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​At our facility it's been discussed doing away with coban to cover vascular access points (IV starts and phlebotomy sticks) as the use has been "related to constriction of site and can lead to (worst case) limb loss."

In our ambulatory care setting we use coban a lot! Do any other facilities currently have the same practice in place? What are you using as an alternative?

thank you in advance!

------------------------------
Heather Schrimpf, RN, BSN, OCN
Clinic Nurse Supervisor
Ellis Fischel Cancer Center
Columbia, MO
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We always use coban! We have had no issues with constriction or loss of limbs.
Our problem right now is that we just realized that it is single patient use only and we have to either offer the leftover to the patient or throw it away per Joint Commission. Our hospital is looking into finding a smaller coban roll to purchase to reduce waste.

- Tiff


Original Message------

​At our facility it's been discussed doing away with coban to cover vascular access points (IV starts and phlebotomy sticks) as the use has been "related to constriction of site and can lead to (worst case) limb loss."

In our ambulatory care setting we use coban a lot! Do any other facilities currently have the same practice in place? What are you using as an alternative?

thank you in advance!

------------------------------
Heather Schrimpf, RN, BSN, OCN
Clinic Nurse Supervisor
Ellis Fischel Cancer Center
Columbia, MO
------------------------------

We also use Covan a lot in our Facility. I just make sure I don't apply it tight, I also instruct my patients to keep it for about 2 hrs and then take it off.

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Sonia Larssen RN
RN BSN OCN
Central Peninsula Hospital
Soldotna AK
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Original Message:
Sent: 12-02-2019 17:50
From: Heather Schrimpf
Subject: Use of Coban

​At our facility it's been discussed doing away with coban to cover vascular access points (IV starts and phlebotomy sticks) as the use has been "related to constriction of site and can lead to (worst case) limb loss."

In our ambulatory care setting we use coban a lot! Do any other facilities currently have the same practice in place? What are you using as an alternative?

thank you in advance!

------------------------------
Heather Schrimpf, RN, BSN, OCN
Clinic Nurse Supervisor
Ellis Fischel Cancer Center
Columbia, MO
------------------------------

HI
I would like to think that people use a little common sense when putting a bandage on anything!
I pull a length of Coban off the roll and then put it over a piv.  It chagrins me that we need to think these things should not be used at all because the potential of damage exists if people don"t use their thinking.  Then we should ban cars, knifes, etc.
Therese

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Therese Sprunger RN
Lacey WA
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Original Message:
Sent: 12-02-2019 17:50
From: Heather Schrimpf
Subject: Use of Coban

​At our facility it's been discussed doing away with coban to cover vascular access points (IV starts and phlebotomy sticks) as the use has been "related to constriction of site and can lead to (worst case) limb loss."

In our ambulatory care setting we use coban a lot! Do any other facilities currently have the same practice in place? What are you using as an alternative?

thank you in advance!

------------------------------
Heather Schrimpf, RN, BSN, OCN
Clinic Nurse Supervisor
Ellis Fischel Cancer Center
Columbia, MO
------------------------------

Anyone use sylvant

Sent from my iPhone


Original Message------

HI
I would like to think that people use a little common sense when putting a bandage on anything!
I pull a length of Coban off the roll and then put it over a piv.  It chagrins me that we need to think these things should not be used at all because the potential of damage exists if people don"t use their thinking.  Then we should ban cars, knifes, etc.
Therese

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Therese Sprunger RN
Lacey WA
------------------------------

I work in an outpatient setting, and we use Coban a lot as well. We use it over PIV sites to guard the site. The coban doesn't need to be tight at all for this as it's just to keep the patient from knocking the site with their sleeves etc.
We also use it as a bandage post phlebotomies and PIV removals. Snug but not tight is our guideline here even if the patient is on anticoagulants.
I hope this helps.

------------------------------
Patty Fox RN BSN
Staff Nurse
H Lee Moffitt Cancer Center
------------------------------

Original Message:
Sent: 12-02-2019 17:50
From: Heather Schrimpf
Subject: Use of Coban

​At our facility it's been discussed doing away with coban to cover vascular access points (IV starts and phlebotomy sticks) as the use has been "related to constriction of site and can lead to (worst case) limb loss."

In our ambulatory care setting we use coban a lot! Do any other facilities currently have the same practice in place? What are you using as an alternative?

thank you in advance!

------------------------------
Heather Schrimpf, RN, BSN, OCN
Clinic Nurse Supervisor
Ellis Fischel Cancer Center
Columbia, MO
------------------------------

I am attaching an article that addresses adhesive selection and strategies for preventing medical adhesive-related skin injury (MARSI).  The use of proper technique in both application and removal of adhesive products is essential in preventing MARSI.  An important factor in adhesive selection is the condition of the skin and coagulation status.  I have seen horrendous skin tears in the elderly population when traditional tape or band aids are used after phlebotomy procedures and PIV catheter removal, as well as profuse bleeding or hematoma due to lack of adequate pressure in those on blood thinners or with coagulation deficits.  Sound nursing judgment and frequent assessment/reassessment is key in preventing these injuries.

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Sue Ellen Glover, MSN, RN, OCN, CBCN
Oncology Nurse Navigator
St. Petersburg General Hospital
St. Petersburg, FL
727-344-4743
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Original Message:
Sent: 12-04-2019 18:31
From: Patricia (Patty) Fox
Subject: Use of Coban

I work in an outpatient setting, and we use Coban a lot as well. We use it over PIV sites to guard the site. The coban doesn't need to be tight at all for this as it's just to keep the patient from knocking the site with their sleeves etc.
We also use it as a bandage post phlebotomies and PIV removals. Snug but not tight is our guideline here even if the patient is on anticoagulants.
I hope this helps.

------------------------------
Patty Fox RN BSN
Staff Nurse
H Lee Moffitt Cancer Center

Original Message:
Sent: 12-02-2019 17:50
From: Heather Schrimpf
Subject: Use of Coban

​At our facility it's been discussed doing away with coban to cover vascular access points (IV starts and phlebotomy sticks) as the use has been "related to constriction of site and can lead to (worst case) limb loss."

In our ambulatory care setting we use coban a lot! Do any other facilities currently have the same practice in place? What are you using as an alternative?

thank you in advance!

------------------------------
Heather Schrimpf, RN, BSN, OCN
Clinic Nurse Supervisor
Ellis Fischel Cancer Center
Columbia, MO
------------------------------