Hartmann USA, Inc. USA FOURPRESS® 43400000 Compression Bandaging System Includes: Padding Bandage, 4in. x 3.8 yds (unstretched), Crepe Bandage, 4in. x 4.9 yds (stretched), Compression Bandage, 4in. x 9.5 yds (stretched), Cohesive Bandage, 4in. x 6

Application:

How to apply:

Before applying the first bandage:

• Check the ABPI (Ankle Brachial Pressure Index) to determine if arterial disease is present. If the ABPI is less than 0.8 do not apply the FourPress®.
• Measure the ankle circumference. If ankle circumference is less than 18 cm (7 1/8"), pad the ankle and bony prominences completely to protect against excessive sub-bandage compression which can cause tissue necrosis. Urge the patient to seek medical attention if numbness or pain in the toes or feet occurs and/or if the bandages become uncomfortable or irritating.
• Apply an appropriate non-adhesive primary dressing to cleansed wound before applying FourPress®.

Layer One - Padding Bandage:

• In a spiral fashion, wrap the padding bandage from the base of the toes up the leg to just below the knee.
• Cut or tear off any excess padding.
• Use any excess to pad bony prominences such as the tibial crest.
• This is especially important when the leg is thin and bony.
• While wrapping, overlap each layer of the bandage by one-half the width.
• Smooth after each turn.
• To hold the bandage in place, secure the end with one of the three strips of tape supplied in the kit.
• When applying a compression system to the leg, it is important to enclose the heel with all layers of the System.

Layer Two - Crepe Bandage:

• Use the same spiral bandaging technique as for layer one.
• Wrap the bandage from the base of the toes up the leg to just below the knee.
• While wrapping, overlap each layer of the bandage by one-half the width.
• Smooth after each turn.
• To hold the bandage in place, secure the end with the second of the three strips of tape.

Layer Three - Compression Bandage:

• Using a Figure 8 bandaging technique, wrap the bandage from the base of the toes to just below the knee.
• Use the yellow line as a guide to determine one-half of the width of the bandage.
• While wrapping, stretch the bandage to 50% of its relaxed length.
• At the base of the knee, cut off any excess bandage and secure the end with the third tape strip.

Layer Four - Cohesive Bandage:

• Caution: As you unroll the cohesive bandage, be sure to unroll enough of the bandage (e.g., 18"-24") from the roll to complete one full turn around the leg. Allow the unrolled portion to relax then stretch it 50% and apply it around the leg. Unroll another 18"-24" and repeat the relaxing, stretching and applying sequence until you have wrapped to just below the knee.
• Wrap the bandage in a spiral manner from the base of the toes up the leg to just below the knee.
• Stretch the bandage to 50% of its relaxed length.
• Overlap each layer of the bandage by one-half the width.
• At the base of the knee, tear or cut off any excess bandage.
• The cohesive bandage will adhere to itself securing all the bandages in place.
• To ensure that the cohesive bandage adheres firmly, let the last 6" to 8" of the bandage relax before adhering it to the underlying layer.
• Mold and squeeze the bandaged leg to increase the cohesiveness of the outer layer.