Ace Bandage, Application of 

Purpose: 

• To provide even firm support. 

• To reduce pain. 

• To apply pressure. 

• To reduce swelling. 

• To facilitate return circulation from the extremities. 

• To immobilize a joint. 

Equipment: 

• Appropriate size Ace bandage as ordered. 

• Ace fasteners or adhesive tape. 

Procedure: 

1. Preparation: 

• Verify the physician’s order for the use of an Ace bandage. 

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

• Expose the area to be treated and position the resident comfortably to allow access to the area. 

2. Skin and Dressing Care: 

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

3. Bandage Application: 

• Anchor the bandage by making a circular turn away from you. 

• Apply the bandage smoothly in a spiral method, ensuring even pressure to avoid occlusion of arteries. 

• Overlap each layer by half to anchor subsequent rolls with circular turns. 

• Secure the terminal end with Ace fasteners or adhesive tape. 

4. Monitoring and Maintenance: 

• Observe the bandage frequently for wrinkles and uneven pressure. 

• Check circulation by noting temperature, edema, pulse, and color of distal areas (e.g., toes, fingers). 

• Remove the bandage by rolling it smoothly over the skin at least every eight hours unless ordered otherwise. 

• Observe the condition of the skin during bandage removal. 

• Replace the bandage if it becomes soiled or loses elasticity. 

5. Documentation: 

• Document the application of the bandage, 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 Ace bandages 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.