Our Services
RN-led negative pressure wound therapy — wound vac dressing changes, seal troubleshooting, and progress monitoring — delivered where you are recovering across Kissimmee, Poinciana, Orlando, Southwest Orlando, Davenport, Celebration, and Saint Cloud, Florida.
A wound vac — negative pressure wound therapy, or NPWT — is one of the most effective tools in modern wound care, and one of the most demanding to run correctly at home. Innovatio Consulting LLC provides mobile, RN-led wound vac management throughout Kissimmee, Poinciana, Orlando, Davenport, and the surrounding Central Florida communities.
The device itself is simple to describe. A piece of specialized foam or gauze is cut to the shape of your wound and set inside it. A clear adhesive drape seals the foam and a margin of surrounding skin, and a small pad and length of tubing connect that sealed dressing to a portable pump. The pump applies gentle, steady suction — usually somewhere around 75 to 125 mmHg, set by your physician — and pulls wound fluid away into a disposable canister.
What that suction does is the point. It draws off the excess fluid that keeps a wound boggy and stalled. It reduces swelling in the tissue right around the wound, which improves blood flow to the very edges that need to heal. It gently pulls those edges toward each other. And the constant, closed, moist environment encourages the wound bed to fill in with healthy granulation tissue — the beefy red tissue that has to appear before a wound can close.
The catch is that all of that depends on an airtight seal, correctly sized foam, and someone who knows what the wound bed is supposed to look like week over week. A wound vac with a slow leak is not a wound vac; it is an expensive dressing that dries out. A vac left running on a wound that is no longer responding is time your body does not get back. This is the part families most often find overwhelming on their own, and it is exactly what we handle.
Wound vac therapy is prescribed and directed by your physician or wound care provider, who sets the pressure, mode, and dressing change frequency. We deliver and monitor that plan as licensed nursing care — we do not prescribe it, and we are not a substitute for emergency medical care.
Ask About Wound Vac TherapyVisits happen where you are — your home in Kissimmee or Poinciana, a family member's house in Orlando, an assisted living apartment in Davenport. A wound vac dressing change is a deliberate, unhurried procedure. Here is how ours go.
Have your dressing kits, spare canister, and the pump within reach, and leave the pump plugged in so the battery is full. Set out your physician's orders and a current medication list. If you have been prescribed something for pain, take it about thirty minutes ahead. Choose a well-lit room where you can lie or recline comfortably for thirty to sixty minutes.
Removing an adhesive drape and foam from a healing wound bed can sting, and we do not pretend otherwise. We time the visit around your pain medication, use a removal technique and adhesive remover that spare your skin, and tell you before each step rather than after. If a dressing change is consistently more painful than it should be, that is information your physician needs, and we pass it along.
The pump is turned off and the seal released slowly. We count every piece of foam that comes out against the number documented as going in — a small discipline that matters enormously. Then the wound is assessed properly: length, width, and depth measured; any tunneling or undermining probed and mapped; tissue type, drainage character and volume, odor, and the condition of the skin around the wound all recorded, with photographs taken with your permission.
The wound is cleansed per your orders and the surrounding skin is dried and protected with a barrier film, because the drape is only as kind to your skin as the preparation underneath it. Foam is cut to the wound's exact shape so it contacts the wound bed without resting on intact skin, placed to fill the space without packing it tight, and the drape is applied with the margin your wound needs.
The track pad goes on, the tubing is reconnected, and the pump is restarted at the prescribed pressure and mode. Then we watch. A properly sealed dressing collapses and takes on a firm, wrinkled, raisin-like look within a minute or two. If it does not, we find the leak and fix it before we leave — we do not hand you a dressing that is going to alarm an hour after we drive away.
Before we go, you and whoever is helping you will know what each alarm means, how to change a full canister, how to protect the site in the shower, and precisely when to call us versus when to call 911. Findings are documented so your physician has a clear record of progress, and we set the next visit — typically two to three times a week — with virtual check-ins available in between.
