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hi my name is kate milley im a vad coordinator here at mass general and im here to teach you how to change the dressing on a driveline exit site in a patient who has a bad so to start off i would recommend having your patient lying pretty flat in a place where you can docHub both his abdomen and the table that youre going to be working on clean the area here ive already cleaned this down but spray it down with something to make it super clean and then wash your hands i have some hand sanitizer here that im going to use everything that you need to change the dressing is actually in this kit right here so start by taking the top of the kit off you can throw the top off inside of every kit theres actually step-by-step directions so if youre not 100 sure or this isnt second nature yet you can open up the directions put them off to the side somewhere and refer to them as you go the next thing in the kit here is a pair of clean gloves and two masks start by putting one mask on yoursel