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Wound Care Plan

Arterial Ulcer – Shepparton Retirement Village

Last Updated
14 April 2026
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Quick Overview

Reference ID Number: SRV-WCP-17

Categories

Arterial Ulcers

Scope of Practice (ScOP) Designation

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

Treatment Goals

To support wound bed stability pending determination of definitive management, whether surgical or conservative.

Aim of Dressing

To maintain antimicrobial protection during assessment of arterial insufficiency and formulation of a long-term management plan. For non-surgical candidates, ongoing wound bed stabilisation is appropriate.

Frequency of Dressing Change

Everyday

Consult(s) / Diagnostic Test Required

Arterial and venous duplex, Ankle Brachial Index/Toe Pressures

References

Shopping List

Iodine (100ml) – (Betadine) – Shepparton Retiremennt Village,Biatain Foam Adhesive – (12.5cm x 12.5cm) – Shepparton Retirement Village
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

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    Care Plans

    Arterial Ulcer

    The management of arterial ulcers is consistent irrespective of dressing aims.

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    Step 1

    Clean the affected area

    Cleanse the affected area; if located on the lower limbs, cleansing in the shower is preferred. Ensure removal of any residual iodine to prevent accumulation on the skin.
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    Step 2

    Prepare you sterile field

    Prepare a sterile field and arrange all sterile products using aseptic technique.
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    Step 3

    Clean the wound bed

    Perform thorough wound bed cleansing with removal of cellular debris.
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    Step 4

    Paint with betadine

    Paint the affected area and extend 5 cm beyond the wound margins with iodine. For toe wounds, ensure application between the toes.
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    Step 4a

    Optional **

    Where toes are touching, consider interdigital separation. After iodine has dried, place a single strip of gauze between the toes to reduce moisture build-up and subsequent ulcer risk. Non-woven gauze is preferred due to reduced adherence compared with woven gauze. Pressed rather than woven gauze is preferred as the woven gauze has become stuck easier.
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    Step 5

    Cover

    For lower-limb lesions, apply a simple dressing. For toe involvement, use Zetuvit secured with cotton and crepe bandaging to encapsulate the toes.
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