Central line dressing change indications

Central Line Dressing Change - Nursing Skill

  1. Key Points: - When removing dressing, hold catheter firmly in place with one hand, while removing the dressing with the other. - Gauze dressing should be used for drainage or bleeding from site. Otherwise, a transparent dressing may be used. - Patient must be wearing mask and facing opposite direction of central line during dressing change
  2. Central Line Dressing Change external icon Video for staff education on central line dressing changes, from the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine; Patient information about central line indications and symptoms to report to care givers, from the American Thoracic Society..
  3. Central venous catheter - dressing change You have a central venous catheter. This is a tube that goes into a vein in your chest and ends at your heart. It helps carry nutrients or medicine into your body
  4. Category IB. Prepare clean skin with a >0.5% chlorhexidine preparation with alcohol before central venous catheter and peripheral arterial catheter insertion and during dressing changes. If there is a contraindication to chlorhexidine, tincture of iodine, an iodophor, or 70% alcohol can be used as alternatives [82, 83]

Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access For nontunneled catheters, change the transparent dressing and perform site care with a chlorhexidine-based antiseptic every 5 to 7 days or more frequently if the dressing is soiled, loose, or damp; change gauze dressing every 2 days or more frequently if the dressing is soiled, loose, or damp e-Module Central Line Care and Management Dressing Change • Best practice recommendations are for site care and dressing changes every 7 days and prn. - If gauze is present under the dressing, dressing must be changed every 48 hours • Use sterile technique • Use central line dressing change kit • Do not touch PICC or infusaport dressings Long term central venous access devices such as peripherally inserted central catheters (PICC) are indicated for patients who receive intravenous therapy, chemotherapy, blood, parenteral nutrition, and medications. There are potential complications associated with the use of PICC lines, including infection, requiring nurses to employ strict aseptic technique with dressing changes and line access When to change the dressing If you have a transparent bandage (dressing), change it every 7 days (or more often if instructed). If you have a gauze dressing, change it every 2 days. This includes gauze under a transparent dressing

Central Line Care and Maintenance • Adopt a central line maintenance bundle to include: • Perform hand hygiene when replacing, accessing, repairing, or dressing a catheter • Disinfect hub and access port before each use • Only use sterile devices to access catheters • Immediately replace dressings that are wet, soiled, or dislodge Dressing Changes: • Every 7 days and as needed, use central line dressing change kit. • Sutures will be anchoring the device until tissue growth at the cuff site, approximately 2-3 weeks after insertion the sutures will need to be removed per provider decision. Documentation

Monitoring central line pressure waveforms and pressures. Nursing care. Pacing catheters. Peripheral IV insertion and care. Peripherally inserted percutaneous intravenous central catheter (PICC line) placement for long-term use (e.g., chemotherapy regimens, antibiotic therapy, total parenteral nutrition, chronic vasoactive agent administration. Peripherally inserted central catheter - dressing change. A peripherally inserted central catheter (PICC) is a long, thin tube that goes into your body through a vein in your upper arm. The end of this catheter goes into a large vein near your heart. At home you will need to change the dressing that protects the catheter site

TAP Central Line-Associated Bloodstream Infections (CLABSI

  1. In addition to inserting the central line properly, healthcare providers must use stringent infection control practices each time they check the line or change the dressing. Patients who get a CLABSI have a fever, and might also have red skin and soreness around the central line
  2. ate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced CLABSI rates in more than 1,000 hospitals across the country
  3. Two trials randomised a total of 371 participants to longer or shorter dressing intervals and measured catheter-site infection. It is unclear whether there is a difference in risk of catheter-site infection between people having long or short intervals between dressing changes (RR 1.07, 95% CI 0.71 to 1.63) (low quality evidence). Skin damag

