This can be done and is mentioned in the ONS guidelines. Just
make sure the cuff inside the tunnel is well-healed and omit the
dressing. Lynn
At 7:41 AM -0800 12/22/05, Bartholomew , Jerry A (SPO)
wrote:
I have a young nurse as a patient who, after three PICC line placements, now has a Hickman line. We had requested an implanted port, but they decided on the Hickman because she suffers from chronic folliculitis. She is extremely sensitive to everything. Every type of hypoallergenic dressing has been tried, including the IV3000, Sorbaview 2000, Duoderm, Hypafix tape, you name it. We are currently using the IV3000, which did well for the first three weeks, but now the skin beneath it is becoming reddened, and burns when cleaned with alcohol.
Since this is a cuffed, tunneled line, I am wondering whether or not it might be better in her case to leave the site open to air. She is an outpatient, so she's not around the constellation of killer pathogens that inpatients face. Has anyone else done this?
Jerry Bartholomew RN BSN CRNI
Vascular Access Specialist
Veterans Affairs Medical Center
Spokane, Washington
--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861
