Reply To: New Ports/CVLs and Gauze

  • Mary Lynn Rae

    Member
    October 28, 2015 at 1:47 pm

    If we use a gauze under an external tunneled CVC or PICC then the dressing is changed Q48 hours.  We have been using gauze under the Huber needle wings for over a decade to pad the wings and have never had an issue and therefore if we use gauze for ports we leave the dressing on for 7 days.

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    Mary Lynn Rae, CPHON,MSN,RN
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 10-28-2015 12:35 PM
    From: Chris Donaghey
    Subject: New Ports/CVLs and Gauze

    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!

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