PICC line dressing change (Biopatch)

Shows how to set up the new dressing change tray/kit in a sterile way with basic and custom supplies and remove old dressing on a PICC line. Demonstration includes how to clean the PICC line site in a sterile way and then put a new dressing on it. How to use biopatch to protect the insertion point. How to use griplok to secure the PICC line as a securement device.

  • Dressing helps reduce local infections, catheter-related bloodstream infections (CRBSI) and skin colonization of microorganisms commonly associated with CRBSI in patients with central venous and arterial catheters
  • Provides 360º protection around the insertion site up to 7 days

Instructions

Demonstration Videos

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how to use PICC line dressing change (Biopatch)
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Changing the dressing of a Peripherally Inserted Central Catheter (PICC) line using a Biopatch involves several steps to ensure sterility and reduce the risk of infection. Here’s a step-by-step guide:

Materials Needed

  • Sterile gloves
  • Non-sterile gloves
  • Sterile dressing change kit (including sterile drape, alcohol pads, and dressing materials)
  • Biopatch (antimicrobial disc)
  • Transparent semi-permeable dressing
  • Adhesive remover (optional)
  • Antiseptic solution (e.g., Chlorhexidine)
  • Mask (for the person performing the dressing change)
  • Disposable waste bag

Procedure

  1. Preparation
    • Wash your hands thoroughly with soap and water.
    • Gather all necessary materials.
    • Prepare a clean, flat work surface.
    • Put on a mask to reduce the risk of contaminating the PICC site.
  2. Remove the Old Dressing
    • Don non-sterile gloves.
    • Carefully peel back the old dressing. If needed, use an adhesive remover to loosen the adhesive.
    • Dispose of the old dressing and gloves in the disposable waste bag.
  3. Inspect the Site
    • Inspect the PICC line insertion site for any signs of infection, such as redness, swelling, or drainage. Report any abnormalities to a healthcare provider.
  4. Clean the Area
    • Wash your hands again.
    • Put on sterile gloves.
    • Use the antiseptic solution to clean the area around the PICC line. Start from the insertion site and work outward in a circular motion. Allow the area to air dry completely.
  5. Apply the Biopatch
    • Place the Biopatch (antimicrobial disc) around the PICC line at the insertion site. Ensure the blue side is facing up, and the slit fits around the catheter.
  6. Apply the New Dressing
    • Place the sterile transparent dressing over the Biopatch and the PICC insertion site. Ensure the dressing covers the entire area and adheres well to the skin.
    • Smooth out any wrinkles to ensure a secure fit.
  7. Secure the Line
    • Use additional tape or adhesive strips as needed to secure the PICC line and dressing in place.
  8. Final Steps
    • Dispose of all used materials in the disposable waste bag.
    • Wash your hands again.

Tips

  • Change the dressing as per the schedule recommended by your healthcare provider, usually every 7 days or sooner if it becomes wet, soiled, or loose.
  • Maintain a sterile field throughout the procedure to minimize infection risk.
  • If you experience any difficulty or observe signs of infection, contact your healthcare provider immediately.

Note

Always follow the specific instructions provided by your healthcare provider or the manufacturer’s guidelines for the Biopatch and dressing materials.

If you need more detailed instructions or have specific questions, consulting a healthcare professional is recommended.

Guidelines, Specifications & User Manuals

Quick Reference Sheet

Placement Directions

Helpful Information

The Do’s & Don’ts Of Applying BioPatch Dressing

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.

BioPatch FAQs

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.

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