PICC-ing up the Basics
These PICCs are considered "neonatal" when they are this size French and smaller.
1.9Fr
To maintain patency, neonatal PICC TKO fluids must contain this medication, even when infusing at low rates such as 1 mL/hr and 0.8 mL/hr.
Heparin
What indicates restored patency in a line?
Brisk blood return
What should be placed on every port of IV tubing following a line change?
Curos caps
This line should be less than or equal to 1 cm above the diaphragm.
UVC
Dextrose concentrations greater than what percentage require a central line?
12.5%
A catheter tip adjustment ('pull back') performed by an RN requires these conditions to maintain aseptic technique
sterile conditions
Can a patent lumen in a double-lumen PICC be left alone if the other lumen is occluded?
No.
Occluded catheter lumens should not be left untreated simply because another lumen is patent.
What is the required scrub and dry time for Prevantics before accessing an IV port?
5 second scrub and 5 second dry
This line should be at T 7-9 (high line, preferred) or L 3-4 (low line).
UAC
Placed under sterile conditions during PICC insertion, this piece remains in place unless troubleshooting is needed and then follows a 7-day change schedule.
PICC extension piece
To help prevent catheter damage or rupture when administering IV push medications or flushing a neonatal PICC, this size syringe or larger should always be used.
10ml
What method is recommended for complete occlusions to aid in using a negative pressure approach?
A stopcock method
How many times can a single IV bag be used to draw up a flush or bolus?
one time
What should be loosened and removed as soon as appropriate following umbilical line placement?
Umbilical cord tie
These PICCs cannot be heparin-locked and are not approved for blood transfusions
Neonatal PICCs
How long is a PICC dressing good for if the dressing remains clean, dry, and intact? (remains occlusive)
7 days with a disc in place.
What is it called when fluid can be infused into the lumen, potentially with some resistance, or the lumen can be flushed but aspiration of blood is sluggish or not possible?
partial occlusion
Where do you find curos caps if out of stock in the transport room?
Educator Office!
Can you move peripheral tubing to central line tubing?
No
Following xray confirmation of tip location, this step is required to ensure the PICC is not in an artery
Transducing the PICC
To protect a neonatal PICC, these procedures should be avoided in the same extremity as the catheter
IV starts, manual blood pressures, blood draws
First attempt: After _____ minutes of dwell time, assess catheter function by attempting to aspirate blood.
If unable to aspirate blood, allow alteplase to dwell for a total of _____ minutes and then reassess function by attempting to aspirate.
30 minutes, 120 minutes
When accessing a line, what should you perform first and don?
hand hygiene and gloves
Can you move central line tubing (UVC) to a newly established PICC?
No