Reply To: Dressing Coverage r/t Oral/Trach Secretions

  • Kimberly Duback

    November 15, 2017 at 10:29 am

    ​At Advocate Children’s Hospital, we have begun using sterile drapes that have an adhesive side and use it (similar to a very large post-it note) to shield the Central Line.  The drapes are no longer sterile as soon as we put them on the patient; however, we are using this to shield our lines while still offering easy viewing and assessment of teh CVC underneath (simply lifting the flap while the top sticky side remains secured to the patient).  We are using this for all types of lines/tubes/etc including secretions from trachs, fem lines (espeically when a patient is having freqnent incontinence, in small infants who also have lines and have g-tubes, ostomies, etc. 

    We have had a lot of successes and are keeping our CVC dressings clean with this process.  The drapes are changed as needed/soiled, but no less frequently than daily. 

    Feel free to let me know if you would like more information!

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    Oak Lawn, IL
    United States of America
    Original Message:
    Sent: 11-15-2017 10:17 AM
    From: Chris Donaghey
    Subject: Dressing Coverage r/t Oral/Trach Secretions

    Hi all,

    I’m looking to see what other facilities are doing with preventing secretions onto lines from kids who have trachs and/or a lot of oral secretions/drooling.

    We are proponents of Aquaguard, but there aren’t guidelines relating to its use as a prophylactic product or how it actually handles those types of fluids.

    These are kids where gowns/clothing is in place, but the dressing location/kid’s movement makes it encounter the fluid/moisture on a relatively consistent basis.


    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Riley Cancer Center
    Riley Hospital for Children at IU Health
    Indianapolis, IN