BioSeal CVC Powder Application
Welcome to the BioSeal CVC Powder Application
Computer-Based Learning Module (CBL)
Who should take this CBL?
• Any clinician that will insert, maintain or remove a Central Venous Catheter
(CVC), other catheter or tube
• Any nurse/clinician that may care for patients with bleeding wounds
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Menu
It will take approximately 20 minutes to navigate through this CBL.
Click the links below to jump to selected “chapters” in the course.
Introduction
How Does BioSeal CVC Powder Work?
Hospital Uses of BioSeal CVC Powder
Protocol for CVCs and Tubes
Application Tips
More Information on BioSeal CVC
Summary
References
BioSeal CVC Powder Application
2
Introduction
Course Objectives
• Describe BioSeal CVC Powder
• Describe the mechanism of action of BioSeal CVC
Powder
• Discuss the benefits of BioSeal CVC Powder usage
• Explain the many hospital uses of BioSeal CVC Powder
• Learn protocol for applying BioSeal CVC Powder for
catheters and tubes
• List powder application tips
• Learn how to find more information on the product and
how to order BioSeal CVC Powder
BioSeal CVC Powder Application
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Introduction
What is BioSeal CVC Powder?
• BioSeal CVC is a topical powder that
forms an occlusive seal to stop the flow of
blood and exudates from a wound and
keep microbes from entering the site.
• The ingredients are a mixture of a
hydrophilic polymer and potassium
ferrate.
• BioSeal CVC Powder is a brown powder.
• BioSeal CVC Powder is not a
vasoconstrictor or a cauterizing agent.
• BioSeal CVC is non-systemic, non-toxic
and it is not biologically derived.
BioSeal CVC Powder Application
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How Does BioSeal CVC Work?
Mechanism of Action
BioSeal CVC Powder creates a seal or barrier to stop the flow of blood
or exudates. The mechanism of action is a simultaneous two step action:
1.
2.
The polymer rapidly dehydrates the blood and absorbs exudates.
The potassium ferrate component agglomerates the blood protein
creating an occlusive barrier.
Dry
powder
BioSeal CVC Powder
Seal
Actual electron microscopy image
5 French catheter
BioSeal CVC Powder Application
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How Does BioSeal CVC Work?
The Difference is the Seal
The “BioSeal” works as an occlusive dressing to:
• Provide a barrier that stops the flow of blood or
exudate and prevents microbes from getting in
(allows nothing in, nothing out)
• Keep access sites dry and intact
• Create a hostile environment to inhibit microbial
activity
• Eliminate 24 or 48-hour dressing changes and cost of
dressing change kits
• Increase patient satisfaction (less disruption of site
and fewer complications from bleeding/exudate
leakage)
BioSeal CVC Powder Application
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How Does BioSeal CVC Work?
More Product Benefits
• Proven to achieve hemostasis in less than two minutes for
venous access procedures
• Seal forms independently of the blood clotting cascade (works
for patients on anticoagulation therapy, high INR, low platelets)
• Not metabolized by the body and not biologically derived, which
minimizes the potential for allergic reactions
• Passed all FDA-required biocompatibility tests
• Easy to use
BioSeal CVC Powder Application
7
Hospital Uses of BioSeal CVC
Applications
Use BioSeal CVC Powder with the following devices to stop
bleeding and oozing and protect the site:
Vascular Devices (insertions and removal):
• PICCs/Midlines
• Central Venous Catheters
• Dialysis Catheters
• Arterial Catheters (maintenance)
Also effective in controlling bleeding and exudate leakage
from Non-Vascular Devices such as:
• Peritoneal dialysis catheters
• Epidural catheters
• Large-bore needles used for paracentesis,
thoracentesis, or biopsies
• PEG/Gastrostomy feeding tubes
BioSeal CVC Powder Application
Photo by Penny Offer, CRNI
8
How Does BioSeal CVC Work?
Review Question
The ingredients of BioSeal CVC Powder are:
A. An oxidized cellulose gauze
B. A hydrophilic polymer and potassium ferrate
C. A calcium alginate wound dressing
D. Chitosan and potassium
Place the pointer over the desired answer and click the left mouse
button for immediate feedback.
BioSeal CVC Powder Application
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How Does BioSeal CVC Work?
Review Question
A characteristic or benefit of the “BioSeal” is:
A. It stops bleeding and absorbs exudates.
B. It provides a barrier that allows nothing in, nothing out.
C. It creates a hostile environment to inhibit microbial activity.
D. All of the above.
Place the pointer over the desired answer and click the left mouse
button for immediate feedback.
BioSeal CVC Powder Application
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Protocol for Catheter Insertion
1.
Insert and secure line per protocol.
2.
If gloves are wet with blood or other fluids, clean them
with sterile saline and dry them with gauze to prevent
BioSeal CVC Powder from sticking to gloves.
For Horizontal Surfaces:
3.
Pour powder to completely cover the site (create a small
pile).
Pour Powder
For Vertical Surfaces:
3.
Place Powder Containment Device (PCD) around site, fill
the PCD with powder.
