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Hickman/Broviac Catheters. Dressing Changes by Kathy Mick, R.N. and Masayo Watanabe, M.D. Section of Hematology/Oncology The Children’s Mercy Hospital. CHANGING THE DRESSING.

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Hickman broviac catheters

Hickman/Broviac Catheters

Dressing Changes

by Kathy Mick, R.N. and

Masayo Watanabe, M.D.

Section of Hematology/Oncology

The Children’s Mercy Hospital


Changing the dressing
CHANGING THE DRESSING

  • Your child has a Hickman/Broviac catheter. The dressing will need to be changed on a regular basis, usually weekly. This is a photo instruction manual for dressing changes in general. Ask you Nurse Specialist if you have questions.


Gather supplies

GATHER SUPPLIES

“Persist” dressing change tray, scissors, alcohol swabs and tape, such as “Hypafix”


Wash hands

for 10 - 15

seconds

with

soap and

water



Get

Kit

Ready!


Get gloves on

GET GLOVES ON!

These gloves are sterile.

Please put them on so that they

stay sterile.



Clean the entire area to be covered by the dressing with 3 alcohol swabs

Clean the entire area to be covered by the dressing with 3 alcohol swabs

Start at the catheter exit site and clean outward in a circular motion


Clean the catheter tubing with 2 alcohol wipes

Clean the Catheter Tubing with 2 Alcohol Wipes alcohol swabs

The old “Persist”, from the previous dressing change, should be removed from the catheter.

Start at the exit site and clean up the catheter.


Clean with 3 persist swabs

Clean with 3 Persist Swabs alcohol swabs

Clean the entire area that the dressing covers.

Start at the catheter exit site; Clean outward in a circular motion.

Let Persist air dry between swabs.


Let the persist air dry then apply the dressing

Let the Persist Air Dry. alcohol swabsThen Apply the Dressing.



Tape the catheter down

Tape the Catheter down the dressing to fit

Tape should be on the skin, and not the dressing.

Loop the Catheter tubing if necessary


Safety precautions
Safety Precautions the dressing to fit

  • No contact sports or rough play

  • No swimming or hot tubs

  • Sponge baths are preferred

  • If your child does want to swim, shower or bathe, place a large Tegaderm over the entire dressing


Call your nurse or doctor if
Call your Nurse or Doctor if: the dressing to fit

  • The exit site is draining, appears red or is swollen

  • Your child has a fever > 101.3F

  • The catheter breaks or leaks

  • The catheter is pulled out, even partially

  • You have difficulty to flush the catheter


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