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Covering Central Lines During Showers

  • 1.  Covering Central Lines During Showers

    Posted 10-02-2019 12:32

    For those of you on the acute care side of oncology, what do you use to cover your patients central lines while they shower?

    We are currently using press and seal, but have had 3 CLABSI's that are "water bugs". After reviewing charts, we have noticed that the CL dressings of these patients had been wet following showers.

    Thank you!

    Jennifer Graham, MSN, RN, AGCNS-BC
    Oncology CNS
    St. Luke's Health System
    Boise ID

  • 2.  RE: Covering Central Lines During Showers

    Posted 10-03-2019 07:31
    We use AquaGuard, but it's still not full-proof, so we also tape around the edges.

    Tracie Treadaway RN BMTCN BSN
    Floor RN
    Carolinas Medical Center/Atrium Health
    Charlotte NC

  • 3.  RE: Covering Central Lines During Showers

    Posted 10-03-2019 08:12
    We use ​Shower Shield, 9 x9 in size.  Patients and staff have found it works well.

    Ruth VanGerpen RN MS
    Lincoln NE

  • 4.  RE: Covering Central Lines During Showers

    Posted 10-03-2019 11:44
    Where I work we use Aqua Guard. They also tend to leak occasionally. We have actually told patients receiving chemo they cannot shower until regimen completes due to the possibility of infection. They are asked to wash at sink and due the best they can to keep port or picc dressings dry.
    Debbie Gorrie

    Sent from my iPhone

  • 5.  RE: Covering Central Lines During Showers

    Posted 10-03-2019 21:42
    We also use AquaGuard but I agree that it is not full-proof and I also tape around the edges with large silk tape. We also encourage patients to use the seated shower and have a staff member (RN or PCT) use the hand held spray to avoid soaking the port area as occurs with a standing shower.

    Linda Simpson, BSN, RN, OCN
    Suburban Hospital
    Bethesda MD

    Linda Simpson BSN RN
    Clinical RN II
    Silver Spring MD

  • 6.  RE: Covering Central Lines During Showers

    Posted 10-05-2019 15:26
    We use Aqua Guard also, but we have issues with them not always being full proof.  We have patients that will use two of them or apply additional tape.  I've heard Shower Shield works better and is cheaper than Aqua Guard.

    Michele Abbitt RN
    Clinical Nurse Manager
    OU Medical Center
    Oklahoma City OK

  • 7.  RE: Covering Central Lines During Showers

    Posted 10-07-2019 01:04
    We use AquaGuard as well. We haven't had any problems with them. Some nurses do reinforce them with tape. We also usually will have the patient shower between bags of chemo to better cover the port.

    Chandra Gass RN BSN OCN
    St Marys Hospital & Medical Center
    Grand Jct CO

  • 8.  RE: Covering Central Lines During Showers

    Posted 10-09-2019 14:40
    ​We also use AquaGuard to protect our patients' CVADs when they shower. A few things to remind/ keep in mind with this product...
    1. If your patient is the type that LOVES hot showers, you may want to remind him/her to make their showers brief and come out - AquaGuard tends to start getting soggy with prolonged heat, so your CVAD can quickly go from being protected to being contaminated!
    2. Select the right size! it matters!... no pun intended ;). Bottom line, you do not want any of it's adhesive part to get in contact with your CVAD dressing. Otherwise you will be inadvertently removing your patient's CVAD dressing in the process of removing the AquaGuard cos it sticks together and you can't separate them!
      • You want all parts of your CVAD dressing to be completely encased in the aquaguard.

    Good luck!

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