Transdermal Patches

Transdermal Patches: Medicated adhesive patch placed on the client’s skin to deliver medication through the skin into the bloodstream.

CSS Considerations

  • Transdermal patches do not include fentanyl or any other narcotic patches.
  • The client must be cognitively intact and able to self-direct their care.

PSW Considerations

  • Sites where patches can be applied:
    • Upper outer arm
    • Upper chest
    • Upper back
    • Side of chest
  • Do not allow the client to wear two patches at once
  • The PSW should report to the office at 416-635-2860 if the patch was not applied or removed as scheduled
  • The client should indicate where the patch is located to assist the PSW with removal
  • Do not apply the transdermal patch and report to the office immediately if the client has any of the following symptoms:
    • Rash
    • Hives
    • Itching
    • Difficulty breathing or swallowing

Required Supplies

  • Gloves
  • Transdermal patch
  • Pen/marker

Procedure for Applying Transdermal Patches

Documentation by PSW

  1. Before applying the patch, remove the patch from the packaging. Write down the date and your initials on the patch.
  2. Sign off the MAR sheet when the patch is applied or removed.

Application of Transdermal Patch

  1. Wash hands thoroughly with soap. Put on gloves.
  2. Hold the patch so that the plastic backing is facing you.
  3. Bend the sides of the patch away from you and then toward you until you hear a snap.
  4. Peel off one side of the plastic backing.
  5. Apply the patch to a clean and dry area that is free of hair, scars, cuts, or irritation. The patch should be applied to a different site than the previous patch.
  6. Apply the sticky half of the patch to the client’s skin on the area directed. Use the other side of the patch as a handle.
  7. Press the sticky side of the patch against the skin and smooth it down.
  8. Fold back the other side of the patch. Remove the plastic backing and pull the patch across the skin.
  9. Remove gloves and perform hand hygiene.

Removal of Transdermal Patch

  1. Wash hands thoroughly with soap. Put on gloves.
  2. Press down on the center of the patch to lift the edges away from the skin.
  3. Hold the edge gently and slowly peel the patch away from the client’s skin.
  4. Fold the patch in half with the sticky sides pressed together and dispose of the patch in the garbage.
  5. Remove gloves and perform hand hygiene.

Video Resource

Please click on the video link below for a visual demonstration of the procedure:

References