Hi All, We're seeing patients in our SNF unit that develop rashes under their PICC site dressings weeks and/or months after it's been inserted. Our ID nurse is sure it's contact dermatitis. We do weekly (and prn) dressing changes using Chloraprep, Biopatch and TSM. It is the IV therapists doing the dressing changes, and they assure me the prep is completely dry before they apply the dressings. Do you think the patients just develop a cumulative sensitivity to CHG? I know some of my nurses have had to switch to a different soap because they're developing skin irritations r/t frequent handwashing with CHG.
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