I have reviewed the recently published INS Standards and also attended 2 recent webinars on dressings sponsored by AVA. The 2021 INS Standards have clarified what a comrpromised dressing constitues, somewhat paraphrased here:
Dressing changes are recommended to be done immediately if lifted, detached on any border or within the transparent window
Question #1: While I understand the implications of the dressing descriptions and recommended actions, I also wonder if there was any thought about medical trauma for special populations? I work in pediatrics where dressing changes induce medical trauma and I am getting push back about the new INS Standards as they may apply to pediatrics. I am interested the VAD communities thoughts on this concern.
I have been asked what the standard is for when a port dressing may need changed before the 7 day limit on an accessed port. what is the recommendation for also changing the needle? I reviewed some prior posts, however I want to stay as UTD on recommendations.
Thank you for your feedback.
Linda Tirabassi RN CNS CPNP