oxide and can dry out very much like Sensi Care®. Any time this is used for wound care it should be covered with a dressing unless it is used in a skin fold like a perianal area, under breasts or abdominal folds. Any time this is used for wound care it should be covered with a dressing unless it is used in a skin fold like a perianal area, under breasts or abdominal folds. Use when there is scant or small drainage. Use when there is scant or small drainage.

8. Dressings Use the most appropriate dressing Use the most appropriate dressing For the size of the wound and For the size of the wound and The amount of drainage on the wound The amount of drainage on the wound Allevyn◊ Adhesive foam for scant to moderate drainage large wounds Allevyn◊ Adhesive foam for scant to moderate drainage large wounds Sacral – 6 ¾” x 6 ¾” “heart” shaped foam Sacral – 6 ¾” x 6 ¾” “heart” shaped foam 5x5 square foam 5x5 square foam Replicare® for minimal drainage and small wounds. (hydrocolloid) Replicare® for minimal drainage and small wounds. (hydrocolloid) Special dressings as recommended by WOCN Special dressings as recommended by WOCN

9. Bowel Management System (BMS) When a patient has diarrhea, stool output can be managed by applying a BMS – Requires a doctor’s order. When a patient has diarrhea, stool output can be managed by applying a BMS – Requires a doctor’s order. Your patients would be more compliant with taking Lactulose if you protected their skin and their schedule with a BMS. (A special stool modification program would have to be ordered by the MD.) Your patients would be more compliant with taking Lactulose if you protected their skin and their schedule with a BMS. (A special stool modification program would have to be ordered by the MD.) A patient does not have to stay up all hours going to the bathroom or if immobile would not need to be cleaned all night. A patient does not have to stay up all hours going to the bathroom or if immobile would not need to be cleaned all night. Assistance applying one can be found in ICU staff. Assistance applying one can be found in ICU staff. Education for application and care of one can be gotten from your WOCN Education for application and care of one can be gotten from your WOCN Interventions for management of a BMS can be dropped down to your Kardex from the Meditech System. Interventions for management of a BMS can be dropped down to your Kardex from the Meditech System.