Reply To: 1/2 patch orders

  • Leticia Valdiviez

    October 10, 2017 at 11:29 am

    ​You can’t cut the patch but if you need half, place a tegaderm on half the patch so only half is absorbed. Some nurses also cover half with the cover you peel off before placement.

    Letty Valdiivez, MSN, RN, CPHON
    Clinical Manager, BMT Unit
    Children’s Hospital Los Angeles
    Original Message:
    Sent: 10-10-2017 10:13 AM
    From: Lauren Mayer
    Subject: 1/2 patch orders


    We recently had an event with Scopolamine (1/2 patch was ordererd, cut, and applied to the patient).  At your Institution, do you allow for a 1/2 patch dose to be ordered? If so, how do you apply the 1/2 patch? Do you cut it? Do you cut 1/2 of the backing off? Do you place a Tegaderm down first and then apply 1/2 the patch to the Tegaderm? Please reply with policies or literature that support your practice.

    Thank you,

    Lauren C. Mayer BSN, RN, HNB-BC, BMTCN
    Quality Improvement Clinical Leader
    Hematology / Oncology / Blood and Marrow Transplant
    Nationwide Children’s Hospital
    Columbus, OH