Dressings for CVADs

This topic has 2 replies, 2 voices, and was last updated 12 years ago by Brett, Judy.

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12/07/2012 at 1:24 pm #69174

Jayne OConnor
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Author:
Jayne OConnor
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Hi All,

We are currently reviewing our CVAD policies and a question arose around
the use of sterile gauze and tape for those patients who have allergies
to transparent semi permeable dressings. Does anyone have advise on how
frequent the gauze & tape should be changed, apart from the obvious
soiling etc.

Look forward to your responses.

Kind regards

Jayne

Jayne O’Connor RN, BSc.

Clinical Nurse Consultant- Infection Prevention & Control

Sydney Adventist Hospital,

185 Fox Valley Rd,.

Wahroonga,

NSW 2076.

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12/07/2012 at 2:38 pm #69175

Tim Spencer
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Tim Spencer
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Hi Jayne,
It’s interesting to hear this remark often about ‘allergies’ to
hypoallergenic dressings, such as S+N IV3000 or 3M’s Tegaderm range.
In many cases, it is a reaction between the skin prep/antiseptic and the
adhesive on the dressing because the antiseptic has not been allowed to
dry correctly, and therefore creates a reaction with the dressing
adhesive.
Many people believe this to be an allergy to the dressing!
It is most often likely not.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition
Service
Conjoint Lecturer, University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 |
Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

________________________________

Behalf Of Jayne O’Connor

Hi All,

We are currently reviewing our CVAD policies and a question arose around
the use of sterile gauze and tape for those patients who have allergies
to transparent semi permeable dressings. Does anyone have advise on how
frequent the gauze & tape should be changed, apart from the obvious
soiling etc.

Look forward to your responses.

Kind regards

Jayne

Jayne O’Connor RN, BSc.

Clinical Nurse Consultant- Infection Prevention & Control

Sydney Adventist Hospital,

185 Fox Valley Rd,.

Wahroonga,

NSW 2076.

information intended for the addressee named above.
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Adventist Hospital.
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12/07/2012 at 2:59 pm #69177

TERRI CRIPPS
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TERRI CRIPPS
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HI Jayne,

Here is a link to an article I think may help answer your questions.

http://ovidsp.tx.ovid.com/sp-3.5.1a/ovidweb.cgi?WebLinkFrameset1&SGPPMFPGKCEDDBAGHNCALPEDCHMBEAA00&returnUrlovidweb.cgi%3f%26Full%2bText%3dL%257cS.sh.15.35%257c0%257c00075320-100000000-02765%26S%3dGPPMFPGKCEDDBAGHNCALPEDCHMBEAA00&directlinkhttp%3a%2f%2fgraphics.tx.ovid.com%2fovftpdfs%2fFPDDNCDCPEGHCE00%2ffs046%2fovft%2flive%2fgv023%2f00075320%2f00075320-100000000-02765.pdf&filenameGauze+and+tape+and+transparent+polyurethane+dressings+for+central+venous+catheters&pdf_keyFPDDNCDCPEGHCE00&pdf_index/fs046/ovft/live/gv023/00075320/00075320-100000000-02765

If you can’t access it, let me know and I can send it to you.

Thanks,

Terri Cripps | Clinical Nurse Consultant Infection Control | Sydney Children’s Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |* : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

[cid:image001.jpg@01CD603E.F306CB40]
[cid:image002.jpg@01CD603E.F306CB40]

Hi All,

We are currently reviewing our CVAD policies and a question arose around the use of sterile gauze and tape for those patients who have allergies to transparent semi permeable dressings. Does anyone have advise on how frequent the gauze & tape should be changed, apart from the obvious soiling etc.

Look forward to your responses.

Kind regards

Jayne

Jayne O’Connor RN, BSc.
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.

If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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19/07/2012 at 12:18 pm #69201

Brett, Judy
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Brett, Judy
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Liz
The Victorian Healthcare Associated Infection Surveillance System (VICNISS) monitors antibiotic prophylaxis for all surgical procedures – name, timing, duration and 2nd dose in prolonged procedures (one exception: timing is not assessed for CSEC). Antibiotic use is assessed against the Therapeutic Guidelines (version 14, 2010) and hospitals are provided a 6 monthly report. In most cases the ICP records antibiotic details from the anaesthetic record.
More information can be found on the VICNISS website; http://www.vicniss.org.au
Regards
Judy

Judy Brett
Infection Control Consultant
VICNISS Coordinating Centre
10 Wreckyn Street
North Melbourne Vic 3051
Tel: 03 93423905
Fax: 03 9342 2633
email: judy.brett@mh.org.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of VANDERLINDE, Liz
Sent: Tuesday, 17 July, 2012 9:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Dressings for CVADs

Good Morning All,

On the subject of Antimicrobial Stewardship I am just wondering what other institutions are doing regarding the monitoring of prophylactic antibiotic usage in specific surgical specialties i.e orthopaedics and LUSCS to determine compliance with Therapeutic Guidelines (version 14 2010). I would be interested in how and who you have monitor this? Would be grateful if you were happy to share any auditing proforma, policy, procedural documentation.

WithThanks

Liz Vanderlinde
Infection Control Officer
North West Private Hospital

Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6022 F +61 3 6431 6158
E Liz.Vanderlinde@healthecare.com.au W

Disclaimer: This message including any attachments is confidential. It is intended only for the use of the addressee(s) named above and may contain information that is privileged or subject to copyright. If you are not the intended recipient of this message you are hereby notified that you must not disseminate, copy or take any action based upon it. Please delete and destroy the message from your computer. If you received this message in error please notify Healthe Care Australia immediately.

________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Tim Spencer
Sent: Thursday, 12 July 2012 2:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Dressings for CVADs
Hi Jayne,
It’s interesting to hear this remark often about ‘allergies’ to hypoallergenic dressings, such as S+N IV3000 or 3M’s Tegaderm range.

In many cases, it is a reaction between the skin prep/antiseptic and the adhesive on the dressing because the antiseptic has not been allowed to dry correctly, and therefore creates a reaction with the dressing adhesive.
Many people believe this to be an allergy to the dressing!
It is most often likely not.

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob 0409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
[cid:838553503@12072012-1EF5][cid:838553503@12072012-1EFC]

________________________________
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne O’Connor
Sent: Thursday, July 12, 2012 1:25 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Dressings for CVADs
Hi All,

We are currently reviewing our CVAD policies and a question arose around the use of sterile gauze and tape for those patients who have allergies to transparent semi permeable dressings. Does anyone have advise on how frequent the gauze & tape should be changed, apart from the obvious soiling etc.

Look forward to your responses.

Kind regards

Jayne

Jayne O’Connor RN, BSc.
Clinical Nurse Consultant- Infection Prevention & Control
Sydney Adventist Hospital,
185 Fox Valley Rd,.
Wahroonga,
NSW 2076.

Tel: (02) 9487 9433
Mobile: 0406 752 685
Email: jayne.oconnor@sah.org.au

CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
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is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Sydney Adventist Hospital to state that they are the views of Sydney Adventist Hospital.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.com

_____________________________________________________________________
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Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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