PIV
What type of medication is Vancomycin?
Hint: other than an antibiotic
What is a vesicant?
In what manner, and for how long, should the insertion site be cleaned during a dressing change for a CVAD?
Vigorous cleaning with CHG for 30 seconds, or 2 minutes for a femoral line (mostly seen in PICU)
How often does a a PICC or CVC dressing need to be changed?
Every Saturday (every 7 days) or when nonocclusive.
What should be assessed with each use of a CVAD device?
What is blood return?
Prevantics
What is scrub the hub?
NOT used for skin prep.
Nurse can have ______ attempts to gain IV access. If unsuccessful, there is need to request a unit experts help.
2
What do you call a line or port needle that is suitable for CT with contrast?
Power port or a power PICC.
Purple = power!
What should you do if a dressing becomes non-occlusive?
What is change the dressing?
What should be the intervention when IV tubing is disconnected from a patient's IV catheter and looped back onto itself?
What is change IV tubing?
Alcohol Swab
What is skin prep prior to IV start?
How do you contact the vascular access team?
Via secure chat @ WFMC PEDS VASCULAR ACCESS TEAM
What needs to be performed daily on all patients with a central line in acute care, and all patients in the PICU/PIMC?
What is a CHG treatment?
How often should a non-transparent dressing be changed? (Example: Mepliex)
What is every 48 hours?
How often should an infusing CVAD/PIV be assessed?
How often should a saline locked CVAD/PIV be assessed?
What is every hour?
What is every 4 hours?
2 RNs
What is a PICC line dressing change?
Also strongly recommended to have 2 people for all dressing changes.
What needs to be completed after a PIV infiltrate occurs?
What is an RL6/safety report?
What needs to be changed with every dressing change on a PICC line?
What is the stat lock device?
When should a PIV dressing be changed?
What is every 7 days if applicable?
What is not allowed to be utilized over a PIV site in Pediatrics?
What is Coban or NO-NO's (okay if being utilized as a restraint, not for straightening arm)
Fresh Linens
What is change linens post CHG treatment?
What needs to be entered into the chart after an antidote for the infiltrate of a PIV is administered?
What is a wound LDA?
Helps with charting frequency.
What type of dressing must have a provider order to initiate?
What is a biopatch?
How often does a port dressing need to be changed?
What is every 7 days when the port needle is due to be changed?
What are 3 key assessments for a patient with a PICC line?
What is:
cm marking on line
occlusive dressing
blood return
arm circumference measurement
F.U.N.
U = Utilization
N= Necessity