Quote from BSN74
I have a new chemo port.
When they need blood, they just disconnect my tubing, ask me to hold one end of it. Attach a syringe and get all the blood. Then they just reconnect every things. No sterile gloves, no sterile techniche.
Is this OK?
Also, since 2 weeks befor dx, rwo months ago, my legs have been covered in hundreds if bug bites infected with staph. Been to two dermo guys. Regular one home and one up here. I follow their instructions to the letter. I am staying at Amnerican Cancer Society hope house during the week.
The nurse was in a big hurry last time when she accessed my port and kept looking at something on the other side of the room. She was moving around too fast and I wound with this "window thing" pulling at my skin. This was monday. Here on Wednesday, it was itching so pad I pulled a little of the adhesive back. There were red bumps, yellowish blisters, probably the spreading staph
Sometimes the adhesive part of a bandaid will cause me to have blisters after about 3 days.
I am having my whole colon removed and also anus and rectum about 6 weeks after chemo. Had one week of chemo at this point. I want all this staph cleared by my surgery date. I feel in am just infiltrated with staph everyday.
What should I do? The Derm. (really great guy) up here did a culture and sensitivity. No result yet. Should I ask to be put in the hospital and treated with IV antibiotics?
Drawing blood off the port once it's already accessed, and presumably has a dressing over it, does not need to be a sterile procedure. They should be wearing clean gloves prior to accessing the port- for their protection and should be washing their hands prior- for your protection.
Our port-a-cath access tubing has a y-site type connection where you can run fluids on one side then to draw blood clamp it and use the other side. This is preferable to outright disconnecting the tubing. If chemo is running through the line I sure hope they are wearing full chemo PPE before disconnecting the line. if they do have to disconnect the tubing it's also preferable to cap the tubing end than have someone hold it, though probably not necessary. Given that I work with BMT patients I tend to be more cautious.
To draw the blood they should be be flushing the port, drawing a waste, drawing blood for the tests, swabbing the lumen w/ alcohol, flushing again, then reconnecting the tubing.
If you're having issues with the dressing over the port you may be able to ask them to try a different brand.
We really can't give medical advice here, but there's some general comments.