Can you shower with a PICC line covered in saran wrap? Understanding the Risks and Safe Alternatives

According to reputable medical sources like the VA Health Library, keeping a PICC line dressing dry is critically important to prevent infection. For this reason, the practice of covering a PICC line with Saran wrap for showering has become a common, though potentially risky, solution for many patients.

Quick Summary

Using Saran wrap to cover a PICC line for showering is not recommended as it carries a high risk of moisture leakage, which can lead to infection. Medical professionals and manufacturers advise using commercially available, purpose-built waterproof covers or following alternative bathing methods for safety.

Key Points

• Saran Wrap is Risky: Household plastic wrap does not create a reliable, watertight seal and can fail, leading to dangerous infections.

• Infection is the Main Threat: Moisture seeping under the PICC line dressing can introduce bacteria, which can cause a serious bloodstream infection (CLABSI).

• Commercial Covers are Safest: Purpose-built, medical-grade waterproof covers are the recommended solution for showering with a PICC line.

• Sponge Baths are an Alternative: If a waterproof cover is unavailable or unreliable, sponge baths are a completely safe option to avoid getting the line wet.

• Inspect the Dressing After Each Shower: Always check the PICC line dressing after bathing to ensure it is still clean, dry, and securely in place.

• Know the Signs of Infection: Watch for signs like redness, swelling, warmth, pain, or fever and report them to your healthcare provider immediately.

The Dangers of Using Saran Wrap for Your PICC Line

While the appeal of using a readily available household item like plastic wrap to create a waterproof barrier is understandable, the dangers associated with this practice far outweigh its convenience. The primary risk stems from the material's inability to form a consistently secure, watertight seal. A PICC line insertion site is a direct pathway into your bloodstream, and any moisture that seeps under the dressing can introduce bacteria, leading to a serious central line-associated bloodstream infection (CLABSI).

Inadequate Seal and Moisture Trapping

Saran wrap and other similar plastic films are not designed for medical use. They are thin, prone to tearing, and rely on an imperfect static cling or tape to stay in place. The contours of the human arm make it nearly impossible to create a perfectly sealed perimeter, leaving vulnerable gaps where water can enter. Additionally, even if water doesn't directly enter, the wrap can trap moisture and humidity against the skin, creating a warm, damp environment that is ideal for bacterial growth.

Increased Risk of Infection

• Entry of Bacteria: Water, especially from a showerhead, contains bacteria that can be pushed into the insertion site if the seal around the dressing fails. This can cause a localized infection at the site or, more severely, travel into the bloodstream.
• Compromised Dressing: The moisture from a leak can cause the sterile medical dressing to peel off or become saturated. A wet or loose dressing must be changed immediately by a trained professional to prevent infection, but many patients are not equipped to do this themselves.
• Risk of Catheter Damage: Fumbling with a loose or unreliable wrap and tape can lead to accidentally pulling or snagging the PICC line itself. Any damage to the catheter or movement of the line can necessitate its removal and reinsertion.

Safer and More Effective Waterproofing Options

Given the significant risks, health professionals strongly recommend using alternatives specifically designed for PICC line protection. These products offer a reliable waterproof seal, are easy to use, and protect against infection.

Commercial Waterproof Covers

These are the safest and most reliable options for showering with a PICC line. They come in various forms, including reusable sleeves made of soft, flexible materials like silicone and single-use, clear plastic covers. Key features to look for include:

• Watertight Seal: The cover should have tight, but comfortable, elastic bands or seals at both ends to prevent any water from entering.
• Durable Materials: High-quality covers are puncture-resistant and can withstand the water pressure of a shower.
• Ease of Use: They should be simple to put on and take off, often with one hand, which is crucial for someone who may be managing the device alone.

Sponge Baths

For some patients, especially those with mobility issues or concerns about any risk, a sponge bath is the safest option. This method avoids the need for complete waterproofing and ensures the PICC line and dressing remain perfectly dry. Patients can wash their body with a washcloth and basin of water, carefully avoiding the PICC line site.

