Final answer:
When a patient has a medication patch, it must be carefully identified, possibly removed or replaced following medical guidelines, and the site cleaned. New patches should be applied as needed, with proper documentation. Consult with a physician if the patch intersects with other treatments.
Step-by-step explanation:
When encountering a medication patch on a patient's skin, it is essential to follow specific procedures. First, identify the patch to ensure knowledge of the medication being administered. Next, if the patch is set to be removed or replaced, do so carefully, adhering to medical guidelines for that specific medication. Then, clean the area with mild soap and water, and dry it thoroughly before applying a new patch if necessary. It is important to document the removal and replacement, noting the time, date, and location on the patient's body. In case the patch needs to be kept on during medical imaging or other procedures, consult with a physician to understand the best course of action. Safeguard the patch is not disrupted or unintentionally removed.
For example, if a patient like Barbara, with an implanted port for chemotherapy, has a topical patch near the site, a healthcare provider would need to assess whether the patch's medication interacts with her chemotherapy or antibiotics such as oxacillin. The provider may adjust the treatment plan accordingly to prevent any adverse reactions. In another scenario, a patient with contact dermatitis or a skin infection might be using a corticosteroid or antibiotic patch, which should not be removed unless necessary, and if so, only under medical supervision.