3M Tegaderm™ Superabsorber Dressing Template

Brand: 3M

Model: Tegaderm™ Superabsorber Dressing

Type: Template

™

Tegaderm

™

Superabsorber Dressing Evaluation

Name of Evaluator

Title

Phone Number

Evaluation Dates

Health Care Facility Name

Department

Sales Representative

Phone Number

Do you presently use a superabsorber dressing?

Yes No

If yes, what brand of superabsorber dressing(s) do you use and what sizes?

If no, what is the dressing you use to manage high exudate? Please specify brand:

Which Tegaderm

™

Superabsorber Dressing(s) did you evaluate?

4" x 4" 4" x 8" 8" x 8" 8" x 12"

Please check the site(s) where Tegaderm

™

Superabsorber Dressing was applied:

Arm Foot/Heel Ischial Tuberosity

Sacrum/Coccyx

Trochanter Lower Extremity Other:

Please check the wound type the dressing was applied to:

Venous Leg Ulcer under compression, please specify brand:

Partial Thickness Burn Stage II Pressure Ulcer

Stage III/IV Pressure Ulcer Surgical Incision Other:

Please rate Tegaderm

™

Superabsorber Dressing as it compares to the high absorbent dressing you use most often:

Much Better Better Same Worse Much Worse N/A

Absorbency/Exudate management

Performance under compression

Minimized potential for maceration

Dressing is comfortable for patient

Prevents strikethrough (leakage)

Dressing softness and conformability

Ease of dressing application

Ease of dressing removal

Nonadherent to the wound

Suitable for use on fragile skin

Overall dressing performance

Additional Comments:

Critical & Chronic Care Solutions

3M Health Care

2510 Conway Avenue

St. Paul, MN 55144-1000

USA

1-800-228-3957

www.3M.com/healthcare

Please recycle.

Printed in U.S.A.

3M and Tegaderm are trademarks of 3M.

70-2010-9327-8

3M Tegaderm™ Superabsorber Dressing Template

3M Tegaderm™ Superabsorber Dressing Template

3M Tegaderm™ Superabsorber Dressing Template

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