Central venous catheter - dressing change: MedlinePlus

If the catheter was placed aseptically and the dressing is clean, dry, and intact, place Biopatch at the next routine dressing change. Q. Is MGH using Biopatch on any other types of invasive devices such as G‐tubes or orthopedic pins? A. No Nonspecific indications include fever, chills, and hypotension. CLABSIs may warrant central-line withdrawal. Treatment depends on the specific organism present, extent of illness, signs and symptoms, catheter type used, duration of anticipated need for venous access, and presence of alternative venous access Change them regularly (use once only if possible) and never re-introduce them to a clean area once they have been contaminated. Make sure that you have selected the correct dressing type and materials needed to provide full and appropriate coverage for the type, size and location of the wound, according to the care plan or the physician's or. Demonstrate securement/dressing of the catheter Explain importance of a 2nd observer for auditing and completion of the insertion checklist Recall central line indications and guidelines Central line insertion techniques, including: Review of CVC insertion kits, supplies, forms, and time-out procedur PICC Line Care-How to care for picc lines in nursing clinical settings. PICC Line Dressing Change Clinical Nursing Skills. One of the things you will encounter as a nurse is a PICC line (also called a peripherally inserted central catheter). This video shows how to change a PICC line dressing. It is important to learn how to maintain and clean the picc line and dressings, as well as flushing.

The care of a central line includes routine inspection and dressing changes. The dressing changes allow a more detailed site inspection and cleansing of the skin/site. How often these changes are done is a matter of contention; there has been a benefit demonstrated by 48 hourly dressing changes with the use of chlorhexidine washes at every. Czepizak CA, O'Callaghan JM, Venus B. Evaluation of formulas for optimal positioning of central venous catheters. Chest. 1995 Jun;107(6):1662-4 PMID: 7781364. Kujur R, Rao MS, Mrinal M. How correct is the correct length for central venous catheter insertion. Indian J Crit Care Med. 2009 Jul-Sep;13(3):159-62. PMC2823099. (external validity is. The central line is flushed daily to keep it from clotting. You are taught how to do this by a nurse from your home care infusion company. Change the dressing and cap weekly. Also change the dressing if it comes loose and is no longer covering the exit site. A nurse will do this until you are trained to do so

The catheter should be advanced until the tip is positioned in the lower one‑third of the SVC. Indications dministration of blood, long‑term administration of chemotherapeutic agents, antibiotics, and total parenteral nutrition. Outcomes/Evaluation PICC line can be used for blood adminstration or administration of chemo agents Prepare clean skin with a >0.5% chlorhexidine preparation with alcohol before central venous catheter and peripheral arterial catheter insertion and during dressing changes. If there is a contraindication to chlorhexidine, tincture of iodine, an iodophor, or 70% alcohol can be used as alternatives [82, 83] Central Venous Access Devices (CVAD), is a broad term used to include many catheter types which are inserted into a peripheral/central vein in the body to deliver medications or other therapies to children. A catheter has one end positioned outside the body while a port is surgically placed under the skin and requires a special needle to access it Sterile dressing change technique -Assess site q shift, prn, or per facility policy -Dressing changes done per facility policy-Q7days, when soiled, loose, or damp with drainage-Use sterile technique -Assess for pain -Clean caps-CHG baths once daily or per facility policy -Hand hygeine-Bleeding-Nerve damage-Vein damage -Blood clots-Infection.

• A central line insertion cart should include all the components and equipment needed to Identify indications for catheter insertion and use. Patients must meet criteria for change gauze dressing every 2 days or more frequently if the dressing is soiled, loose, or damp. o: Clean all injection ports with 70% alcohol or an iodophor. 3e) Define dressing change frequency: • Transparent dressing - change every 7 days, gauze dressing - change every 2 days [1-4,7]. • If possible, change central line when 2 or more unintended dressing disruptions occur [8]. 3f) Replacement of the dressing if it becomes damp, loosened, or visibly soiled [1-4,7] The Toolkit for Reducing Central Line-Associated Blood Stream Infections (CLABSI) can help your unit implement evidence-based practices to reduce and, in many cases, eliminate CLABSI. More than 1,000 intensive care units across the country reduced CLABSI rates by 41 percent when their clinical teams used the tools in this toolkit along with the Core CUSP Toolkit Central venous access is a standard procedure performed on the hospitalized patient. Placement of central line catheters is for various reasons such as inadequate peripheral venous access, hemodynamic monitoring, infusion of peripherally incompatible infusions, and extracorporeal therapies. After ob

