Ventricular Assist Device: Sorbaview Dressing Change

Ventricular Assist Device: Sorbaview Dressing Change

 

The ventricular assist device (VAD) driveline dressing will be reinforced for the first 48 hours after surgery. After 48 hours, a gauze dressing will be applied and changed every day for the first 5 to 7 days after surgery. By that time, the wound will begin to heal and you will see less bleeding and drainage. You will then switch to a Sorbaview dressing.
A nurse specially trained to the ventricular assist device will teach you and your caregiver how to change the Sorbaview dressing.
Look at the area carefully when you change the dressing. Watch closely for signs of infection.

 

Ways to prevent infection

  • Keep your hands clean. Do not let anyone touch the area without first washing their hands and wearing gloves.
  • Handle the driveline gently. Do not let it move around too much.
  • At home or in the hospital, clean the skin and driveline with each dressing change to prevent infection.

 

Change your Sorbaview dressing:

  • Every Monday and Thursday after you shower. We recommend that you shower on Mondays and Thursdays only and do a sponge bath on the other days of the week.
  • Any time the dressing becomes damp, loose or soiled.

 

Gather these supplies

Clean a table with a household disinfectant. Place these supplies on the clean table:

  • Alcohol based hand sanitizer or soap and water
  • Sorbaview Driveline Management Kit

 

Steps to follow on Monday and Thursday dressing changes

  1. Wash your hands.
  2. Open your kit and unroll the first fold.
  3. Put on your mask. Have the patient put on a mask.
  4. Put on the clean, unwrapped gloves.
  5. Use the alcohol swabs to weaken the adhesive and remove the old dressing. Throw this dressing away and remove your gloves.
  6. Wash your hands.
  7. Put on the sterile, wrapped gloves.
  8. Pick up the ChloraPrep swab and gently clean a wide area around the driveline. Spend 30 seconds gently scrubbing all 4 sides, moving from the driveline outward. Allow to dry for 2 minutes.
  9. Repeat cleaning the area with the second ChloraPrep swab. Allow to dry for 2 minutes.
  10. Apply skin prep to areas where the dressing adhesive will contact skin. Allow to dry for 2 minutes.
  11. Apply Sorbaview clear dressing over your driveline site. Line up the oval window with the exit site and make sure your driveline is covered right down the middle of the blue tracks.
  12. Use the small closure adhesive to close the dressing over the site. Push up and under the driveline at the edge.
  13. Place the driveline anchor device below the small closure adhesive and under the line. Press down to ensure it sticks to the skin.
  14. Find the arrow on the base of the driveline anchor device. Pull the tab on the other side from the arrow to make an opening in the slit. Push the tab next to the arrow into this opening.
  15. Holding onto both tabs, pull them in opposite directions until the first tab pulls through the slit, locking into place.

 

If you have any of these signs of infection, call your doctor right away:

  • Fever at or greater than 100.5 degrees F or 38 degrees C
  • Redness
  • Swelling
  • Red streaks
  • Yellow or green drainage or drainage that smells bad
  • Warmth
  • An increase in pain

 

© 2014 – July 30, 2019, The Ohio State University Wexner Medical Center.

This handout is for informational purposes only. Talk with your doctor or healthcare team if you have any questions about your care. For more health information, call the Library for Health Information at 614-293-3707 or email: health-info@osu.edu.