Reply To: dressing change on Impalntable venous access devices

  • Kimberly Duback

    January 28, 2019 at 3:29 pm

    ​We used to place gauze under the wings several years back but removed the supportive gauze when the Q48 hour recommendation was published (I believe it was through CHA at the time). If for some reason any gauze was used, no matter if it blocked the site or not, we would change in 48 hours.

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    United States of America
    Original Message:
    Sent: 01-25-2019 12:32 AM
    From: Sarah Hakim
    Subject: dressing change on Impalntable venous access devices


    In our institution we change the dressing of the implantable venous access device every 7 days if it is a transparent dressing and every 48 hours if it is a gauze dressing even if the gauze does not obscure the insertion site.

    I have read in the literature that  if the gauze to support the wings of an access needle doesn’t not obscure the insertion site under the transparent dressing we can change it every 7 days.

    Kindly advise what is your practice if you have a gauze dressing not obscuring the insertion site. do you change it every 48 hours or 7 days ?

    Thank you

    Sarah Hakim, MSN
    Clinical Educator