This instruction for use explains the handling of WOUNDCLOTTM in relation to the removal of dialysis needles from fistulas, shunts or grafts. Follow the hygiene measures according to local hospital protocol.
Remove 1 folded WOUNDCLOT gauze from the foil (Contains two WoundClot gauzes).
Remove fixation tape from the fistula needle.
First put the WOUNDCLOT gauze, and a folded 10x10 cm regular gauze twice folded to 5x5 cm on top of it. Place the two together on the puncture exit site, this gauze will prevent leakage of blood over the arm of the patient.
Remove the needle.
Press gently on the puncture exit site to close the subcutaneous gap.
If some blood is seen in the top gauze, let it be. WOUNDCLOT is most pressing, prevent significant movement of the gauze. effective in combination with the patient’s blood.
When intensive bleeding has stopped, the gauze on top of WOUNDCLOT can be taped to hold it in place during removal of the other needle.
First check to see if bleeding has stopped, is advised the first check at 50% less than it usually takes that patient to stop bleeding or 10 mins which ever is shorter, but for the initial first time use we suggest 10 mins as the first time to check. If still bleeding, wait another 3 minutes for the next check.
Follow steps 1 to 7 for the second needle.
When the second needle has been taped (intensive bleeding stopped), the first gauze with WOUNDCLOT can be removed.
Cover the puncture site with a final tape, according local protocol. See the example given in.Other options are a regular wound tape, a dry gauze, or a bandage. If the gauze which has been used, is still dry, it can be left in place with WOUNDCLOT under it.