Anyone out there using assistive pressure devices, such as a Safegaurd, as a temporary solution for stubborn PICCs that won't stop bleeding from the insertion point?
http://ca.maquet.com/products/hemostasis-management/safeguard/overview/
The risk for SVT/DVT is obvious. I was curious as to if anyone else has tried this device or had a policy on something similar.
My co-workers and I have minimally used this product a few times as a last resort, after manual pressure, gauze pressure dressings and Surgicel have failed. Not part of our standards of practice by any means, so any input woud be good.
Seems like a safe guard is a bit overkill considering that there are now effective products to stop bleeding and oozing, not to mention the risk of DVTs, expense or catheter damage. We've had great success with Bioseal and eliminated our expensive Surgicel use. Just search the site and lots of discussions come up.
I am not familiar with Bioseal. If you have a link or any info on this product it would be helpful, so I can pass this along to my manager.
Thanks.
http://www.biosealcvc.com/
There was an extensive article in the AVA journal about a year ago
Robbin George RN VA-BC
I have been using BioSeal CVC for patients that continue to ooze blood post insertion. Our normal procedure is to use a biopatch at the time of insertion, but if after holding pressure for two minutes, the site continues to ooze/bleed we will apply BioSeal. When applied correctly this has worked great. I have had no unplanned dressing changes due to bleeding (after a short learning curve of proper application. No infections either). We leave the BioSeal on until the next planned dressing change and then resume with our normal policy of Biopatch...
Regards
Judy