Reply To: family changing CVL dressings

  • Louis Ruggiero

    April 2, 2019 at 4:54 pm

    We generally do not teach families to change their dressing at home unless: 

           * the patient is on therapy that doesn’t require frequent hospital visits (rare)
           * the family is insistent on learning and changing at home (competency is factored in as well)
           * Insurance doesn’t cover in house dressing changes (again rare)

    We always teach flushing and emergency line care to all patients who receive a central line and this teaching starts on the first admission prior to discharge. 
    The timing of when we teach dressing changes all depends on whether it is needed and competency of the caregivers.

    Hope this helps.

    Louis Ruggiero, BSN, RN, CPHON
    Infusion Center Clinical Educator
    Children’s Hospital Los Angeles
    Original Message:
    Sent: 04-01-2019 02:12 PM
    From: Anne Raines
    Subject: family changing CVL dressings


    Is it your standard to teach families to change their child’s central line dressings?

    When do you start education?

    Do you ask that they perform the dressing change regardless of being inpatient or at a scheduled outpatient appt?


    Anne Raines, MSN,RN,CPHON
    Austin, TX