Reply To: New Ports and Skin Glue

  • Katherine Dodge

    Member
    November 18, 2019 at 1:48 pm

    Hi Chris,

    When our kiddos come back from a port placement, there are two separate dressings in place. A CHG dressing over the port access site and a sterile gauze/ tegaderm combo over the incision site that’s been closed with skin glue. Thankfully the providers who place the dressings are great about making sure they do not overlap.
    I’m not sure if it’s possible for them to use a smaller dressing over the port site or to angle it differently so it doesn’t overlap the incision above it, at least until the incision has had some time to heal.

    Hope this helps.

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    Katherine Dodge, BSN, RN
    Seattle Children’s Hospital
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    Original Message:
    Sent: 11-11-2019 09:51 AM
    From: Chris Donaghey
    Subject: New Ports and Skin Glue

    Hi all,

    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!

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