PICC Line Cover Comparison: Saran Wrap vs. Commercial Cover

Feature	Saran Wrap	Commercial Cover
Watertight Seal	Prone to leakage and gaps.	Designed for a reliable, snug seal.
Infection Risk	High due to potential water intrusion.	Minimal if used correctly.
Ease of Use	Requires multiple wraps and taping, often difficult.	Simple to apply and remove, often single-handed.
Durability	Prone to tearing and punctures.	Made from durable, waterproof materials.
Cost	Very low, as it's a household item.	Higher initial cost, but reusable options exist.
Medical Approval	Not a medical-grade device.	Medically engineered and approved.

How to Shower Safely with a Commercial PICC Line Cover

For those choosing a commercial waterproof cover, follow these steps for the safest experience:

1. Prepare the cover: Unfold the cover and have it ready. Ensure your arm is clean and dry before starting.
2. Apply the cover: Gently slide the cover over your arm, making sure to fully enclose the PICC line dressing and the entry site. The elastic seals should sit snugly against your skin, above and below the line.
3. Test the seal: Before getting in the shower, inspect the seals to ensure there are no gaps. You can hold your arm under a running faucet to double-check.
4. Shower with caution: Aim to keep the covered arm away from the direct spray of the water. Holding your arm up and out of the stream can prevent water pressure from compromising the seal.
5. Dry and remove: After showering, thoroughly dry the outside of the cover and the area around the seals with a towel before removing it. This prevents any trapped moisture from dripping onto the dressing.
6. Check the dressing: After removal, visually inspect your PICC line dressing to ensure it is still clean, dry, and firmly adhered to your skin. If it is wet, loose, or shows any signs of compromise, contact your home care nurse or medical provider immediately.

For more comprehensive information on proper central line care, consider visiting a resource like the Veterans Health Library. Consulting your healthcare provider is always the best course of action for personalized advice.

Conclusion: Prioritize Safety Over Convenience

In summary, while using Saran wrap might seem like a quick fix, it is a risky method for waterproofing a PICC line during a shower. The potential for a serious, life-threatening bloodstream infection is too great to ignore. Opting for a commercially produced, purpose-built waterproof cover is the most reliable and safest approach. These products are designed specifically to protect the PICC line from water, giving you peace of mind during your daily hygiene routine. Always prioritize the safety of your central line and consult your healthcare team with any questions or concerns. Protecting your PICC line properly is a small but crucial step toward ensuring a successful and infection-free treatment course.

Frequently Asked Questions

Why is it so important to keep a PICC line dry?

Keeping the PICC line and its sterile dressing dry is crucial because any moisture can create a breeding ground for bacteria. Since the catheter provides a direct route into your bloodstream, a breach in the sterile barrier from water can lead to a serious and potentially life-threatening bloodstream infection.

What happens if my PICC line dressing gets wet?

If your PICC line dressing gets wet, you should immediately contact your home care nurse or healthcare provider. A wet dressing compromises the sterile barrier, and it must be changed immediately by a trained professional to prevent infection.

Can I use a plastic bag and tape instead of Saran wrap?

Using a plastic bag with tape presents the same risks as Saran wrap. These materials are not designed to create a medical-grade seal and are very likely to leak. It is not a safe or recommended method for protecting your PICC line.

What are some examples of commercial PICC line covers?

Many brands offer waterproof PICC line covers, including Bloccs, Care+Wear, and Shower Shield. These are available online and through medical supply stores. They feature reliable, elastic seals to ensure no water gets in during a shower.

How do I choose the right size commercial PICC line cover?

To choose the right size, you will need to measure the circumference of your arm where the PICC line is inserted. Most brands provide a sizing chart based on these measurements. If you are between sizes, it is often recommended to size down for a more snug fit.

What are the signs of a PICC line infection?

Signs of a PICC line infection include pain, redness, warmth, or swelling at the insertion site. You may also notice pus or drainage, or experience a fever and chills. If any of these symptoms appear, contact your healthcare provider immediately.

Is it okay to submerge my arm with the PICC line in water?

No, it is never okay to submerge your arm with the PICC line in water, even with a waterproof cover. This includes baths, swimming pools, hot tubs, or any other body of water. The pressure can force water past even a good seal.