Application of Abdominal Binder 

Purpose: 

• To provide even, firm support for the abdomen. 

• To reduce pain. 

• To hold dressings in place. 

• To hold a gastrostomy tube in place. 

• To hold ostomy pouches in place. 

Equipment: 

• Abdominal binder of the type ordered. 

• Fasteners (Velcro, tape, or pins as appropriate). 

Procedure: 

1. Preparation: 

• Verify the physician’s order for the use of an abdominal binder. 

• Explain the procedure to the resident to ensure their understanding and cooperation. 

2. Resident Positioning: 

• Position the resident on their back, ensuring comfort and proper body alignment. 

• Complete any necessary dressing changes or skin-care procedures. Cleanse and dry the area as needed. 

3. Applying the Binder: 

• Turn the resident onto their side, facing away from you. 

• Roll the end of the binder towards the resident's midsection. 

• Place the binder from the waist to the pubic line. 

• Roll the resident to the opposite side and pull the ends of the binder free. 

• Wrap the binder firmly across the abdomen and fasten it from bottom to top, using sufficient fasteners to maintain adequate support. 

4. Securing the Binder: 

• Ensure the binder is snug but not too tight, allowing for adequate support without restricting circulation or causing discomfort. 

• Replace the top bedding, ensuring the resident is comfortably positioned with the call light within easy reach. 

5. Monitoring: 

• Check the placement and effectiveness of the binder at least once per shift. 

• Observe for any signs of skin irritation, discomfort, or changes in circulation. Adjust the binder as necessary. 

6. Documentation: 

• Document the application of the binder, including the resident’s response, in the medical record. 

• Note any observations related to the effectiveness and any adjustments made. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Ensure that all procedures are documented accurately in the resident’s care plan. 

• Regularly review and update the application techniques according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on the correct application and monitoring of abdominal binders to ensure resident safety and comfort. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.