Reply To: CHG Allergy and CVC care

  • Andrea Fox

    July 11, 2017 at 5:36 pm

    Hi Michelle:
    At our institution, here are the following steps we use when CHG is contraindicated.
    1. Using povidone-iodine swab stick, begin cleaning at insertion site and proceed outward in a circular motion. The entire area that is under new dressing is cleaned.
    2. Repeat using a second stick.
    3. For Hickman/Broviacs, use a third swab stick to clean the portion of catheter that will be under dressing. Start at exit site and swab way from exit site.
    4. Allow site to dry completely (Our policy for CHG is a mandatory dry time of 3 mins, we have the same standard for betadine). 
    5. Remove the povidone iodine using a saline soaked swab in the same pattern as it was cleaned.
    6. Dry skin thoroughly using remaining swab in the same pattern it was cleaned.

    Hope this helps! 🙂

    Andrea Omsberg BSN, RN, CPHON
    Hematology/Oncology Inpatient Nurse Educator
    Rady Children’s Hospital
    San Diego, CA
    Original Message:
    Sent: 06-20-2017 12:21 PM
    From: Michelle Gillard
    Subject: CHG Allergy and CVC care

    ​Hi 🙂
    Anyone willing to share their practice for line care (dressing changes) when a patient is allergic to CHG?

    Betadine only?

    • Do you wipe off the betadine after 3-4 minutes?
      • If yes, with what?

    Alcohol and betadine?

    Thank you 🙂

    Michelle Gillard, MSN, RN, CPHON
    Clinical Education Specialist Phoenix Children’s Hospital
    Phoenix, AZ