Port Dislodgement

Dislodgement of the port within the subcutaneous pocket may occur due to trauma or patient manipulation.

Assessment:
  • Do not access an established port if there is swelling, if it moves freely, or if it is difficult to access
  • Discontinue all infusions if the port has been dislodged
  • Perform a CXR to confirm placement if you suspect the port has become dislodged
Intervention:
  • Use only a non-coring needle for cannulation.  This will allow the septum to reseal when the needle is withdrawn
  • Once the septum is punctured, DO NOT rock or tilt the needle.  This may damage the septum or cause fluid to leak into the subcutaneous tissue
  • When the port is accessed, secure the needle and extension device with a dressing