Reply To: New Ports/CVLs and Gauze

  • Laura Ortiz

    October 28, 2015 at 1:23 pm

    We have always said that if there is gauze under the dressing it is a 48 hr dressing.  For new ports we change the dressing at 24 – 48 hrs and replace with a biopatch to then make it a 7-day dressing. 




    Laura Ortiz, MS, BSN, RN, CPON
    Director, Pediatric Oncology
    Golisano Children’s Hospital of SW FL
    9981 S. HealthPark Dr.
    Ft. Myers, FL  33908
    Fax 239-343-6011




    ——Original Message——

    Hello all,

    A recent topic of discussion has arisen on my unit. According to our policy, for new PICCs and tunnelled lines, if gauze is under the dressing, the dressing must be changed in 48 hours (not before 24 hours).

    Current policy for newly placed and accessed ports does not state this but our risk managers say the same standard applies even if the insertion site is visible. Bedside staff believe this is not best/safest practice.

    What is your practice regarding gauze under new lines? Newly accessed ports?

    Is there literature regarding sterile gauze placed in the OR increasing infection potential?

    I’m looking specifically because either we need to inform risk managers or we need to change our port policy and discuss our concerns with the surgeons if they don’t want their new ports exposed sooner than expected…plus the added potential of inadvertent needle dislodging.

    Thanks to any information you have!

    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Indianapolis, IN
    United States