Recommendations BSI Guidelines Library Infection

  1. es the most appropriate line for CPN and home access 2. Schedules central line insertions for lines placed by the Line Service 3
  2. The insertion process includes catheter site selection, insertion under ultrasound guidance, catheter site dressing regimens, securement devices, and use of a CVC insertion bundle. Proper maintenance of CVCs includes disinfection of catheter hubs, connectors, and injection ports and changing dressings over the site every two days for gauze.
  3. istration sets and add-on devices no more frequently than every 72 hours

An evaluation of BIOPATCH® Antimicrobial Dressing compared to routine standard of care in the prevention of catheter-related bloodstream infection. 2000. Ethicon, Inc. 4 Levy I, Katz J, Solter E, et al. Chlorhexidine-impregnated dressing for prevention of colonization of central venous catheters in infants and children The results of several recent studies demonstrate the ability of StatSeal products to help reduce dressing changes and achieve cost savings, independent of the ongoing COVID-19 pandemic (Ayala, et al., Olsen, et al.). New CDC Guidelines related to PPE state: Another strategy is to limit face-to-face encounters with the patient The facility has a policy for standardized dressing changes [1,5] according to an accepted nursing skills procedure manual. - The policy for standardized central line maintenance includes: Defining dressing change frequency x Transparent dressing - change every 7 days, gauze dressing - change every 2 days [1-4,7] 1. Intravenous administration sets (e.g. line changes) 4. Antiseptic solution and cleaning of skin and catheter 2. Daily care of IV administration sets 5. Dressing of central venous catheter and catheter site 3. IV fluid bag changes 6. Nursing governance Recommendations Number Recommendation Statement Grade of Recommendation. 1

need for central line and consider alternatives. Do not palpate the site with non-sterile method and then replace dressing if the decision is for the line to remain in place. Technique: 1. Obtain necessary supplies (UIH has central line dressing change kits.) 2. Hands are washed before dressing change. 3. Don clean gloves and mask. 4 Indications Administration of vesicant or irritant medications that either damage smaller peripheral veins, or would be destructive to local tissue if a peripheral IV failed and the medication extravasated during infusion Vasopressors Chemotherapy Total parenteral nutrition Poor peripheral IV access CVC may be preferential to PICC in many scenarios because PICC is associated with 5 Monitor dressing daily. Change weekly or if wet or soiled. Secure line prior to removing dressing to avoid dislodgement Cover with sterile dressing and call provider immediately if central line is dislodged, appears infected or there is evidence of leakage Dressing changes are usually done during dialysis. f Regular changing of the needleless connectors and flushing of the tubing are required. f The entry site should not get wet—you must cover it during showering and bathing. Jugular vein Vein entry Catheter tunneled under skin Clamps Lumen 1 Lumen 2 Heart End of central catheter End tip. 2. Prepare clean skin with a >0.5% chlorhexidine preparation with alcohol before central venous catheter and peripheral arterial catheter insertion and during dressing changes. If there is a contraindication to chlorhexidine, tincture of iodine, an iodophor, or 70% alcohol can be used as alternatives. 3

An estimated 250,000 central line-associated infections occur each year in U.S. hospitals, and 12 to 25 percent of affected patients die from the condition. use of recommended insertion-site. 1. The indications and advantages for use of Peripherally Inserted Central Catheter (PICC) lines. 2. The contraindications for use of PICC lines. 3. The components and anatomical placement of the PICC. 4. The theory and procedure related to assessing patency, flushing, blood withdrawal, tubing and adaptor changes, dressing changes and removal.

