IÂ currently work at South Shore Hospital in Weymouth, MA and we are looking into a new process for our surgeons practice. They surgically place a port-a-cath and access it to check placement and flush, then the surgeons deaccess the port in the OR right away. The pt leaves the OR and some return to the floor for further treatment due to medical or oncological reasons. The floor RN's are accessing these PAC's so they can utilize them for treatment and it can be quite a challenge for 2 reasons.
1. The area is tender due to just having surgery for a port-a-cath placement and pt is in pain during access
2. The area is swollen due to having surgery and may be difficult to access.
We would love for our surgeons to leave the ports accessed for those patients who will continue to need treatment during their hospital stay. My questions for you all are
1. Is there evidence based practice (EBP) stating there is a higher risk of infection for those ports that are utilized right after surgery?
2. Does the port site need to heal a certain number of days prior to accessing the port for use?
3. Is keeping a newly accessed port from surgery a way of practice for other facilities or is it contraindicated for some reason?
Thanks so much in advance for your feedback!