It's not 3cm from the site--The flang is at the insertion site or the zero cm mark-- I neglected to mention that we also seal the edges of the transparent dressing with additional skin prep--We do all CVC maintenance and probably do 30-40 dressing changes a week
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
[EMAIL PROTECTED]
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
[EMAIL PROTECTED]
-------------- Original message --------------
From: "Anna Liang" <[EMAIL PROTECTED]>
> 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
> > >
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>
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