Central line complications - PubMed Central (PMC

Central Line Dressing Change and Care 3.) Open the CVC line dressing and place a mask on the patient if indicated by facility or manufacturer policy. Have the turn his or her face away from the catheter site. Having the patient avoid breathing on the site while it is unprotected prevents spread of microorganisms and infection 3. Central line dressing changes will be performed by a PICC RN or NPM fellows, if a PICC RN is not available per protocol . under sterile conditions. 4. A dedicated, closed medication administration line should be set‐up for each central line. 5. Sterile gloves, mask, and hat should be used for tubing line changes. Tubing line changes will.

Be sure to include the date, time, location, and site of the dressing change. Also, record your assessment of the site and how the patient tolerated the dressing change. Leave the patient's room and wash hands thoroughly. Caring for these CVADs requires sterile technique to prevent the potential for central line associated blood infections Guidelines to Prevent Central Line-Associated Blood Stream Infections - Extensive, evidence-based guidelines exist for the diagnosis and treatment of catheter-related infections.* *Mermel, et al. Clin Infect Dis. 2001;32 (9):1249-72. | PowerPoint PPT presentation | free to view

105. Central Line Care and Management 1.2

When changing the dressing, the nurse accidentally drops the packing onto the client's abdomen. The nurse should: a. Add alcohol to the packing and insert it into the incision. b. Throw the packing away, and prepare a new one. c. Pick up the packing with sterile forceps, and gently place it into the incision. d 4. Complications that may arise during a dressing change and nursing actions to prevent and treat these complications. To be deemed competent in the dressing change of the tunnelled central line, the LPN will: 1. Review the Policy and Procedure & Learning Module associated with the tunnelled central line

Discharge Instructions: Changing the Dressing on Your

Change font size to suit] Page 1 of 28 Guideline Peripherally inserted central venous catheters (PICC) been shown to be successful in reducing rates of Central Line Associated Bloodstream Infection or dressing an intravascular catheter; this includes associated components such as administration sets and access ports. (1 , 3 4 11 -14 17 20 A peripherally inserted central catheter (PICC), also called a PICC line, is a long, thin tube that's inserted through a vein in your arm and passed through to the larger veins near your heart. Very rarely, the PICC line may be placed in your leg. A PICC line gives your doctor access to the large central veins near the heart Silverlon Catheter Dressings are silver-plated and designed for central venous and intravenous catheters and can be used alternatively for pin site care. Clean & Elegant. Fully Responsive. IVCD-15. 1 Diameter 1.5mm. Qty/Box: 10. IVCD-40. 1 Diameter 4.0mm

The following are indications for routinely flushing a central venous access device except: a. After blood sampling b. Before & after medication administration List at least 4-5 identifiers you need to document after performing a central line dressing change. a) Assessment of insertion site b) Length of the catheter expose Aseptic technique must always be practiced when changing the dressing and with every catheter access. A semipermeable transparent dressing is changed every 5 to 7 days (for gauze dressings, every 2 days) in conjunction with site care, which includes careful site assessment, skin antisepsis, and replacement of the stabilization device ( Gorski. Assess PICC line site, line note any leakage from catheter or around the site. Note any redness, drainage or pain at the site. Document condition of site and dressing. Assess patient's retention of previous teaching. Allow patient and /or caregiver to demonstrate PICC care, cap change and dressing change

Catheter A soft, hollow tube that is inserted into the body. Catheter hub The external portion of the catheter where the injection cap, IV tubing, and syringes are attached. Dressing A sterile, protective covering placed to keep an area clean. Exit site The place where the catheter comes out of your body A line of I.V. dressings which optimizes all characteristics to provide advanced I.V. and central line catheter securement; Designed to maintain securement by preventing edge lift, flexing with patient movement and managing moisture; A cost-effective I.V. and central line catheter securement solutio extend dressing change intervals, extend administration set change intervals, etc.), we recognize the challenges many are facing due to the limited number of caregivers and the scarcity of supplies. When experiencing scarcity or depletion of PPE and other health care supplies, due to the Covid-19 pandemic, each organization mus St. Louis, MO: Elsevier Saunders. Kallen, A. (2009). Central line-associated bloodstream infections (clabsi) in non-intensive care unit (non-icu) settings toolkit. Atlanta, GA: Centers for Disease Control and Prevention. Stacey, K.M. (2014). Peripherally inserted central catheter (picc): Maintenance and dressing change quicksheet Central Line Dressing Change Temp.pdf - ACTIVE LEARNING TEMPLATE Nursing Skill Tayler Hall STUDENT NAME Central Line Dressing Change SKILL NAME REVIEW Changing the dressing is pertinent in infection control. Indications Per policy the dressing are generally changed every 3 days, the ports will be cleaned after every use, and if any signs of.

