D
Patient 1
PER MOTHER BABY NURSE: "VELCRO BINDER CAUSING ITCHY RED FLATTISH RASH WHERE BINDER COVERED ON ABDOMEN". RASH WAS NONRAISED. BINDER WAS REMOVED AND REPLACED WITH SOFT STRETCHY BINDER (DIFFERENT PRODUCT). THIS FACILITY HAS HAD MORE THAN 9 SIMILAR EVENTS WITH THIS PRODUCT IN THE LAST 5 MONTH. PRODUCT STATES LATEX FREE. THE FACILITY REPORTS THIS TYPE OF REACTION HAS BEEN SEEN IN PATIENTS WITH C-SECTIONS AS WELL AS VAGINAL DELIVERIES; THUS STAFF DOES NOT BELIEVE THAT THERE IS A REACTION TO THE SKIN PREP USED FOR C-SECTION DELIVERIES BECAUSE THE PREP IS NOT USED IN VAGINAL DELIVERY. ALSO, STAFF HAS STATED IN PREVIOUS INCIDENTS THAT THE RASH OCCURS ON AREAS WHICH DOES NOT HAVE THE SKIN PREP BUT DOES HAVE CONTACT WITH THE BINDER. PATIENT WITH AND WITHOUT KNOWN ALLERGIES HAVE BEEN AFFECTED. THE MANUFACTURER HAS BEEN NOTIFIED. THEY ARE UNAWARE OF ANY OTHER COMPLAINTS LIKE THIS. WE CHECKED WITH OUR SURGICAL UNIT BECAUSE THEY USE QUITE A FEW ABDOMINAL BINDERS AND THEY HAVE NOT HEARD OF ANY CONCERNS REGARDING RASH. PATIENTS IN THE SURGICAL UNIT WOULD HAVE SIMILAR USE OF THIS DEVICE. ALSO, THERE ARE PATIENTS IN THE SURGICAL BOTH WHO HAVE AND WHO HAVE NOT HAD EXPOSURE TO THE SAME BRAND OF SKIN PREP AS THE PATIENTS ON THE OTHER NURSING UNIT. THE STORAGE PROCEDURE/PROCESS FOR BOTH NURSING UNITS AND IS IDENTICAL: STORAGE AND TRANSPORTATION OF THE DEVICE ARE NOT BELIEVED TO BE CONTRIBUTING FACTORS IN THESE EVENTS.