These instructions are for Children’s Hospital of Philadelphia (CHOP) patients who are recommended to use AquaGuard^® for bathing or showering.

Important information about AquaGuard:

• 
  AquaGuard is a moisture barrier that is used to protect a central line catheter and dressing from getting wet during a shower or bath. It is important to keep the catheter and dressing dry to prevent urgent central line care and potential complications.
• AquaGuard is a barrier for bathing and showering only and is not for swimming. A child with a central line cannot go swimming or have their central line submerged under water.
• If you will use an AquaGuard at home, the healthcare team will show you how to use this product. Practice applying this product before discharge, so you know what to do for a bath or shower at home.

Instructions for applying AquaGuard for bath or shower:

Apply the AquaGuard so that it covers your child’s central line dressing and catheter before they take a shower or bath. The AquaGuard adhesive should not touch your child’s central line dressing.

1. Remove the paper backing from one edge of the AquaGuard at a time. It is helpful to fold a small tab on each paper backing strip so that the backing can be easily removed while applying each side.
   
2. Firmly apply one adhesive edge above the top of the central line dressing.
   
3. Apply the other adhesive edges to surround the entire catheter and dressing like a picture frame. Firmly apply one side at a time. Do not remove all paper backing strips at once.
   
4. Tuck the catheter under the AquaGuard so that the catheter cannot get wet. You may choose to cover the needleless cap with a small AquaGuard or plastic covering prior to tucking under the larger AquaGuard. This may offer additional protection from moisture for the needleless cap. Important: If you are a Dialysis or Apheresis patient, do not tuck the catheter under the AquaGuard.
   
5. Pinch together excess material to form a pleat.
   
6. Fold the pleat to the side to seal the material. Run your finger along each side of the AquaGuard adhesive as a final sealing step.
   
7. The AquaGuard only protects the dressing and catheter from splashing water. Do not allow direct water spray to hit the AquaGuard. Do not submerge the AquaGuard.
   • Limit the shower or bath to 15 minutes to make sure the AquaGuard adhesive remains intact.
   • Face the central line dressing away from any direct water spray. Use or install a handheld showerhead. If bathing, fill the tub with only a few inches of water to prevent splashing. For infants, a baby bath is helpful.

Instructions for removing AquaGuard:

1. Dry your child and the outside of the AquaGuard before removing the AquaGuard.
2. Gently peel the AquaGuard down in the same direction as your child’s hair growth.
3. Start at the top left or top right corner. Do not disturb the central line dressing or catheter.
   
4. Do not use scissors to remove the AquaGuard.
5. Throw the AquaGuard away after the shower or bath.
   • Use a fresh AquaGuard with each shower or bath.
   • Do not re-use an AquaGuard.

Instructions for troubleshooting issues with AquaGuard:

AquaGuard is sticking to the central line dressing or the dressing begins to peel up while removing the AquaGuard:

• Do not try to remove the AquaGuard further.
• Call the healthcare team:
  • If you are in the hospital, call your nurse.
  • If you are at home and your child is followed by a home infusion agency, immediately call the office.
  • If you are at home and your child does not receive care from a home infusion agency, immediately call the healthcare team managing your child’s central line and/or go to the emergency room.

Central line dressing or needleless cap gets wet or water gets under the AquaGuard:

• Call the healthcare team. The central line dressing and needleless cap may need to be changed.
  • If you are in the hospital, call your nurse.
  • If you are at home and your child is followed by a home infusion agency, immediately call the office.
  • If you are at home and your child does not receive care from a home infusion agency, immediately call the healthcare team managing your child’s central line and/or go to the emergency room.

Your child’s skin is red, irritated or there is an issue with using AquaGuard:

• Talk with the healthcare team managing your child’s central line before stopping the use of this product. Stopping use without talking to your team about other options may increase your child’s risk of central line soiling and line complications.
  • Other products can be used if your child is sensitive to the AquaGuard adhesive.
  • Different shapes and sizes are available.

You did not receive enough supply of AquaGuard or a different product was delivered:

• Your insurance plan and home infusion agency may require that another product be provided. Your healthcare team may provide you with samples of AquaGuard. AquaGuard is also available for retail purchase.

Call the CHOP team managing your child’s central line with any questions or concerns.

If you have any questions about your child’s health, please contact your child’s healthcare provider. This document is intended only to provide general educational information and is not intended as medical advice or treatment. Please consult with your healthcare provider prior to use, as some of this information may need to be adapted for your child’s specific needs. It is the responsibility of your healthcare provider to advise you on the appropriate use of this information. If you/your child are not already a CHOP patient, this document does not create a doctor-patient relationship between you/your child and CHOP. CHOP is not responsible for any outcomes you/your child might experience from your use of this document. This document is provided "AS IS", WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, express or implied. If this document refers to any drugs or medical devices, it is the responsibility of your healthcare provider to check the FDA status prior to use. If this document includes references to drug dosing, please do not rely on this document. Your healthcare provider should check the package insert for each drug before use. Hyperlinks used within this document may not be translated into other languages.

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