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central venous access device dressing change before beginning this procedure always perform the following steps to ensure patient safety perform hand hygiene provide patient privacy introduce yourself use to patient identifiers verify allergy status perform environmental safety check ensure proper body mechanics gather all supplies provide patient education materials needed for sieve add dressing change mask dressing change kit transparent dressing biopatch chloraprep skin prep sterile gloves a simple supplies before entering patients room the procedure Don clean gloves and mass ask patient to turn head away from insertion site provide patient with a mask inspect and palpate side around dressing for swelling or tenderness remove dressing by pulling it towards catheters insertion site remove antimicrobial patch measure external portion of catheter compare previous length to what was previously documented to detect migration discard dressing and gloves perform hand hygiene open sterile d