VAD Dressing Change with Silverlon

VAD Dressing Change with Silverlon:
1. Disinfect surface being used for dressing change with a cleaning wipe (bleach or Cavi - wipe).
2. Put on face mask, everyone in room including patient should have on mask.
3.Wash hands.
4.Don exam gloves.
5. Carefully remove old dressing taking care not to pull on driveline. Remove securement device if applicable (change weekly unless dirty or compromised.)
6. Inspect site for signs of infection or irritation.
7. Remove and discard exam gloves.
8. Wash hands.
9. Open all packages and prepare sterile field.
10.Don Sterile Gloves. The remaining procedure will be done sterile.
11. Clean site including driveline with 1st chlorhexidine and allow area to dry completely for a minimum of 30 seconds, throw away when finished.
12. Clean site including driveline with 2nd chlorhexidine and allow area to dry completely for a minimum of 30 seconds, throw away when finished. Allow area to dry completely.
13. Wet silver on the Silverlon pad/disk with sterile saline flush or wipe.
14. Place Silverlon pad/disk, silver side down, on driveline exit site.
15. Place window dressing or tegaderm over Silverlon pad/disk.
16. Secure the driveline using Centurion Foley Anchor.
17. Remove gloves and discard gloves and any remaining dressing change items.
18. Wash hands.