broviac, who change the dressing?Register Today!
- by kaibigan Jun 15, '05how often do you change the dressing for central lines, broviac?
do you have a special nurse to change it?
does anyone has a policy on this?
- 4,698 Views
- Jun 15, '05 by TweetyOnce a week. Whoever has that patient for the day shift it is dated to be changed changes it.
opps....sorry I just noticed this was the NICU site. Sorry.
- Jun 15, '05 by kaibigansorry about the post, wrong sent comment. this should be on another thread.Last edit by kaibigan on Jun 15, '05 : Reason: wrong comment posted
- Jun 15, '05 by kaibiganthanks tweety
- Jun 15, '05 by GompersWe change the dressing when it looks like it needs changing - I've never seen a Broviac dressing last more than a few days, so it's about 2 times a week for those. For PCVC or PICC lines, it's PRN, and those dressings seem to last anywhere from a few days to a few weeks, depending on the baby's size and condition. If it's a broviac, any RN can do the dressing. If it's a PCVC or PICC, we have a list of nurses who have been trained to change those dressings.
- Jun 15, '05 by BrownbettyFor Central lines (surgically placed) we (RN's) change them q Monday and if it gets soiled. For PICC lines, the NNP or MD changes that dressing if it gets soiled. Yes we do have a policy for CL dressing changes.
- Jun 15, '05 by BittyBabyGrowerRight now, every 3 days, but I believe the lastest research shows every 7 days is fine. Nurses change those dressings. PICC, only a hand full of us do so.
- Jun 15, '05 by Finallyat40We change them q 7days or if they're soiled or pulling up and we always use a biopatch. PICC dressing changes are done solely by the NNP's on our unit.
- Jun 15, '05 by JenKattSince we're a dedicated children's hospital we have a lot more resources I think. Our broviac dressings are changed by our hospital IV team q7 days or PRN at the bedside nurses request. Our PICC and midline dsgs are changed by our unit PICC/ midline nurses who also place them. Any of us can reinforce the dressings as needed. Our assessment sheets require us to chart the status of the dressing q12 hours and the date it was last changed.
- Jun 16, '05 by GompersQuote from Finallyat40I wished we used biopatches!!! I hear great things about them. Every kid we've ever had with a Broviac ends up having it get infected, whether it's in the NICU or shortly after discharge home. Usually the source of infection is at the insertion site. WHY we aren't investigating things like biopatches is beyond me...We change them q 7days or if they're soiled or pulling up and we always use a biopatch.