Picc Lines
Infusaports
Tunnelled Devices
Dressing Changes
Drawing Blood
100
This is what a power PICC is flushed with when not in use.
What is flushed with 10-20 ml saline then 25 units of Heparin?
100
A tunneled device located completely under the skin and usually in upper right or left chest area.
What is an infusaport?
100
Hickman, Hemed, Permcath, sometimes PICCs.
What is an example of a tunneled catheter?
100
ICU RNs and VAT members.
Who changes dressings on CVADs?
100
ICU RNS, VAT, ED RNS with demonstrated compentency.
Who is allowed to draw blood from a CVAD?
200
Open ended catheters are flushed with heparin, valve type catheters like "Solo" s are not.
What is the difference between open ended catheters and valve type catheters like "Solo" catheters.
200
A 90 degree non coring needle.
What is used to access an infusaport?
200
Dialysis RN, VAT only with nephrologist order.
Who is allowed to access a permcath?
200
It means that the dressing is intact completely around insertion site.
What does "occlusive" dressing mean?
200
5 ml blood waste done with most.
What is the amount of blood waste done with lab draws?
300
PICC is ordered under CPOE and permit is signed by patient.
What does the staff nurse need to do before the PICC nurse can place the PICC?
300
Any RN with demonstrated compentency.
Who is allowed to flush infusaports and check for blood return?
300
They are done every 7 days (including changing the caps) and prn.
When are CVAD dressing changes done?
300
Except for early morning labs, the nurse must call VAT and notify them of what is needed and when.
What is the present way VAT knows to draw labs on CVAD lines?
400
A picc that is power capable
What can be used by CT Scan to power inject dye?
400
Often becomes hard to flush or IV pump starts beeping occlusion and puffiness noted around port.
How do you tell if an infusaport is infiltrated?
400
It is very important to prevent infection, because a CVAD infection can be life threatening.
What is the importance of doing a STERILE dressing change.
400
It will obscure the study, and is better to do a peripheral sample if at all possible.
Why is it considered a last resort to draw PT/PTT/INR studies from an infusaport with heparin infusing?
500
Call physician for cathflo order and notify VAT for troubleshooting.
What is the treatment when a PICC has no blood return?
500
10- 20 ml saline then 500 units of Heparin.
What is the flushing protocol for a port when not in use.
500
Only the physician.
Who can discontinue a tunneled catheter?
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