Most wound vac visits run thirty to sixty minutes. Wounds in awkward places to seal — a heel, a sacrum, a wound near a skin fold or a stoma — and wounds with tunneling take longer, because getting them right takes longer. We would rather spend the extra fifteen minutes than have you spend the night listening to a leak alarm.
Two different clocks run at once: how often the dressing is changed, and how many weeks the therapy continues overall. Dressings are typically changed every 48 to 72 hours — about three times a week — though an infected or heavily draining wound may need daily changes at first. The overall course most commonly runs two to six weeks. The phases below are a general orientation; your physician's plan governs your care.
The adjustment window. Expect the strongest sensation of pulling or tightness as the tissue responds to suction, and expect the canister to fill fastest now. Swelling around the wound often visibly decreases within the first couple of days. Getting used to carrying the pump, sleeping with the tubing, and hearing the occasional alarm is genuinely the hardest part of week one for most people.
This is where we expect the first real signal. Drainage volume should be trending down, the wound bed should be getting cleaner and redder, and the earliest granulation tissue should be appearing at the base and edges. Depth measurements often start moving before length and width do. A wound that shows no change at all by the end of week two prompts a conversation with your physician rather than a quiet continuation.
The filling-in phase, and usually the most encouraging stretch. Granulation tissue builds from the bottom up, tunneling shortens, and the wound becomes measurably shallower. Foam pieces get smaller at each change, which is a milestone worth noticing. Many people become fully independent with canister changes and daily troubleshooting somewhere in here.
Therapy either transitions or concludes. Longer courses are common and appropriate for large surgical wounds, deep pressure injuries, and complex diabetic foot wounds. What matters is continued measurable progress at every visit — a wound vac running for weeks without the numbers moving is a plan that needs revisiting, not more patience.
Therapy usually ends when the wound bed has filled with healthy granulation tissue to roughly skin level, drainage has dropped to a volume ordinary dressings can manage, tunneling has closed, and the wound is either small enough to close on its own or ready for a surgical closure or graft. Coming off the vac is a step forward, not the finish line — we transition you to the right conventional dressing and keep monitoring until the wound is actually closed.
These ranges are general educational information, not a prediction for your wound. Healing timelines are affected by circulation, diabetes and blood sugar control, nutrition, smoking, infection, pressure or repeated trauma to the area, and the medications you take. Follow your physician's instructions, and tell us if what you are hearing from us and from them ever seems to conflict.
A wound vac is a closed system, which is a real advantage — and it also means you cannot see the wound between visits. Learning the signals the system gives you is the most useful thing you can do between our visits. Call us for an assessment, and contact your physician, if you notice any of the following.
Some symptoms are not wound care questions. Seek emergency care immediately for bright red bleeding into the canister or tubing that does not stop with pressure; a high fever with confusion, dizziness, or fainting; a rapidly spreading area of red, intensely painful, or dusky skin; new chest pain or shortness of breath; or sudden severe pain in the affected limb with coldness, numbness, or loss of color.
Wound vac therapy is not right for every wound, but for the right wound it can change the trajectory of a recovery. These are the situations we most often manage for patients and facilities in Kissimmee, Orlando, Poinciana, Davenport, and across Central Florida.
Deep, slow, stubborn wounds where every week counts. Negative pressure helps clear drainage and build granulation tissue, but it only works alongside genuine pressure offloading and blood sugar management — and we will keep raising both, because a vac cannot outrun a foot that is still being walked on.
Stage 3 and stage 4 pressure injuries, particularly over the sacrum and heels, are among the hardest wounds to seal and among the most rewarding to see fill in. We handle the seal in those difficult locations and work with caregivers on the turning, surface, and moisture management that make the therapy hold.
Incisions that have opened, been left open intentionally to heal from the bottom up, or developed a deep infection after surgery. This includes wounds after abdominal, orthopedic, and cardiac procedures, and it overlaps closely with our cosmetic wound healing work when a post-operative incision needs more than dressing changes.
