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Patients are required to shower/bathe every 6 hours for 48 hours following the completion of the Thiotepa infusion. No bubble bath or lotions are allowed.
The CVL is cleaned once daily with chloroprep are one of the shower/bathes, for remainder of shower/baths CVL is cleaned with 2:1 Hibiclens/H2O2.
The line is dressed with sterile 4X4 and secure with bandnet only.
The CVL is placed sometime during the work-up the 2 weeks before admission.
Frequent diaper changes. ——————————————- Debra Southworth Denver, CO United States ——————————————-
——————————————- Original Message: Sent: 05-14-2014 10:31 AM From: Amy Spence Subject: Thiotepa skin care
This message has been cross posted to the following Discussions: Inpatient Staff Hospital Issues and Bone Marrow Transplant . ——————————————- What is your practice for skin care for patients receiving HSCT/BMT prep dosing of Thiotepa, specifically: *What do you use to bathe?
*How often are the baths and are they spaced evenly over the 24 hrs (do you allow longer periods during night time)?
*What is your process for CVL care with the baths?
*Any additional items done for patients in diapers?
*In relation to the start of the prep with Thiotepa, when does the patient receive their CVL (immediately before, a week before etc.)?
Thank you so much! The literature has not turned up much so we are now seeking best practice information.
——————————————- Amy Spence Seminole, FL United States ——————————————-