Hello, all - I need advice from some IV gurus out there. I was trained that all IV sticks should be dressed with a sterile dressing - with Tegaderm/Opsite being preferred because the site could be easily monitored.
In the department I have worked in for a year now (Mother/Baby. occ L&D) it is very common practice to start an IV and only cover it with tape, usually plastic/Dermicel type. I am not comfortable with this because 1. the tape cant be totally sterile when it has been riding around in or on someone's uniform
, 2. the tape generally starts to peel up from the edges after a few hours to a day, and 3. Many people seem to react to plastic tape. As a matter of fact, the only Tegaderms we stock are twice too big and have to be cut first. When I say something about most on the unit look at me like I have four heads!!!
Then recently someone dug up an old hospital policy stating that IV site should be covered with a band-aid, then the tape. It was placed in the communication book but hardly anyone does it that way.
What is your practice? When one is available, I find a Tegaderm and cut it. when no Tegaderm available, I use bandaid and tape. But never just tape!!! Am I wrong to be obsessing on this?