OUTCOMES:
* The area around the catheter insertion site is to remain infection free during the hospital stay of the patient.
* If infection does occur, arrangement must be made with the Physician for earliest possible site change to be carried out.

SPECIAL
CONSIDERATIONS: Patients with long term Central Catheters in place may carry out the procedures they are familiar with under supervision of a qualified Nurse from Lismore Base Hospital, while in hospital. Management of the Central Line by the patient must meet the standards set down by Lismore Base Hospital.

EQUIPMENT: Dressing pack x 1 Hansapor (wound dressing) 15 cm x 8 cm x 1
Hibitane solution Rubbish bin R : 28.1
PROCEDURE:
* Explain procedure to patient prior to commencement.
* Aseptic preparation prior to commencing procedure.
* Prepare dressing pack at bedside prior to positioning patient.
* Place patient in supine position.
* Remove old dressing and check site for discomfort, redness, inflammation and/ or leakage of fluids from around insertion site.
* Clean area around insertion site with Hibitane solution, allow area to dry before applying Hansapor dressing.
* Label dressing with time and date of change.
* Record date and time of dressing change on flow chart.
* Note in patient's chart condition of insertion site and inform Physician of signs of infection.

Reviewed September 1995


R : 28.2