Instructional Guidelines for Dressing Change of Central

Practice Guidelines for Central Venous Access 2020

Central venous catheterization

Peripherally inserted central catheter - dressing change

Secure central line with an extra piece of tape if necessary. Change infusion caps, ensuring that the lines are CLAMPED and that the new caps are primed with saline before flushing the line. Time, date and initial the dressing. Discard all used supplies in appropriate waste containers. Remove gloves Diagnosis and Management of Central Line Associated Bloodstream Infections (CLI) v6.0 Summary of Version Changes Explanation of Evidence Ratings · If CLI, remove/ex change the catheter if patient unstable · If not a documented CLI, evaluate for other sources of infection and consider remove/exchange o A list of Emergency Cares for central line problems is at the end of this booklet. Caring for the Central Line You will care for the central line every day at home. Before you leave the hospital we will be teaching you how to do the following cares: * Dressing Change * Heparin Flush * Cap Change * Emergency Care • Apply slow, steady traction when sliding catheter out • Have patient perform Valsalva maneuver • Place petroleum-based ointment, a sterile gauze, and occlusive dressing over insertion site. Dressing should remain on for at least 24 hours, or longer until epithelialization occurs • Inspect catheter; check tip integrity and lengt For mechanically ventilated pull catheter at the end-inspiration. Mask, hand hygiene, gloves. Remove old dressing and cut sutures, discard old gloves and change to sterile. Remove CVC. Instruct the patient to valsalva. Gently withdraw catheter while applying firm direct pressure using sterile gauze with antibiotic ointment (occlusive dressing.

Dressing change 12 Optimization of therapy application 13 result in more frequent dressing changes. Indications for use PICO is indicated for patients who would benefit from a suction device (negative pressure wound Using a clean technique, peel off the central release handle and place th Instructions. 1. Open package and remove sterile dressing. 2. Remove backing paper and position dressing over catheter site at the desired location. 3. Ensure transparent film window sits over insertion site, and the line is positioned at the end of deep notch. 4. Do not stretch the dressing during application as tension may cause skin trauma The indications for central venous access, types of central catheters, catheter selection, site selection, and general issues of preparation and placement will be reviewed here. The role of catheters and devices for monitoring cardiac parameters or administering chemotherapy or parenteral nutrition are discussed in separate topic reviews indicators for the vascular access team • Discuss the process for on analyzing the • IV Team expanded to Dressing changes on October 1, 2014 with some exceptions . IV Team Timeline -Central Line dressing -Hickman catheter repair -Declotting . Resource The central venous line is then secured to the skin using 2/0 black silk/suture and an occlusive dressing is applied over the insertion site. Radiological confirmation of the position of the catheter tip must be undertaken

