A wound dressing that includes two layers for a two part solution to the needs of a healing skin wound. The first step involves a relatively closed system wherein moisture is kept near the skin to promote healing. The second step allows for removal of a top layer of the dressing to reveal a layer with a series of apertures that allows for 100% moisture vapor and oxygen transmission rates to avoid irritation and itching of the skin. At the same time, the bottom layer of the wound dressing maintains a significant outer perimeter that prevents the perimeter migration of microorganisms into the healing wound. The wound dressing can also be used as a means for securing medical instruments, such as intravenous catheters, to the skin of a patient while avoiding the itching and irritation associated with traditional methods.