Is a wet exit site associated with a CVC exit-site infection, whereas a dry exit site is not?
A probable local infection includes erythema, tenderness, and induration at the exit site without a positive culture.
The revised Daily PD record with space added for RNs to document the condition of the PD catheter exit site has been approved by the hospital forms committee and is now being used on our unit.
100% of documentation completed using the re-designed PD exit site classification tool
TABLE 2 Microbiology of the positive cultures Tip Sleeve Hub Exit site
fluid No growth 102 96 95 72 Growth 0 6 7 30 Scanty -- -- 5 21 Moderate -- -- 1 6 Abundant -- -- 1 3 Organisms Single CNS -- 5 4 scanty 19 scanty 3 moderate 3 abundant Diphtheroids -- -- 1 abundant -- E.
The nurse has input into exit site placement including marking the abdomen, assessing the abdomen for belt lines and skin folds.
The additional skills include the completion of peritoneal dialysis exit site dressing change, using the modified shower technique, and the connection/disconnection of peritoneal dialysis solution for continuous ambulatory peritoneal dialysis exchanges.
Perform exit site
care using chlorexidine swabs, Bactroban[R] cream, as needed, apply a Mepore[R] dressing and secure the catheter/transfer set in their usual fashion.
There were no significant differences between time points, and the exit site
erythema, edema, exudate and quality were similar to those for cuffed catheters, and were generally higher at later time points.
In SKM cells, the canonical ER distribution is not clear: cells may contain two major rough ER subcompartments, one without exit sites
, localized in correspondence to the I-band, and a second responsible for export activity toward the Golgi Complex (GC), near the Z-disc.
OptiForm employs a flexible, symmetrical sewing cuff that allows surgeons who use the everted suture technique to vary placement of the valve within each patient's annulus simply by changing needle entry and exit sites
expanding side port) design permits easier blood draws from the proximal lumen of the staggered exit sites
and allows the distal lumen to be designated for central venous pressure (CVP) monitoring.