Central Line-associated Bloodstream Infections: Resources

Change of PIVC dressing and securement of cannula: Dressings to PIVC sites are the first line of defence against infection and dislodgements. The dressing must be kept secure, clean dry and intact. Indications for dressing change: when it becomes insecure or if there is blood or fluid leakage under the dressing 7. Unclamp the catheter and flush, per flushing protocol. 8. Reclamp the catheter. Dressing Change Procedure Purpose To prevent external infection of the central venous catheter. Frequency Assess the dressing in the first 24 hours after catheter placement and change if there is an accumulation of blood, fluid or moisture beneath the dressing Guidelines for dressing changes at home are also important. Again, follow your institution's protocol for dressing change guidelines (ie, sterile technique, frequency of dressing changes, etc). Some typical guidelines to give patients and caregivers often include6: Wash hands before starting a dressing change To Prevent Infection - Change the dressing once a week remove the transparent dressing and clean the site with 2% chlorhexidine (Chloraprep 'Frepp' sponge) as follows: 1. Gently lift the catheter hub to clean around the catheter site. 2. Do not twist or rotate the hub of the catheter while cleaning the insertion site 3 dislodgment, bleeding associated with dressing changes, issues with skin integrity, etc. Due to the increase in the use of PICC lines, complications are of increased concern. The research team contacted Spencer Hospital and obtained their current central line policy. The hospital wished for the team to analyze their current policy and make changes

Appendix 3. Guidelines to Prevent Central Line-Associated ..

ACTIVE LEARNING TEMPLATES Nursing Skill STUDENT NAME _____ SKILL NAME _____ REVIEW MODULE CHAPTER _____ ACTIVE LEARNING TEMPLATE: Description of Skill Indications Outcomes/Evaluation CONSIDERATIONS Nursing Interventions (pre, intra, post) Potential Complications Client Education Nursing Interventions Natalie Look PICC Line Change Nurses must make sure that the dressing on a PICC line is always. A total of 95 changes occurred among the 159 utilized dressings, as among the 64 CVCs 25 were applied in a single dressing, without replacement of the dressing, and in 39 catheters there was no need to apply a new dressing after removal of the last one, considering the interruption of use of the catheter by the patient central line-associated bloodstream infections (CLABSIs). Their primary focus: catheter insertion. But that's only one small piece, a single point in time. Most complications occur after placement.1,3,4 Why? Because every line access, every dressing change is an opportunity for microbes to invade the patient's body 2. Assess catheter tubing: assess for migration, malposition, kinks, and cracks 3. Assess dressing: inspect that the securement and dressing is dry and intact and the change due date is clearly visible 4. Review for need and potential for removal of the CVAD Accessing a CVAD Accessing a CVAD must be done aseptically to prevent central line.

How often should dressings on central venous access

performing and documenting central line dressing changes, which is a preventative measure against the development of CLABSI. Increased nurse knowledge about CLABSI prevention, central line care policy, and central line indications was also noted. These positive outcomes serve as a foundation for future CLABSI prevention initiatives to build upon Common indications for PICC lines include parenteral delivery of nutrition, antibiotics, and analgesics, as well as chemotherapy and repeated blood transfusions. Peripherally inserted central catheters require frequent flushing and dressing changes, and the insertion site should not get wet Dressing change. Step 1. Step 2. Step 3. Step 4. Review the medical orders for wound care or the nursing plan o. Perform hand hygiene and put on PPE, if indicated. Identify the patient. Assemble equipment on the overbed table within reach

Central Venous Access Learning Objectives. NUS-0107: Central Venous Access. At the end of this program, the participant will be able to: 1. Identify strengths and weaknesses related to central line infusion therapy. 2. Summarize the history of IV therapy and how it has evolved to central line infusion therapy. 3 This form describes what is entailed in completing the initial competency assessment for: Central Venous Catheter (CVC) management. It is to be used as a guide for the preceptor and the employee to understand the expected knowledge, skills, and attitude (KSA) required to provide safe care

