We do not consider the Stat-Lock as part of the sterile dressing.   We
use Groshong PICCs and with the DL cannot cut the PICC so the extra
length of the dressing is under the occlusive and the Stat-is places
above the dressing to secure the remainder of the PICC which is the 2
extensions of the lumen.
Margaret Nicastro, CRNI,OCN
147 Gettys Street
P.O. Box 3786
Gettysburg, PA 17325-0786
717-337-4312 option 2
717-337-4485 Fax
[EMAIL PROTECTED]
[EMAIL PROTECTED]
www.wellspan.org
 

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Anna Liang
Sent: Wednesday, October 11, 2006 10:46 PM
To: [EMAIL PROTECTED]
Subject: Re: Occlusive Dressing

why 'The Stat-Lock is part of the "sterile" dressing change' ??

if a stat-lock is 3 cm from the site, why not just clean technique?



--- [EMAIL PROTECTED] wrote:

> The Stat-Lock is part of the "sterile" dressing change and it must be 
> completely incorporated under a large transparent dressing--We place 
> one steri strip (sterile tape) over the plastic snaps and one at the 
> distal side (the edge closest to the AC) of the stat-lock then cover 
> with a transparent dressing--We seal and reinforce the distal edge of 
> the dressing with a split of 2 inch tape (perforated
> Medapore)
> 
> --
> Robbin K. George RN
> Vascular Access Resource
> Alexandria Hospital Virginia
> [EMAIL PROTECTED]
> 
> 
> -------------- Original message --------------
> Wrom: PWIGYOKSTTZRCLBDXRQBGJSNBOHMKHJYFMY
> 
> > What is the best way to achieve a truly occlusive dressing? We have 
> > two issues that make us question
> if
> > you can ever get a truly occlusive dressing. . . 
> > the first is one that will be eliminated when we finally convert to 
> > inserting Power PICCs only.
> Right
> > now, we use Groshongs and when there is extra catheter, what is the 
> > proper way to ensure occlusiveness (is that a word?). I try to make
> sure
> > that all extra catheter remains under the
> dressing. 
> > Others have used 2 statlocks and left some of the catheter and the 
> > second statlock hanging out of
> the
> > dressing. I don't like this practice for fear of
> the
> > patient pulling it (which they will), but was wondering if there was

> > a protocol.
> > Secondly, when I use a statlock, I try to put it
> as
> > close to the insertion site as possible, hoping to
> 
> > anchor it more securely. Others will put it a
> little
> > further away and then the edge of the dressing
> goes
> > over part of the statlock, but the entire statlock
> 
> > isn't covered. In fact, half of the clip is
> exposed. 
> > This makes for a dressing that is not "air-tight"
> and
> > hence could let bacteria in. 
> > I know the answers to these questions already, but
> 
> > just wanted a little back-up for when I present it
> to
> > my coworkers. 
> > Thanks! 
> > Kelly
> > 
> > __________________________________________________
> 
> > Do You Yahoo!? 
> > Tired of spam? Yahoo! Mail has the best spam
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> > http://mail.yahoo.com
> > 
> > 


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