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Securement of Ports

  • 1.  Securement of Ports

    Posted 6 days ago
    Colleagues-  we are evaluating our practice of port securement for patients going home with 5FU pumps and/or continuous infusions.  Our current policy is for the site to be secured with 2 steri strips to reduce risk of deaccessing while at home.

    Question:  If a patient is accessed without steri-strip securement and later discovered that they will go home with the pump, should the patient be deaccessed and reaccessed with the appropriate securement.  We are trying to figure out how other organizations weigh the risks of no securement vs. reaccessing?

    Appreciate getting your input on best practice.

    Phuong Huynh RN BSN OCN
    Oncology Nurse Educator
    Seattle Cancer Care Alliance
    Seattle WA

  • 2.  RE: Securement of Ports

    Posted 5 days ago
    In our clinic we place a biopatch and large tegaderm over the site. Some patient don't tolerate the biopatch so we also stock CHG tegaderms.

    [Jeanne] [Graves] [RN, BSN]
    [Outpatient Infusion Nurse]
    [Mid Illinois Hematology & Oncology]
    [Normal] [Illinois]

  • 3.  RE: Securement of Ports

    Posted 3 days ago
    In our clinic, we dress our patients' ports with chg-impregnated tegaderm dressings from the get go once accessed. Of course we have a alternative products algorithm we follow to address any patient allergies to our first-line CVAD maintenance products.

    Florence Okafor MPH, MSN, RN, NPD-BC, CPHON
    Professional Development Specialist:
    Adult Oncology; Ambulatory Infusion Center;
    Adolescent & Young Adult Oncology; &
    Baylor All Saints Medical Center
    Fort Worth TX

  • 4.  RE: Securement of Ports

    Posted 4 days ago
    Good morning,
    Interesting question. Here are a few thoughts arising from some of our perspectives in pediatrics.
    My advice would be that for meds with a potential to be given at home (even if not initially confirmed, just go ahead and add the extra steri-strips to secure. That way you are set to go regardless of the outcome.

    What to do if the port wasn't secured with steri-strips and then you decide to send the patient home? I'm guessing that the port would have been accessed that same day. In that case, I really don't know that I would advocate for replacing the needle but rather carefully removing the dressing, adding the steri-strips and placing a new dressing. The risks of that second poke are probably going to outweigh the benefits. Just the same, think through the specifics of the situation, and what makes sense for the patient while maintaining the foundational principles of infection prevention.

    We do not use CHG patches with ports nor do we use CHG dressings with them. There is just no documented evidence regarding the benefit of CHG patches except in temporary lines.

    Take good care!

    Lauri Linder PhD, APRN, CPON
    Associate Professor
    University of Utah
    Clinical Nurse Specialist
    Primary Children's Hospital
    Salt Lake City, UT