Reply To: Gowns, Clothes, etc.

  • Kimberly Duback

    May 30, 2019 at 3:39 pm

    You bring up an excellent point about the diverting downward and a potential risk of contamination. In full transparency, we have the imposed the same normalcy philosophy and have allowed patients to wear what feels best for them, either gowns or their own clothes as along as it doesn’t interfere with care or bathing.​

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    United States of America
    Original Message:
    Sent: 05-30-2019 03:36 PM
    From: Chris Donaghey
    Subject: Gowns, Clothes, etc.

    We have had a challenging period with cleanliness and lines that are improperly diverted.

    For years, our staff have allowed shirts and rarely used gowns, especially on older kids, to promote normalcy, though it presents a challenge with IV tubing diverting down for easier potential contamination.

    If diverted up, the challenge of disconnecting IV tubing for shirt changes exists and we all want to minimize disconnects.

    How does your unit address clothing? Kids can wear anything as long as changed daily? Gowns? And if their own clothes, how are associated disconnects either managed and/or mitigated?

    Thank you.

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