A central venous catheter is one in which the tip or end of the catheter lies in a large vein of the central circulation such as the lower third of the superior vena cava (SVC), atrio caval junction (ACJ) and upper right atrium. The tip of a femoral catheter lies in the inferior vena cava (Hamilton and Bodenham 2009) Blood flow around the. A peripheral IV line (PIV, or just IV) is a short catheter that's typically placed in the forearm. It starts and ends in the arm itself. A PICC line is a longer catheter that's also placed in the upper arm. Its tip ends in the largest vein of the body, which is why it's considered a central line. PICC stands for peripherally i. Change the dressing and catheter parts -- you only do this for PICC lines and tunneled CVCs, not for ports. To make care a little easier: Choose a time when you won't feel rushed and no one will. Dressing change components in one package. Features. The StatLock ® PICC/CVC Stabilization Device in a dressing change kit offers the StatLock ® PICC/CVC Stabilization Device with additional components including a mask, gloves, measuring tape, transparent dressing, gauze, alcohol pads, drape, label, and adhesive strips. Now it's easier than ever to reap the clinical advantages of the. A central line is often used instead of a standard IV (intravenous) line when you need treatment for longer than a week or so. The line can deliver medicine or nutrition right into your bloodstream. It can also be used to measure blood flow (hemodynamic monitoring), to draw blood, or for other reasons

Central lines: Recognizing, preventing, and

E. Dressing Change 1. Perform Midline dressing change using sterile technique. 2. The Tegaderm CHG dressing is the standard dressing for all Midline catheters. a. If the patient has uncontrolled bleeding from the insertion site, the GuardIVa sponge and Tegaderm Advanced dressing may be used until hemostasis is achieved Ask your provider about the best way to keep your catheter dry when bathing or showering. If the dressing does get wet, change it only if you have been shown how. Otherwise, call your healthcare team right away for help. Don't damage the catheter. Don't use any sharp or pointy objects around the catheter 6. Flush catheter with 0.9% sodium chloride, using 10 mL syringe 7. Carefully remove dressing, loosening edges toward insertion site. Remove StatLock 8. Grasp catheter at insertion site 9. Gradually pull catheter parallel to skin one inch at a time 10. Continue inching catheter out, if resistance is felt, stop and reposition arm

Dressing Changes Dressing Removal: Stabilize catheter and Luerlock hub to prevent dislodgement Separate dressing away from Luerlock hub and toward insertion site Chlorhexidine should be used to swab in a back and forth pattern for 30 seconds to ensure the skin is clean and disinfected If patient is diaphoretic with a great deal of fluid present. Olson K, Rennie RP, Hanson J, Ryan M, Gilpin J, Falsetti M, et al. Evaluation of a no-dressing intervention for tunneled central venous catheter exit sites. Journal of Infusion Nursing. 2004;27(1):37-44. PubMed PMID: 14734986. Ishizuka M, Nagata H, Takagi K, Kubota K. Dressing change reduces the central venous catheter-related bloodstream. Aegis is a hydrophilic foam disc impregnated with chlorhexidine gluconate (CHG) that supports clinical best practices and professional guidelines for reducing catheter-related bloodstream infections (CRBSI) and central line-associated bloodstream infections (CLABSI). 2,3,6,7 It absorbs exudate and inhibits or kills microorganisms on the dressing's surface.

Basic hemodynamic monitoring for nursesHospital-wide assessment of compliance with central venous

Video: Techniques for aseptic dressing and procedure


The Learner will review PICC line indications, central line documentation and catheter sizes 3. The Learner will be able to review indications, personnel, and process for PICC dressing changes 4. The Learner will be able to identify the different products i.e. Stat Seal/Biopatch used to prevent infection of central lines 5 8. Moureau N, Poole S, Murdock MA, Gray SM, Semba CP. Central venous catheters in home infusion care: outcomes analysis in 50,470 patients. J Vasc Interv Radiol. 2002;13:1009-1016. [go to PubMed] 9. Royer T. Implementing a better bundle to achieve and sustain a zero central line-associated bloodstream infection rate. J Infus Nurs. 2010;33:398. ings for subsequent dressing changes. Dressing changes should be performed using sterile technique, usually every 7 days or whenever the dressing becomes damp, soiled, or nonadherent. Between infusions, maintain patency with saline or heparin flushes (unless this isn't indicated for the brand of catheter in use), depending on flush. First described in 1952, central venous catheterization, or central line placement, is a time-honored and tested technique of quickly accessing the major venous system. Its benefits over peripheral access include greater longevity without infection, line security in situ, avoidance of phlebitis, larger lumens, multiple lumens for rapid admini..