Reply To: Port a Cath securement

  • Susanne Conley

    Member
    October 1, 2013 at 9:41 am

    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.

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    Susanne Conley
    Clinical Nurse Specialist
    Dana Farber Cancer Institute
    Plymouth, MA
    United States
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    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.
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    Dawn Mannon
    Clinical Manager
    Center for Cancer and Blood Disorders
    Phoenix Children’s Hospital
    Phoenix, AZ
    United States
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    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.
     
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    Kimberly Duback
    Advocate Children’s Hospital- Oak Lawn
    United States
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    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.

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    Candice Brandenburg
    Auburn, WA
    United States
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