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Elizabeth Defina
maximum barrier drapes for PICC insertions
Can anyone share what type of full body drape they use for PICC insertions?(manufactuer, measurements of drape, how many fenestrations etc) Does it completely cover the patient's face and feet? Any issues with the patient's face being completely covered? Thanks
momdogz
Our professional practice

Our professional practice and PICC councils and RN IIIs led a product evaluation of Arrow, Navilyst, Bard and Proxima drapes for the IV Therapy department.  Proxima (Medline) and Bard were the only ones that had head-toe drape in one piece, with fenestrations.  The group chose the Bard drape.  It is designed just for PICC insertion in the upper extremity, is easy to apply once past the learning curve, and is large enough to cover the patient.  The Proxima drape was large also (don't remember the dimensions), but the placement of the arm fenestrations seemed to be compromised by the subclavian/IJ fenestrations, and made the drape shorter on the procedure side so that the patient's hand or fingers were often not covered and we had to add another drape.

Fewer patients mind the drape over the face than I anticipated, though it can be an issue.  We had a metal shop create a bar that has one bent end that slides under the patient mattress, and another end bent toward the pt. face that we can attach the drape to.  If the bed or stretcher doesn't allow use of this device, the drape is substantial enough to allow the PICC assistant to arrange the drape off of the patient's face on the non-procedure side, while tenting it up to prevent contamination of the procedure area by the patient's head/mouth/trach.

The Bard drape also has resealable perforations on the sides for ease of drape removal, and at the head end, providing another option to assist with patient comfort re: drapes on the face.

The drape comes in a kit with a sterile gown and a cap.  You'll find a short instructional video here:  http://www.bardaccess.com/acc-max-bar.php

All of the companies for whom our group evaluated a drape came to our facility to demonstrate their drapes and provide instruction. 

Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

momdogz
I'm also curious about what

I'm also curious about what other folks are doing - anyone else? 

Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

MM668
We use the Bard Maximal
We use the Bard Maximal Barrier Kit. I don't know the demensions but it is a head to toe barrier which I think is either a recommendation or a must by the CDC for proper draping. I will tell you parts of this drape are nice that it does cover the whole body and it does go over the face with an option to peel away from the face with a perforation in it. It has peel away windows on either side of the arms where you would place a PICC. My only biggest complaint with this barrier is that the site window I think is too large and it has a very "sticky" edge all the way around it. Often times unsterile things are brought into that window such as tele wires or O2 tubing which puts the person at increased risk for dragging nice little germs into the sterile field. Also you have to be very careful when removing this sticky part as I have accidentally given a person some hematomas under the skin due to low platlet count coupled with a ridiculously sticky drape. All in all its not a bad drape, I think it costs about $22.00 each one and it includes a boufant and a biopatch together. I personally think it would work better to just get a body drape and then window the arm with sterile towels honestly I prefer it, and I think it's been priced out at something like $5.00. Hope this may help a little bit.
SusanBrown
We use the Bard Maximum
We use the Bard Maximum Barrier kits. I love them. I covers the patient and I really like the fenestrations on the arms. Makes things less messy. I the patient get claustrophobic, there is enough drape that you can "tent it" around their face to help that.
MarkCVL
I use the Proxima drape for
I use the Proxima drape for all vascular access procedures (PICC/IJ/SUB/I-Ports/Fem...)
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