My understanding is the reason gauze dressings are removed at 48hrs is because the gauze is a breeding ground for bacteria, it does not let the skin breath like a TSM does, moisture is retained and germies grow.  NOT because we can or cannot see the site.  Therefore, as stated in INS standards, any gauze under a TSM is a gauze dressing and needs to be changed in 48hrs. 

 

Chris Cavanaugh, CRNI


From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Wednesday, October 26, 2005 8:12 PM
To: Diana Melton; [EMAIL PROTECTED]
Subject: Re: Gauze and Hubers

 

Diana,

 

My interpretation of this standard is that if the gauze covers the insertion site so that it is not visible........then the dressing needs to be changed q24-48H.  If the gauze is used to stabilize the non coring needle, the insertion site should still be visible........thus would meet the means test for a q7D change

 

Kathy

O 978-667-3466
M 978-758-7369

 

-------------- Original message --------------

> Question for the group???
>
> Has something changed? I have understood that if gauze is needed under a TSM
> dsg. to stabilize a rocking huber that the dsg. is now considered a gauze
> dsg. and should be changed in 48hrs. or PRN.
>
> Reference: INS standards, pg. S44
> "Gauze in conjunction with a TSM dsg. should be considered a gauze dsg. and
> changed in 48 hrs."
>
> Using gauze is ok, just need to change in 48hrs.
>
> Thanks in advance,
> Diana
>
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