We have been using chlorhexidine for skin preparation for line insertion ever since the creation of our PICC team 5 years ago. However, for the weekly or prn dressing changes we still use alcohol and betadine and then a chlorhexidine patch (biopatch).
Recently the hospital changed the process for central line dressing changes to include the use of chlorhexidine instead of betadine and alcohol. They made this change for the floor and icu staff and made it specific to Physician inserted and staff maintained lines; juglar, ports and sublcavians etc... not the picc lines. I didnt even know they made this change. When I found out I felt like we need to make the same change to the process for our PICC line dressing changes as well. ( I am the only person that does the piccs and I do al lthe dressing changes and maintence) Seems like a double standard to me. They said my infection rates were very low and didnt think I needed to change.
My question is; #1do you all utilize chlorhexidine upon insertion and then alcohol and betadine for rt dressings or use chlorhexidine for both. #2 wouldnt these be having two different standards of care for central line dressings if they keep it different for a central line inserted and cared for by others than the PICC team?
Thanks in advance, Gina Ward R.N., C.P.A.N.