Do's & Dont's Of Applying BioPatch
One of the biggest concerns that healthcare providers have in any hospital or home health setting, is preventing infection. On average, 50 patients die each day in US hospitals due to bloodstream infections. In most cases, these bloodstream infections are often preventable. The CDC recommends the use of chlorhexidine-impregnated dressings for prevention of intravascular catheter-related infections. Many hospitals and healthcare centers use BioPatch® dressing to combat the dangers of infection, as it is an effective IV dressing choice that reduces the incidence of catheter-related and local infections as well as skin colonization in patients.
BioPatch® dressing with CHG provides a potent antimicrobial and anti-fungal dressing. These features and others give the 1" BioPatch® the ability to inhibit bacterial growth. This premium dressing can absorb nearly eight times its weight in liquid. When applying BioPatch dressing, there are some do’s and don’ts that you should follow every time. We have outlined the most important ones for you below.
BioPatch® Application Do’s
When applying BioPatch® dressing to a patient, the first thing you will want to do is to prepare the insertion site. Thoroughly cleanse and dry the location you will be applying the BioPatch® . Next, you will want to place the BioPatch® so the slit is either near or underneath the patient’s catheter. You will also want to make sure the slit is facing toward the catheter. When placing the dressing, you will want to make sure it’s about 1” from the insertion site.
It’s essential that the edges of the dressing are together to maximize the effectiveness. When placing the BioPatch® , you should place the dressing with the adhesive side down and the printed side up for easy removal. In some situations, if the BioPatch® has become stuck to the skin, you can use normal saline to remove it. Make sure that the catheter is aligned with the slit in the dressing and that the edges of the dressing are touching.
Once the BioPatch® is placed, you should then cover the dressing with an additional bioclusive dressing and write the date and time on it. BioPatch® dressing will maintain effectiveness for one week as long as it is kept dry and intact; however, it’s always smart to check the dressing daily.
When placed correctly, BioPatch® is exceptionally effective at protecting patients from the bacteria, microflora, and other organisms present on their own skin that pose a danger to them.
BioPatch® Application Don’ts
If BioPatch® dressing is used incorrectly or placed improperly you could be missing out on all of the antimicrobial and anti-fungal benefits of the dressing. Below are a few of the “don’ts” you should avoid when applying BioPatch® dressing.
To start, always make sure that your BioPatch® application site is completely dry. If the site is not completely dry, then some or all of the adhesive material may not be able to form a complete seal. BioPatch® dressing requires complete 360-degree skin contact around the catheter for maximum efficacy.
It’s important that the catheter is not sutured too close to the entry point. To achieve proper skin antisepsis during dressing changes, it is important to provide plenty of room for the BioPatch® dressing. Avoid placing BioPatch® directly on to the catheter. BioPatch® must be in complete contact with the skin for it to be effective.
As mentioned above, always make sure the BioPatch® is placed with the white foam side is facing down. The antimicrobial foam must always be in contact with the skin. If after application you notice the white foam side is facing you, it must be changed immediately.
You should not place BioPatch® directly on or over infected wounds or burns and it should not be used as a treatment of percutaneous device-related infections.
How BioPatch® Works
BioPatch® is a polyurethane foam disc that has chlorhexidine gluconate, or CHG, within it. BioPatch® is used to combat a wide variety of gram positive and gram negative bacteria in patients.
BioPatch® dressing provides patients with a steady dose of CHG around the insertion site for a full seven days provided the dressing does not become wet or damaged. The foam disc keeps the insertion site clean and dry, all while simultaneously releasing CHG. BioPatch® dressing has been shown to reduce the rate of central line infections up to 69%.
Without the use of BioPatch® dressing, bacteria can quickly recolonize on a patient’s skin following antiseptic application. BioPatch® ’s unique mode of action works by slowly releasing the antimicrobial and antifungal CHG from the dressing foam.
1. Can BioPatch® Be Used On Children & Infants?
No. Do not apply BioPatch® dressing to children or infants. Use of this product on premature infants has resulted in hypersensitivity reactions and necrosis of the skin. The safety and effectiveness of BioPatch® antimicrobial dressing has not been established in children under 16 years of age.
2. When should I use a BioPatch® when accessing a port?
Use of BioPatch® is not advised for short-term infusions. Only use one if the patient will have their port accessed for more than 24 hours.
3. Can I access a port with the same length needle I usually use when adding a BioPatch®?
Use of the BioPatch® may impact the length of the needle a patient requires. For deeper ports, you should usually err on the side of caution and use a longer needle than you might normally need.
4. Can I use a BioPatch® if a patient has a skin sensitivity to chlorhexidine swabs?
No. BioPatch® dressing is a chlorhexidine impregnated sponge and will likely cause the patient to react adversely.
5. Are there any types of CVCs or clinical situations where BioPatch should not be used?
Yes, there are three situations where BioPatch® may not be appropriate. First, there is no manufacturer’s prohibition against use on tunneled catheters, however, the Renal Service has determined that BioPatch® should not be used on tunneled, dialysis catheters. BioPatch® may be used on other dialysis catheters and may be used on other tunneled lines if a dressing is needed. BioPatch® should not be used on infants less than two months old and premature infants. When it comes to patients with non‐intact skin at the insertion site, for example, severe burns, clinical judgment should be used.