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?
Sterile post-op sponges
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 to 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