lbbeauplan-what was the rational for d/c the biopatch? You said it wasn't effective? Who did the dressing changes? I'm curious. Our facility has a 0% infection rate for all PICC lines, but it is ONLY the PICC team that is allowed to do the dressing changes. Strict sterile procedure is always followed. The C.L.drsg change kits now come with the bio patch in them. I use to question why it was only the PICC team that could change these, until, I witnessed RN's not wearing masks and not paying attention to the sterile field while changing CL dressings.
For all infusaports that are accessed, any RN on duty is suppose to change them once weekly and PRN(policy at this institution), also using the biopatch. One thing I've observed, sometimes the RN does not realize she can not use the prefilled saline syringes with these huber needle kits that we have(they are not sterile-thus can not be put on the sterile field).
Cindy, I am wondering about your tegaderm drsg with blob of chlorhexidene. In our kits, there is chlorhexidene that we clean the site with, also a tegaderm that we put on after the biopatch. So, did you guys use biopatches before and are just leaving that out now? If so, what/where is the evidence base practice you all got your info from?
ghillbert-- We have used medihoney on some venous stasis ulcers and other various wounds with some yet minimal effectiveness. Your post peaks my curiousity. What/where are these catheters that you apply this to? Also, is there any dressing covering the site? How much do you have to apply and how far away from the site do you apply it? Have you done any research or seen any websites that talk about this?
We currently have 2pts that have gone septic on us. The only common thing they share is, their infusaport dressings have been changed by a RN that did not use (for whatever reason) the biopatch. Their drsg changes were done this way for several weeks. One had her port removed yesterday, awaiting lab results. The other is hospice, it is unlikely they will remove the only line he has, will never know if the disease process made him susceptible to infec. or if it was because of not using the biopatch/steril tech???
As for placing the patch upside down, which is easily done, it may help to remember the sky is blue and the blue side faces the sky. blue to blue.
diane227- curious about what new type of catheters you are using? If you've never missed a stick before, I would venture to say you have some excellent evidence to support getting the old ones back
Looking forward to your replies and also to other peoples opinions and feedback. Thanks for this post.:redpinkhe