Looking for recommendations on what to use as a picc dressing and securement device if patient has skin redness or blisters around PICC site.
Jean Mathews BSN, RN, CRNI
You may need to consult a wound care nurse depending on how severe this is. It is probably not an allergy but there are numerous problems caused by medical adhesives. You may have to use a product like duoderm and secure outside of this on healthy skin. There is a growing amount of info available on medical adhesive related skin injury. MARSI. Prevention means always using skin barrier solution and ensuring all solutions are thoroughly dry before applying any adhesive device.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
Make certain all products are used according to instructions, CHG is completely dry, skin is fully extended when the dressing is applied, skin preps are completely dry. FYI, there is a dressing that does not recommend skin prep prior to dressing placement. Preps are not contraindicated just not necessarily needed. The proprietary adhesive is gentler on the skin, not to claim it won't cause skin injury, but not as likely.
JIll, can you post the name of the dressing you are talking about, or send me a text message? Thanks Lynn
Definitely. which # to text?
My cell is 404-405-1152
I'd also like to discuss some Tegaderm alternatives with you as well. May I contact you to discuss this further?
of course! I know how to find you Kevin. I'll email you.
At our facility we continue to use Statlocks but use Mepilex Ag if contact dermatitis is present. If just blistery, then regular Mepilex. It has a silicone-based adhesive that never peels skin and can stay on 3 or more days btwn dressings. Bonus is it is very absorbent so if skin is weepy, it keeps skin from maceration.
ReneMaslow, RN, VA-BC PICC/Proc RN Kaiser Permanente Santa Rosa, CA