AQUACEL Foam dressing may be used as a primary dressing or secondary dressing - Always ensure the skin surrounding the wound is clean and dry. Choose a dressing size and shape to ensure that the central absorbent pad (area within the adhesive window), is 1/3 IN larger (1cm) than the wound area. Dressing can be cut to shape for convenience. Hold the dressing over the wound and line up the center of the dressing with the center of the wound. Place the pad directly over the wound. Smooth down the adhesive border and hold in place to ensure adherence. Venous/Arterial Leg Ulcers - For Non-adhesive dressing, use additional tape or other means of fixation. Finger/Toe Dressing - Always ensure the skin is clean and dry. Choose an appropriately sized square dressing. Do not remove the release liner. Cut the dressing into an even cross. Remove the release liner and place the center of the dressing over the wound. Fold the arms of the cross down along the length of the finger/toe. Secure the arms of the cross in place, consider appropriate retention bandage. Interdigital Dressing - Always ensure the skin is clean and dry. Choose an appropriately sized square dressing. Do not remove the release liner. Fold the dressing in half and cut five equal slits in the dressing, approximately 0.5 IN (1.5cm) in length, sized and spaced according to the size of the digits to be left uncovered. Remove the release liner and place the dressing over the toes or fingers, feeding them through the slits. Ensure the dressing is snug but not tight. For difficult to dress anatomical locations, such as the sacrum, or heel, the specifically shaped adhesive dressing may be used. Sacral dressing - Always ensure the skin is clean and dry. Remove the release liner. Hold the dressing at its edges. Fold the dressing in half, with the Foam dressing back sides touching. Place the fold into the natal cleft. Keep the center pad in contact with the wound and smooth the edges of the dressing into place.Removal - The dressing should be changed when clinically indicated (i.e. leakage, bleeding, increased pain, suspicion of infection). The AQUACEL Foam dressing maximum recommended wear time is up to seven days. The wound should be cleansed at appropriate intervals. To easily remove the dressing, press down gently on the skin and carefully lift one corner of the dressing. Continue until all edges are free. Carefully lift away the dressing and discard according to local clinical protocols. To aid in removal, use Sensi-Care sting free adhesive remover.