Application of Compression Stockings (TED Hose)
Key Points
- TED hose must be applied with correct heel alignment and smooth, wrinkle-free fit.
- Toe perfusion and pressure should be checked after application.
- Proper fit and skin monitoring help prevent pressure injury and circulatory compromise.
Equipment
- Compression stockings (TED hose)
- Hand hygiene supplies
Procedure Steps
- Perform routine pre-procedure actions: knock, identify resident, explain procedure, provide privacy, and perform hand hygiene.
- Raise bed height as needed and position resident supine with bed flat.
- Expose only the leg being treated.
- Roll or turn stocking inside out to heel pocket.
- Place stocking over toes, foot, and heel.
- Verify heel marker is correctly positioned.
- Gently roll/pull stocking up leg to ordered length (knee or hip).
- Check toes for pressure or compromised circulation signs.
- Adjust to smooth out wrinkles; ensure even compression without bunching.
- Repeat on opposite leg if ordered.
- Complete post-procedure comfort/safety checks, perform hand hygiene, and document TED hose application with any pain/skin or status changes.
Common Errors
- Misaligned heel pocket → uneven pressure and poor therapeutic effect.
- Wrinkled/bunched fabric → focal pressure injury risk.
- Skipping toe/circulation check → delayed recognition of compromised perfusion.
- Pulling roughly over fragile skin → skin tear risk.
Related
- complications-of-immobility - Compression support is one intervention used in immobility-risk care plans.
- documenting-and-reporting-data - Accurate recording of application and tolerance supports continuity.