Question for list:

Do you allow patients with PICCs and tunneled central catheters to
swim/shower, etc?  If so, how do you waterproof the site?  Supposedly
the transparent dressing [Tegaderm or Sorba View in our case] is
waterproof, but water still can seep in where the catheter exits the
dressing.  I work with neonates to adult sized patients, so the size and
age range is quite broad.  I have seen some commercial waterproofing
devices, but have not used any of these.  Any recommendations for
showering/swimming and waterproofing both chest and arm central lines? 
Our current policy is to allow kids to swim in pools [depending on their
counts] with tunneled, cuffed lines, but not PICCs.  They can shower or
bathe with either as long as the PICC is not submerged.
Thanks in advance,
Anne Marie



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