4.
Apply continuous firm pressure directly over powder with
clean, dry gloved fingers for 2 minutes to form the
“BioSeal” and achieve hemostasis. For anticoagulated
patients or larger catheter sizes, longer holding times may
be required.
5.
Cover site with transparent dressing. Press and form
transparent dressing around powder to help contain it
around the access site.
6.
Apply BioSeal CVC sticker on top of transparent dressing
without obstructing view of site.
BioSeal CVC Powder Application
Hold Pressure
Seal is formed
11
Protocol for Dressing Changes
Dressing Changes/Maintenance
1.
Remove transparent dressing from site. Most of powder will come
off with the dressing.
2.
Gently remove excess powder with dry sterile gauze.
3.
Use chlorhexidine to lightly clean around the area. Do not remove
the BioSeal. The seal is an integral part of physically preventing
microbial colonization down the external surface of the line.
Aggressive scrubbing is not recommended as it will damage the
seal.
4.
Observe site for tissue impressions or skin irritation.
5.
Reapply transparent dressing per hospital protocol.
BioSeal CVC Powder Application
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Protocol
Pull Backs
If pull back is necessary, brush away excess powder
and then use chlorhexidine (or sterile saline) to loosen
the “BioSeal”. (The seal must be broken before the
catheter can be pulled back.) After pull back, repeat
BioSeal CVC Powder application steps.
BioSeal CVC Powder Application
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Protocol for PICC Line Discontinuation
1.
Remove transparent dressing from site.
2.
Brush away any excess powder, remove “BioSeal”
with chlorhexidine (or sterile saline) as needed and
gently remove line. You may feel an initial “tug” as
the seal is broken.
3.
Apply BioSeal CVC Powder if bleeding occurs.
4.
Dress site per team protocol.
BioSeal CVC Powder Application
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Protocol for Central Catheter Removal
1.
Follow hospital/team protocol for patient positioning.
2.
Remove transparent dressing from site.
3.
Cleanse exit site with chlorhexidine.
4.
Place the Powder Containment Device (PCD) around
catheter. Try to make the application area as flat as
possible (less vertical).
5.
Fill the PCD with Powder.
6.
Gently remove the catheter while simultaneously applying
direct pressure to the site (directly over PCD/powder).
BioSeal CVC Powder Application
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Protocol for Central Catheter Removal
Hold pressure over site for 2-3 minutes to allow seal to
form.
7.
•
Anticoagulated patients or larger French sizes may
require longer hold times.
8.
Release pressure slowly – roll fingers off powder.
9.
If a rebleed occurs, apply more powder.
10.
Dress site per hospital protocol.
11.
Provide Patient Discharge Instructions. If patient is
being discharged, remind patient not to remove seal.
BioSeal CVC Powder Application
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Protocol for PEG Tubes
1.
Pour BioSeal CVC Powder directly around
site/tube. Cover site completely.
2.
Apply pressure for two minutes to form the
protective seal. If bleeding continues, repeat
application.
3.
Dress per protocol.
For tube removal:
1.
Brush away any excess powder, remove the
“BioSeal” with chlorhexidine (or sterile saline)
as needed and gently remove tube. You may
feel an initial “tug” as the seal is broken.
2.
Apply BioSeal CVC Powder and hold
pressure if bleeding occurs.
3.
Dress site per protocol.
BioSeal CVC Powder Application
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Protocols
Review Question
If gloves are wet with blood or other fluids, clean them with sterile
saline and dry them with gauze to prevent BioSeal CVC Powder
from sticking to gloves.
True
False
Place the pointer over the desired answer and click the left mouse
button for immediate feedback.
BioSeal CVC Powder Application
18
Protocols
Review Question
For dressing changes you should do which of the following:
A. After removing transparent dressing, remove excess
powder with your fingers.
B. Remove the "BioSeal" if it is adhered to the line.
C. Use chlorhexidine to lightly clean the area. Do not remove
seal.
D. Scrub aggressively on top of and around the line with
chlorhexidine.
Place the pointer over the desired answer and click the left mouse
button for immediate feedback.
BioSeal CVC Powder Application
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Application Tips
Do’s
• Completely cover site with
powder.
• Apply firm, continuous pressure
for two minutes directly over site
with dry gloved fingers or nonadherent dressing to form the
protective seal and achieve
hemostasis.
• Leave seal over site; it will fall off
naturally on its own, or if needed,
may be removed with sterile
technique.
Dry/intact dressing 0 to 7 days
Photo by Penny Offer, CRNI
BioSeal CVC Powder Application
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Application Tips
Don'ts
• Don’t hold pressure over BioSeal CVC Powder with gauze to
avoid tearing the seal.
• Don’t check for hemostasis before the recommended holding
time. This could disturb the seal formation.
• Don’t use BioSeal for internal bleeding as it is not
biodegradable.
Note: Upon application, a temporary warming or sensation
may be felt when holding pressure over the powder.
BioSeal CVC Powder Application
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Application Tips
Review Question
When applying BioSeal CVC Powder following line insertion, you
should check for hemostasis before the recommended holding time
of two minutes.
