Good morning group,Â
Our VAD taskforce is looking at applying the Biopatch at time of insertion.Â I've read theÂ previous forum, and also received feedbaack fromÂ Lynn (thank you!).Â Â My understanding is theÂ one advantage of Biopatch at insertion is to eliminate the 24 hour dressing change.Â
Â I asked for research documenting their rationale (which I paraphrased below).Â My question...has anyone heard this before?
Â ...the inflammatory reaction at insertion site causes swelling and fluid at the site, which can draw in any bacteria within the first 24 hours post-insertion.Â This bacteria can travel down the external catheter shaft.Â Also, biofilm can start developing within the first 24 hours and could seed any bacteria introduced.Â By placing the Biopatch at time of insertion your risk of bloodstream infection associated with line insertion is reduced.
This came from the higher-ups, soÂ I am looking for a response that I couldÂ somehow back up with evidence-based practice (they love those words)
Thanks so much.
Leann Kennedy, RN, BSNÂ