Allergic to tegaderm?
- 0Nov 22, '08 by stunner127i had started an iv on a stable er patient tonight and she claimed to be "severely allergic" to tegaderm, refusing to let me put a dressing on the site. i had no idea how else to dress the iv site so i just got the labs and took it out, thankfully she needed no meds and went home.
any other appropriate dressings for an iv site? this patient said "the other nurses just put paper tape on it, that's all you can use on me" well to me that seems like a risk of infection plus it would make it impossible to see and assess the site.
what do all you experienced nurses think i should do if this comes up again?
- 0Nov 23, '08 by flightnurse2bthere's the clear tape i think it's called transpore tape that you could cover it with, but if it was going to be a site that was left in i can definately see a risk of infection.
i think they make the tegaderm hp and opsite dressing for people sensitive to adhesive, i've had pts tell me they were allergic to tape and have used those with no trouble... maybe secure the site with a stat-lock, then use the non-sting barrier cream to protect the skin from the adhesive on the dressing?
- 1Nov 23, '08 by Blee O'MyacinI've had a tegaderm give me some skin irritation - I was only supposed to change it q24h, but not on a temporary IV site. We just used tape before tegaderms. I suppose a telfa would have been OK to loosely cover it after it was taped down to keep it covered if you wanted to.
- 0Nov 26, '08 by iluvivtThe first choice is always a transparent semi-permeable membrane dressing (TSM) If a patient is sensitive you will need to find an alternative. Since an IV site is considered a wound and is a direct source into someones body it must be covered completely with a sterile dressing. My second choice would be to take a sterile 2x2 and fold it in 2 (so it is small) and cover the insertion site.... then take the sterile tape in the IV start kit and make an occlusive dressing. If you make the 2x2 folded twice you can still visulize the site...no sterile tape,,,make certain insertion site is covered with the 2x2. You can also try a different brand of TSM...if you have one available...select one with a high moisture vapor permeable rate like op site 3000. Never use a roller type bandage on any IV site (ie Kerlix roll). These are the INS recommendations.