Reply To: Thiotepa baths and dressings

  • Vanessa Bertini

    Member
    February 19, 2020 at 3:31 pm

    At what frequency are patients required to bathe? q6h from 6 hrs. after first dose of thiotepa to 48 hrs. after completion.
    2) How long after administration of thiotepa are patients required to bathe?48 hrs.
    3) What do you use to cleanse the skin? (i.e. just water, water + soap, etc.) Sterile gauze and sterile water only
    4) What do you use to cleanse the CVL site? with baths, sterile water and sterile gauze
    5) Do you utilize any dressings over the CVL site? If so, what do you use and how often is this changed? Sterile split gauze 2x2s with 4X4 over top and a “chest panty” keeping it in place. All changed with every bath. No Biopatch or chemicals of any kind.

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    Vanessa Bertini, RN MSN CPN CPON
    Clinical Practice and Education Specialist
    Children’s Hospital of the King’s Daughters
    Norfolk, VA
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    Original Message:
    Sent: 02-19-2020 02:01 PM
    From: Kasey Ragas
    Subject: Thiotepa baths and dressings

    Also ,

    We use a standard CVL dressing change kit with chlorhexadine to clean around CVL site and occlusive dressing to CVL site that is part of the dressing change kit. 

    Kasey F. Ragas

    Original Message——

    ​1) At what frequency are patients required to bathe? q6h on standard times
    2) How long after administration of thiotepa are patients required to bathe? (i.e. 24 vs. 48 hrs) 48 hrs post last dose
    3) What do you use to cleanse the skin? (i.e. just water, water + soap, etc.) Cetaphil and water
    4) What do you use to cleanse the CVL site? Hibiclens soap
    5) Do you utilize any dressings over the CVL site? If so, what do you use and how often is this changed? gauze dressing wrapped around their torso changed with every bath

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    Jennifer Nordin, RN
    Leawood, KS
    United States
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