Nancy,
     We have been using bio-patch quite successfully with our picc's.  I will admit, our infection rate on picc's was so low, that it was decided that bio-patch was not needed on them unless necessary, but we do place them occasionally on picc sites that begin to look red.  We make sure the slit is open over the line so that nothing is actually sitting over the line its self.  Nothing should stick to the line that way.  The bio-patch should just rise with the dressing when the dressing is removed.   We have not had any problems with line pulling.  The only thing our nurses gripe about is the inability to visualize the insertion site with the bio-patch in place.  What can ya do?  You can never make everyone happy unfortunately. 
 
Heather Nichols RN BSN CRNI
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530

>>> "Rinehart, Nancy" <[EMAIL PROTECTED]> 3/14/2006 1:22 PM >>>

For those of you out there using this patch: are you having any difficulty keeping the PICC in place when changing the dressing?  We have had some problems with pulling the PICC out a few cms and my nurses are getting very frustrated.   This happens when we have placed the biopatch around the catheter.  In the past we just placed the biopatch on the site, we had no problems and wonderful results…

I hesitate going back to the “old” way but neither do I want to lose my PICCs.  Any suggestions?


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