Postop+PD+catheter+management

**HOME**
 * Postop management of PD catheter and exit site **

//Immediate post-op management //

PD exit site dressings must remain intact. If exit site or suture line appear inflamed, bleeding or there is a discharge, consult Renal CNC or PD staff. If dressing requires changing, please refer to Post Operative Dressing Protocol. Swab site and send to Microbiology for Culture and Sensitivity if required.

//After discharge //

Post operative dressing procedures to be used for the first 2 - 3 weeks depending on patient’s individual wound healing process. Dressing should be attended by Home Therapies CNC or PD clinic staff where possible.

Dressing changes to be done __weekly__ unless there is any dressing impairment, bleeding or signs of infection:
 * 1st dressing: applied in operating theatre or post operation (preferably within 24hours)
 * 2nd dressing: 7th day post op in PD training centre
 * 3rd dressing: 14th day post op ( 1st day of training)
 * 4th dressing: 21st day post op ( or/and last day of training)

__Do not allow the dressing to become wet and not to allow pulling or movement of catheter during this time frame __

After 3 weeks (or when the exit site is completely healed) patients are to be trained on chronic exit site care. Patients are to receive a __written exit site care protocol__ for attending the daily dressing at home.

Ensure patient is maintaining regular bowel habit while attending training centre or during training period

//Postoperative peritoneal catheter exit site dressing //

See SLH protocol for dressing instructions