Ask the care expert ... about the ISTAP tool kit

Share this article:
Sherrie Dornberger, RNC, CDONA, FACDONA, executive director, NADONA
Sherrie Dornberger, RNC, CDONA, FACDONA, executive director, NADONA

I am in a new charge position and when I went to training, someone kept mentioning “ISTAP” with reference to skin tears. Do you know what this person was referring to?

The International Skin Tear Advisory Panel (ISTAP) has just created a tool kit for the prevention, identification and treatment of skin tears. It includes topics such as assessment and treatment, a skin tear risk assessment pathway, classification and a product guide with treating the skin tear in mind.

The thinning out and dryness of the skin of the frail elderly make skin tears a huge problem in many facilities. At times, they lead to severe infections, and even deficiencies if they are a reoccurring problem or a facility-wide issue. 

One protocol or one treatment type does not do well for all skin tears. They really need to be assessed and treated on an individual basis, which make this tool kit very important for you and your facility.

ISTAP has classified skin tears as follows to promote a “universal language” for documentation of skin tears:

Type 1 – No skin loss. Tear is linear and can be repositioned to cover the wound.

Type 2 – Partial flap loss. Flap cannot be repositioned to cover the wound bed.

Type 3 – Total flap loss. Total flap loss, exposing entire wound bed.

For the complete tool kit, visit www.skintears.org/Skin-Tear-Tool-Kit. 

After looking at this resource, refer to your facility's policy and procedures for skin tears. Your medical committee should consider updating your protocols using the latest information available.


Share this article:

More in News

Bulk of Medicaid to be managed care in two years: Avalere

Bulk of Medicaid to be managed care in ...

More than three-quarters of Medicaid beneficiaries will be enrolled in a managed care plan as of 2016, according to an Avalere Health analysis released Thursday. The numbers reveal that managed ...

Nursing home asked for employee's personal information too often, jury rules

The human resources department of a Maine nursing home did not properly protect a former employee's personal identification information, a jury recently ruled.

Test could confirm sepsis within an hour

Nursing home residents might benefit from a new way of diagnosing and treating sepsis made possible by discoveries out of the University of British Columbia.