This specialty practice discussion group is intended for discussion of outpatient staff clinic... View more
This specialty practice discussion group is intended for discussion of outpatient staff clinic issues. Remember that anything published in this community can be seen by any member of the community. Please be considerate of the HIPAA Privacy Rule when posting to the community.
AT Dana-Farber we did a rigorous review of the literature and current standards regarding central line dressings. A great summary of the studies and literature is contained in work done by Dawn Camp-Sorrel called Access Device Guidelines. This literature would apply to both pediatrics and adults. The Chapter XII discusses controversial issues and Table 21 outlines studies that discuss dressings.
Interestingly the issue of dislodgement seems more prevelant outpatient so we have begun securing ports with two steri strips in addition to the transparent dressing.
——————————————- Susanne Conley Clinical Nurse Specialist Dana Farber Cancer Institute Plymouth, MA United States ——————————————-
——————————————- Original Message: Sent: 09-30-2013 03:24 PM From: Dawn Mannon Subject: Port a Cath securement
In out OP clinic, we put an occlusive dressing on all ports unless they have a severe skin issue, then we place guaze and tape along the corners. We place a biopatch for those patients getting admission or who are returning for consecutive days of treatment. ——————————————- Dawn Mannon Clinical Manager Center for Cancer and Blood Disorders Phoenix Children’s Hospital Phoenix, AZ United States ——————————————-
——————————————- Original Message: Sent: 09-30-2013 09:10 AM From: Kimberly Duback Subject: Port a Cath securement
We secure port a caths with a transparent dressing for CLABSI prevention for all ports that will be accessed for more than just a few minutes.
——————————————- Kimberly Duback Advocate Children’s Hospital- Oak Lawn United States ——————————————-
——————————————- Original Message: Sent: 09-27-2013 08:28 PM From: Candice Brandenburg Subject: Port a Cath securement
What do you use in an out pt setting for short term port a cath securement (an hour or so: ie vinc and dox, labs only, etc). Do you cover with complete occlusive dressing or do you use papertape or other securment to help protect skin for these short term accesses.
——————————————- Candice Brandenburg Auburn, WA United States ——————————————-