Process

Step	Action
1	A patch is to be used when a baby needs an improved seal to improve CPAP bubbling. Circumstances may include: A baby who is too small to go up in CPAP size. A baby who already has size 5 prongs in place and and needs an improved seal.
2	Change duoderm patch once a shift or anytime the patch is lifting or dirty.
3	Document duoderm patch change on the observation chart.
4	Never use a duoderm patch to cover a red septum as this will hide damage, not protect the skin.
5	When cutting the opening do a crisscross, don’t try and cut a hole. Feed prong through the cut prior to placing the patch on the nose.
6	Always remove the nasal patch when trialling a baby on high/low flow oxygen or air.
7	If a duoderm patch has been authorised to be applied, print out this guideline, complete the information below, place a baby sticker on this form, and place in the baby’s bedside chart. Date commenced: ____/____/____ Signature:____________________________________________

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