True
False
Place the pointer over the desired answer and click the left mouse
button for immediate feedback.
BioSeal CVC Powder Application
22
Application Tips
Review Question
Which of the following should not be used to hold
pressure over BioSeal CVC Powder?
A. Telfa
B. Dry, gloved fingers
C. Gauze
D. All of the above
Place the pointer over the desired answer and click the
left mouse button for immediate feedback.
BioSeal CVC Powder Application
23
More Information on BioSeal CVC
Educational Tools
There are resources available to
educate both patients and clinicians
about BioSeal CVC Powder. These
resources include:
• Instructions for Patients and
Medical Staff
• Posters
• Protocol sheets
•These resources are available at
www.biosealcvc.com.
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More Information on BioSeal CVC
Ordering Information
Order Number
Product Description
LP606
6 Applications per Box*
LP636
24 Applications per Case*
Call Biolife at 800-722-7559 for more information.
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Summary
This CBL course has focused on:
• Uses of BioSeal CVC Powder in a hospital setting
• The components and mechanism of action of BioSeal CVC
Powder
• Benefits of BioSeal CVC usage
• Protocol for applying BioSeal CVC Powder for CVC insertion,
maintenance and removal as well as protocol for tubes
• Powder application tips
• How to find more information on the product and how to order
BioSeal CVC Powder
BioSeal CVC Powder Application
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References/Credits
• Wang DS, Chu LF, Olson SE, Miller FJ, Valji K, Wong WH,
Rose SC, Austin M, Kuo MD. Comparative Evaluation of
Noninvasive Compression Adjuncts for Hemostasis in
Percutaneous Arterial, Venous, and Arteriovenous Dialysis
Access Procedures. J Vasc Interv Radiol 2008; 19: 72-79.
• Photos are the property of Biolife, LLC.
BioSeal CVC Powder Application
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Exit
We hope this Computer Based Learning course has been both informative
and helpful.
Feel free to review the screens of this course until you are confident about
your knowledge of the material presented.
Press Esc key to exit presentation and then
close PowerPoint® application.*
(*this screen can be customized to interface with each institution’s learning
management system).
BioSeal CVC Powder Application
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Review Question Feedback
Your answer is correct! BioSeal CVC Powder
is made of a hydrophilic polymer and
potassium ferrate.
Return to Course
BioSeal CVC Powder Application
29
Review Question Feedback
Your answer is incorrect! BioSeal CVC is
made of a hydrophilic polymer and
potassium ferrate.
Return to Course
BioSeal CVC Powder Application
30
Review Question Feedback
Your answer is correct! BioSeal CVC
Powder stops bleeding and absorbs
exudates, provides a barrier that allows
nothing in, nothing out and creates a hostile
environment to inhibit microbial activity.
Return to Course
BioSeal CVC Powder Application
31
Review Question Feedback
Your answer is incorrect! All of the above is the
correct answer. BioSeal CVC Powder stops bleeding
and absorbs exudates, provides a barrier that allows
nothing in, nothing out and creates a hostile
environment to inhibit microbial activity.
Return to Course
BioSeal CVC Powder Application
32
Review Question Feedback
Your answer is incorrect! If gloves are wet with blood
or other fluids, they should be cleaned with sterile
saline and dried with gauze to prevent BioSeal CVC
Powder from sticking to gloves.
Return to Course
BioSeal CVC Powder Application
33
Review Question Feedback
Your answer is correct! If gloves are wet with blood or
other fluids, they should be cleaned with sterile saline
and dried with gauze to prevent BioSeal CVC Powder
from sticking to gloves.
Return to Course
BioSeal CVC Powder Application
34
Review Question Feedback
Your answer is incorrect! The correct
answer is C. Use chlorhexidine to lightly
clean the area, but do not remove the
“BioSeal”.
Return to Course
BioSeal CVC Powder Application
35
Review Question Feedback
Your answer is correct! For dressing
changes, use chlorhexidine to lightly clean
the area, but do not remove the “BioSeal”.
Return to Course
BioSeal CVC Powder Application
36
Review Question Feedback
Your answer is incorrect. When applying BioSeal
CVC Powder, do not check for hemostasis before the
recommended holding time of 2 minutes as this could
disrupt the seal and cause a rebleed.
Return to Course
BioSeal CVC Powder Application
37
Review Question Feedback
Your answer is correct! When applying BioSeal
CVC Powder, do not check for hemostasis
before the recommended holding time of 2
minutes as this could disrupt the PRO QR seal
and cause a rebleed.
Return to Course
BioSeal CVC Powder Application
38
Review Question Feedback
Your answer is incorrect. C - Gauze is the correct
answer. Gauze should not be used to hold pressure
over BioSeal CVC Powder as it can disturb the seal
and cause a rebleed.
Return to Course
BioSeal CVC Powder Application
39
Review Question Feedback
Your answer is correct! Gauze should not be
used to hold pressure over BioSeal CVC
Powder as it could disturb the seal and
cause a rebleed.
Return to Course
BioSeal CVC Powder Application
40