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CVAD Dressing Change: A Step-by-Step Guide, Lecture notes of Bacteriology

Instructions on how to change the dressing of a central venous access device (cvad) to prevent infections. It covers the importance of keeping the cvad clean, the signs for dressing change, and a step-by-step process for removing the old dressing, cleaning the site, and applying a new one. The document also emphasizes the importance of using sterile gloves and maintaining a clean work area.

Typology: Lecture notes

2021/2022

Uploaded on 09/12/2022

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American College of Surgeons • Division of Education
Changing the Dressing SKILL
Watch the Video
fWatch the DVD included in your kit or go
HERE to watch the video online.
Overview
Keeping your CVAD from getting infected
is very important. You want to make sure
no bacteria enter into your central line.
One of the ways this is done is to keep a
sterile dressing over the central line entry
site. CVADs are covered with a transparent
dressing. Some may have a transparent
dressing only, some a gauze covering, and
others may have an antimicrobial sponge
(Biopatch). At the end of this booklet, your
health care provider will check the type
of dressing you have and how often your
CVAD dressing needs to be changed.
The CVAD dressing should be changed every
7 days. It will need to be changed sooner if:
fIt becomes wet or moist
fThe transparent dressing is loose and no
longer totally covers the CVAD entry site
fThere is gauze under the dressing
(in which case you will need to
change the dressing every 48 hours)
Transparent dressing only
Transparent dressing with gauze
Transparent dressing with Biopatch
pf3
pf4

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A m e r i c a n Co l l e g e o f S u r g e o n s • D i v i s i o n o f E d u c a t i o n

Changing the Dressing SKILL

Watch the Video

f Watch the DVD included in your kit or go HERE to watch the video online.

Overview

Keeping your CVAD from getting infected is very important. You want to make sure no bacteria enter into your central line. One of the ways this is done is to keep a sterile dressing over the central line entry site. CVADs are covered with a transparent dressing. Some may have a transparent dressing only, some a gauze covering, and others may have an antimicrobial sponge (Biopatch). At the end of this booklet, your health care provider will check the type of dressing you have and how often your CVAD dressing needs to be changed.

The CVAD dressing should be changed every 7 days. It will need to be changed sooner if:

f It becomes wet or moist

f The transparent dressing is loose and no longer totally covers the CVAD entry site

f There is gauze under the dressing (in which case you will need to change the dressing every 48 hours)

Transparent dressing only

Transparent dressing with gauze

Transparent dressing with Biopatch

Skills to Manage Your CVAD

S u r g i c a l P a t i e n t E d u c a t i o n

S T E P 1: P R E PA R E YO U R W O R K A R E A

  1. Clean and prepare your work area.
  2. Gather your supplies. You may have a central line dressing kit that has all of the following supplies: z Alcohol wipes z Sterile gloves z Mask z Chlorhexidine (ChloraPrepTM) z Transparent dressing z Gauze (optional) z Antimicrobial patch (Biopatch optional) z Tape (optional)
  3. Wash your hands the right way.
  4. Keep the site clean. Avoid breathing on the CVAD during a dressing change by wearing a mask or turning your head away. If this is not possible, place a mask on the patient.
  5. Open your central line dressing change packet. The mask is often at the bottom or top of the kit.
  6. Put on the mask.
  7. Wash your hands again.

Dressing change packet—your mask is at the top or bottom

Supplies

Skills to Manage Your CVAD

S u r g i c a l P a t i e n t E d u c a t i o n

S T E P 5: C L E A N T H E E N T R Y S I T E

  1. Use chlorhexidine to clean the entry site.
  2. Rub in a back-and-forth motion around the entry site.
  3. Be sure to clean all areas that will be covered by the dressing.
  4. Allow the chlorhexidine to dry for 60 seconds. Do not blow or fan the area.

S T E P 6 : A P P LY T H E D R E S S I N G

  1. If used, place an antimicrobial sponge over the catheter site with the blue side up. z Sometimes dressings will have an antimicrobial sponge built in as one piece.
  2. Cover the catheter site with a sterile transparent dressing. Place the clear dressing on the skin, covering the area where the catheter exits the body. Start with the top end, smoothing it across the area. Be sure that the dressing extends at least an inch around the exit site.
  3. Secure the catheter in place. z If the line is long or exits from the chest, you may loop the tubing and secure it to the skin. z Some catheters may not be long enough to loop.
  4. Remove your gloves and wash your hands.

Place antimicrobial sponge

Cover with sterile transparent dressing