CVC dressing change-- is this a gauze or transparent dressing?
- 0Dec 18, '07 by actioncatOk, the kit has some opsite, but it also has a little piece of gauze to put around the insertion site. Is this considered a transparent dressing or a guaze dressing?
- 2Dec 18, '07 by al7139All our central and picc line dressing kits have 2x2 gauze in them. We also use a "Biopatch" on them. Personally, when I change a CVC or picc dressing, I will use the sterile gauze by placing it between the catheter and the skin if I see evidence of irritation from friction, etc. I do not like to place it over the insertion site, because I then cannot see it. The biopatch is smaller, so I can still visualize the site through the transparent opsite dressing. I can see if the line has moved and measure the length, as well as assess for signs of infection, etc. Only if its a newly inserted site do we use gauze as sometimes they will ooze, and the gauze allows us to measure the amount of bleeding.
My understanding is that is you have a site covered with opsite, it is transparent, but I have seen dressings that were covered in such a way that even with opsite, there was no visibility of the site due to the amount/size of the gauze. You can see if the gauze has drainage, but you can't see the site.
Hope this helps.
- 0Dec 18, '07 by Transplant-BSNTxYou might want to check out your hospital's policy.
In the hospital that that work in, it is policy to place a 2X2 sterile gauze over the CVC insertion site whether it be covered by a covaderm, duoderm, or tegaderm. It is also policy to place a single folded sterile 2X2 guaze between the cvc "wing" and the patient's skin.
Hope this helps.
- 2Dec 18, '07 by nursemary9In our Facility, we are NOT allowed to use the 2x2.
We usze a biopatch & place a tegaderm over.
Our dsgs are changed every 7 days & prn.
We must be able to see the site & assess it.
However, if a pt needs a gauze dsg instead of transparant, it must be changed DAILY.
- 0Dec 18, '07 by IndyI had a recent oozer that just would not quit (high INR). So I got a buddy to glove up too, and put the biopatch where it goes (around the insertion site but not under the catheter so you can pull it up without pulling the catheter out). Then my buddy took a sterile 4x4, rolled it up into a little thing about an inch by half inch, and held it ... to one side of the catheter while I applied the dressing. The side would be "bottom" if the person were standing or sitting, which she wasn't. But since we raised the HOB it helped catch the ooze and apply a tiny bit of pressure at the same time. Also the second half of the dressing, that's supposed to surround the piggytails, I used to reinforce the bottom end instead, so the ooze would take longer to soak through. Lasted almost to the end of my shift.
- 1Dec 18, '07 by batmikWhere I work if you use the 2x2 under the opsite( or other transparent dressing) then it is not considered as occlusive and has to be changed more frequently. I am not sure off the top of my head but it might be daily as oppose to every 7 days or if becomes non occlusive. It is pretty rare to see a 2x2 under an opsite for this reason.