Dress to Impress (Dressings)
When is a dressing expected to be changed? Multiple Answers
When is on admission, every 7 days, and PRN.
The proper flushing technique for any IV access?
What is push-pause or turbulent flushing and clamp before disconnecting syringe.
Any. (unless specific MD order)
What is a CVC (PICC, Port-a-cath, IJ etc)
What other IV accessories should be changed with the dressing?
What are needleless connectors and any securement devices (STATLOCKS)
IV hub care that is increasingly done less often or skipped
What is scrubbing the hub between EVERY connection
This should be removed/replaced when drawing blood from an IV device
The recommended life span of a midline
1-4 weeks (2 weeks avg)
How often should a dressing be changed if gauze are at the insertion site?
When is no longer than 48 hours.
How often IV tubing should be changed
Every 96 hours.
IV blood tubing Q4H (or every 2 units)
Lipids (propofol) Q12H, TPN Daily.
Needleless connectors should also be changed with primary IV tubing.
What is fracture, infection, edema, dialysis AVF, mastectomy (lymph node), paresis (CVA), or DVT
A benefit, not a guarantee, of a midline
consistent blood return
What three details should be on every CVC/Port/PICC/Midline/HD dressing?
What is the date of dressing change, date of insertion (sometimes admission), and staff initials
What is 20mls of NS.
This every 4 hour task should be avoided on extremities with IVs
What is a blood pressure reading
Central IV access tips terminate in this large blood vessel
What is the superior vena cava (SVC)
What needs to be changed with a port-a-cath dressing?
What is the huber needle
Every new IV access should get this
What is new IV primary tubing
This IV infusion gets its own labeled dedicated lumen
TPN (total parenteral nutrition)
Indications for PICC line consult (multiple)
long term antibiotics, chemo infusions, TPN, continuous vesicants (>24hrs), multiple incompatible infusions with difficult PIV access