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  This will allow the septum to reseal when the needle is withdrawn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