Place the Cone applicator on a smooth & sturdy clean surface. Place one hand (palm down) on top of Cone and apply light pressure; with other hand use fingers to turn the lever from right to left...to attach the suction base to the surface. If suction is not secure, repeat process, or try another surface. The suction should be tight and secure.
NEXT: APPLY STOCKING, THEN DOFF N" DONNER
Place compression stocking on the Cone, upside down (so top band goes on first). Smooth any wrinkles to the bottom. (NOTE: Thigh high stockings will have quite a bit of extra fabric on bottom...that is OK.) Grab the Doff N' Donner between thumb and fingers (it will fall out of hands easily) . Then place the Doff N' Donner on top of the Cone with sticking on it, and let it roll to the bottom, just above any wrinkled fabric. Grab all the wrinkled fabric with both hands...as seen in photo above.
NEXT: PULL STOCKING UP
Immediately after grabbing all wrinkled fabric at bottom of Cone, pull fabric slightly out...and then slowly begin to pull fabric up over the Doff N' Donner. Shake fabric a bit while pulling up, in order to eliminate any wrinkles. Different fabrics will require different degrees of "shaking" as you pull the fabric upwards. STOP pulling fabric up at the point described in the next photo...depending on your TYPE of stocking!
NEXT: STOP PULLING & START ROLLING (see below left)
CLOSED TOE KNEE HIGH, CLOSED TOE THIGH HIGH. or OPEN TOE THIGH HIGH: Pull fabric up until it is 2-6 inches above the top of Cone (depending on length of stocking): KNEE HIGH: 2-3 in. above top; THIGH HIGH: 3-6 in. above top (shown in photo above).
NOTE: OPEN TOE KNEE HIGH (and Armsleeves): Pull fabric up to level where top band of garment is 3 inches BELOW top of Cone
NEXT: ROLL OFF THE CONE
Once fabric has been pulled up to the proper point, place both hands on each side of the Doff N' Donner sleeve, and roll it all the way up the Cone, continuing to roll the garment off the Cone (easily done using fingers to squeeze and roll at the top. No more pulling at this point!
Roll off the Cone completely, then immediately turn upside down, and use hand and fingers to continue rolling...but only to the FINISH POINT: The "finish point" depends on the TYPE of stocking being rolled...either:
OPEN TOE or CLOSED TOE
NEXT: STOP ROLL AT FINISH POINT (see right)
CLOSED TOE ROLL FINISH: Continue to roll until you see a capped or FLAT END. STOP. Follow next instructions for proper positioning just prior to donning!
OPEN TOE (or Arm sleeve) FINISH: Roll only until the toe band of stocking appears, and you see it just retract from the top to approx. 1/2 in. from the top (inside)...then STOP. NOTE: Longer stockings may have excess fabric protruding from opposite end (where heel is located). This is OK...just guide the extra fabric over toes if it "catches"on them while donning!
NEXT: PREPARE TO APPLY STOCKING
(see below left)
Now you are ready to apply your stocking ("DON"). Just prior to donning, make sure that you identify the heel of the stocking (usually there is a reinforced area for this...This may require marking heel with a permanent marker, for easier recognition.). Face the heel DOWN, and AWAY FROM TOES. You are now ready to push (caregiver application) or roll (patient application) onto toes and over the foot! Performing this motion quickly and smoothly makes the process much easier. If patient can int toes, that may be beneficial.
NOTE: If you find it difficult to get over the foot, place more pressure towards the heel...to force more liquid/air in that direction for easier donning.
NEXT: ROLL UP LEG!
Use EVEN pressure from both hands (one on each side) to PUSH (for caregiver application), or ROLL (for patient application) up the leg (or arm)...but ONLY to the level of comfort for the patient! (This may be all the way until the fabric is completely unrolled from the Doff n' Donner...or you may need to stop prior to that point and release the fabric manually, then remove the "naked" Doff N' Donner from the leg (or arm.)
NEXT: RELEASE DOFF N" DONNER FROM THE LIMB.
Release the Doff N' Donner from the stocking at the most comfortable point, and if that is before it is completely unrolled from the stocking, guide the stocking off and remove it from the leg. Pull any excess fabric up to the proper level for either knee or thigh high stockings. (Be sure to leave a finger width, or two, below the bend of the knee and the band of the stocking on a knee high garment.)
Place the Doff N' Donner anywhere in room temperature for removal of your stocking later!
NEXT: PREPARE TO REMOVE STOCKING
(See below left)
With both hands, ROLL the Doff N' Donner over foot and up to the highest comfortable point below the top of your stocking. With one hand, use thumb and first two fingers to pull part of the top of stocking down over top of Doff N' Donner until it will begin to roll down and "collect" the rest of the fabric. Then place hands on both sides of Doff N' Donner and simply push it so it will roll the stocking to the ankle. . You may need to tuck some fabric, or "reset" at this point You are almost finished...just one more step!
NEXT STEP: PUSH OVER HEEL AND FOOT TO REMOVE
The Doff N' Donner will easily roll your stocking down to the ankle with a "push". The next part is more challenging, so make sure to use even pressure with both hands, then simply push it (one hand on each side) off the foot, and as with donning... the quicker the better! Push a little more toward the heel for easier removal.
Oftentimes the doffing process will prepare the Doff N' Donner well enough for the next application (you may decide you need an extra Doff N' Donner...one for each leg). To release the stocking from the Doff N' Donner to wash:
Q: What if the Doff N' Donner gets "stuck" in the stocking?
A: Find the toe (or toe band in an open toe garment) and pull it out, or place on the Cone and unroll it.
Q: How should I clean/disinfect
the Doff N' Donner?
A: Warm, soapy water...dishwater is just fine. You can also place in a large plastic bag, pour in some isopropyl
alcohol and shake until coated (multi-patient use is NOT recommended).
Q: What if I have wrinkles after donning, or the heel is not in the right place?
A: This is one of the BEST parts of the Doff N' Donner... the ability of it to be used instead of gloves. Grab both ends (refer to this video), and "swipe" wrinkles away, and heel into place.
For other Common problems and solutions, and more Tips & Tricks, refer to the video on this website!