RE: 24 hour dressing changes

[Glenn and Dayna Holt]

If we have little to no bleeding at the conclusion of the insertion, then we apply a biopatch.  We only change the dressing at 24hrs if it is bloody or no longer intact.  If there is active bleeding at the conclusion of the insertion then we will apply a gauze pressure dressing at the site cover with tegaderm and change it the next day. Occasionally, we have a kid who will require a gauze dressing under the tegaderm and a pressure dressing for a couple hours on top of the dressing secured with coban. We seldom have to do a 24 hr dressing change, and our kids appreciate that. They hate the dressing removal, and the chloraprep stings a lot when the insertion is new.  If we are able to wait a week, the kids are much more tolerant of the dressing procedure.       Dayna Holt, RN, CRNI Rady Children’s Hospital San Diego, CA   Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of candee eisenhart Sent: Monday, October 30, 2006 9:47 AM To: [EMAIL PROTECTED] Subject: 24 hour dressing changes   Was wondering if everyone is still doing 24 hour drsg. changes if you place a biopatch immediately after placement of PICC/ML.  Of course if there is no bleeding. Are you placing pressure drsg on outside of sterile drsg? 2x2's and coban? Thanks! Candee Eisenhart CRNI   Candee J. Eisenhart, CRNI Banner Mesa Medical Center Mesa, AZ       Get your email and see which of your friends are online - Right on the new Yahoo.com