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O Always have a sterile dressing on the spot where catheter enters skin. Change dressing if it is wet, soiled or loose. Change dressing regularly. O keep the line clamped o Make sure line is clamped before connecting or disconnecting an IV syringe or changing a cap.
O Always have a sterile dressing on the spot where catheter enters skin. Change dressing if it is wet, soiled or loose. Change dressing regularly. O keep the line clamped o Make sure line is clamped before connecting or disconnecting an IV syringe or changing a cap.
O Always have a sterile dressing on the spot where catheter enters skin. Change dressing if it is wet, soiled or loose. Change dressing regularly. O keep the line clamped o Make sure line is clamped before connecting or disconnecting an IV syringe or changing a cap.
o ALWAYS have a sterile dressing on the spot where catheter enters skin. o It should be clean, dry and taped securely to skin. Change dressing if it is wet, soiled or loose.
Complications o
o o
Keep the site CLEAN
o Always wash hands or wear gloves before handling the central line or the site. o Change dressing and clean site regularly as instructed. This decreases the number of bacteria, which decreases chance of infection. o Do not touch the area around the dressing without sterile gloves on
Keep the line CLAMPED
o Clamps should be closed when not in use. This prevents air from entering and blood from backing up and clotting in the tubing. o Make sure line is clamped BEFORE connecting or disconnecting an IV syringe or changing a cap.
Keep the ends CAPPED
o Caps keep germs from being flushed from outside directly into the blood. o Always scrub the cap well with alcohol as instructed before each use
Shortness of breath (caused by air in
central line) Emergency! Clamp the central line, do not flush line and call 911 Lie on left side, prop feet up and put head down until SOB or chest pain is gone Fever, chills, increased tiredness or irritability (caused by infection) Call doctor if fever is over 100.5 F Blood in central line or dripping form the camp (caused by blood backing up because line was unclamped) Clamp the central line. Clean the end with alcohol, place new cap and flush central line with saline. Call home health nurse or doctor if unable to flush Central line is not in skin anymore (pulled out) Apply pressure to site with sterile gauze for at least 5 minutes or as long it is bleeding. Tape the gauze in place and bring catheter to doctor. Resistance when flushing line (clogged central line) Check to see if line has a kink or is still clamped. If not, do not force any meds and call home health nurse or doctor
Source: Caring for Your PICC Line at
https://www.youtube.com/watch?v=jKGfz1v6hJ4
HOME CARE OF A PICC LINE
What is a PICC line?
Administering Medications
PICC stands for Peripherally Inserted Central
1.
Prepare clean work surface. Prepare
5.
Attach normal saline syringe to cap
6.
Unclamp catheter
7.
Flush with normal saline using gentle stop
supplies (saline flushes, antibiotic,
Catheter
heparin flush, alcohol wipes). Check
expiration dates on medication.
2.
Wash hands, put on
gloves
The purpose is to provide access to veins
when a patient requires access greater than 7 days to 3 months. Access to vein is achieved
3.
Open saline syringe and push the air
bubble out
by inserting a catheter (soft tubing) into a
and start motion
central vein (specifically the superior vena
cava) by way of a peripheral vein (a vein far from the heart).
What are the advantages?
4.
Scrub the cap with alcohol for 30
8.
Connect medicine and administer as directed
9.
Flush with normal saline
10. Flush with Heparin
seconds and let it air dry
Prevents patient from having a needle inserted in a vein each time one needs medicine (for example, antibiotics). Lower infection rate
11. Clamp the PICC line
12. Wash hands and discard supplies in sharps container