Traumatic soft tissue wounds, and skin grafts or flaps where a surgeon has ordered negative pressure to hold the graft in contact with the wound bed and manage fluid underneath it. These require a careful, specific technique and close communication with the surgical team, and we treat the surgeon's protocol as the last word.
Part of RN-led care is saying so when a therapy does not fit. Negative pressure is generally avoided or used only with specific physician direction when there is untreated bone infection in the wound, when blood vessels, organs, or a surgical anastomosis are exposed in the wound bed, when the wound is filled with dead tissue or dry black eschar that has not yet been removed, or when there is cancer in the wound. Some bleeding disorders and blood thinners also change the risk calculation. If we see any of these, we stop and talk to your physician before we place another dressing.
Not sure whether your wound needs this level of care in the first place? Our post on when a wound needs professional care walks through the decision, and infected incision warning signs covers the earliest indicators of trouble.
Common questions from patients, families, and facility staff managing negative pressure wound therapy across Central Florida.
While the pump is running, most people describe a pulling, tightness, or drawing sensation rather than pain, and it usually fades within the first day or two as you get used to it. The dressing change is the uncomfortable part, because foam is being lifted off a healing wound bed. That discomfort is manageable and expected — we time visits around your prescribed pain medication, moisten the foam before removal when appropriate, and work at a pace you can tolerate. What is not expected is steady, significant pain between changes, or pain that is getting worse day over day. That warrants a call, because it can point to a pressure setting that needs adjusting, foam resting where it should not be, or a developing infection.
Most wound vac dressings are changed every 48 to 72 hours, which works out to roughly three visits a week. Wounds that are infected or draining heavily may need daily changes at the start, and your physician can order a different interval at any point. We build the schedule around your orders and your life, and we can add or reduce visits as the wound changes. Between visits, virtual consultations are available if you want experienced eyes on an alarm, a canister, or a question without waiting for the next scheduled visit.
You can be considerably more mobile than most people expect. The pumps are portable, run on a rechargeable battery, and come with a carrying strap, so walking, going to appointments, and moving around the house are all fine unless your physician has restricted the affected area. Sleeping takes a few nights of adjustment, mostly to manage the tubing so it is not pinned under you or pulling. Showering depends on your device and your physician's instructions: with many systems you can disconnect briefly and cover the sealed dressing with a waterproof barrier, but the dressing itself must not be soaked, and the pump must never get wet. Ask us to walk you through your specific setup — the answer differs by device.
The pump and dressing kits come from a durable medical equipment supplier, arranged through the physician, hospital, or wound center that prescribed the therapy — we do not rent or sell the equipment. Coverage varies by plan; Medicare and most commercial insurers do cover negative pressure wound therapy when the medical documentation supports it, which is one practical reason careful, consistent visit documentation matters. Our nursing visits are billed separately from the equipment. Call us and we will explain plainly what we charge and how our documentation supports your equipment authorization, so there are no surprises on either side.
Start with the simple things, in order: check that the pump is on and charged, that the tubing is not kinked or clamped, that the canister is not full and is seated properly, and then press firmly all the way around the edge of the drape, especially near the track pad and any skin fold. Most leak alarms resolve right there. If the alarm returns, if the foam feels soft rather than firm and wrinkled, or if you see bright red blood in the tubing, stop troubleshooting and call — and for bleeding, turn the pump off, apply pressure, and call 911. A dressing that has been off suction for more than about two hours needs to be changed rather than restarted. Nobody expects you to solve this alone at 2 a.m.; that is what the phone number is for.
Have a question about our services more generally? See our full FAQ or all wound care services.
Mobile wound vac visits and virtual check-ins are available throughout Osceola, Orange, and Polk County communities including:
Whether you were discharged from a hospital in Orlando, are recovering at home in Kissimmee or Poinciana, or are managing a wound in a facility in Davenport, we can take over the dressing changes, the documentation, and the troubleshooting — and give you back the part of your week that is currently spent driving to a wound clinic.
Call or email and a licensed RN will help you decide what your next step should be.
