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We have an issue with gauze being placed over newly placed ports which then necessitates a twice weekly dressing change (per policy). This is very traumatic for our patients to have to have that extra dressing change, so we have pleaded with the surgeons to only put a Bio-patch, Steri-strips and clear occlusive on new ports. We are fine if they put gauze/telfa on the incision site. We leave that alone.
A Clinical Nurse Specialist is a master’s prepared nurse who implements evidence-based practice to improve patient outcomes, advance nursing practice, and influence system changes within the organization.
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We’ve had practice questions come up recently relating to newly placed ports. Our kids come up accessed with an occlusive dressing, and there has been issues in the past with the skin glue on the surgical incision adhering to the dressing so that when removed, the incision may open.
Our providers have taken to being proactive and placing sterile gauze over the site, causing confusion about whether to change it every 48 hours per policy (gauze under a dressing) vs. allowing it to stay.
My questions to all of you:
1) How are your newly placed and accessed ports dressed? Do providers placed gauze or any preventive agent under the dressing?
2) Does your hospital have specific dispensations for gauze under a dressing that is not specifically for moisture or drainage management?
Thank you in advance for the responses!
—————————— Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON Clinical Nurse Specialist – Riley Cancer Center Riley Hospital for Children at IU Health Indianapolis, IN ——————————