PIVs
Removal of a dressing before removing a PIV may be easier if this is used
What is an adhesive remover or alcohol pad?
Place 4-6 inches above site of insertion and only leave on patients arm for no more than 1 minute
What is the tourniquet?
This technique is required when accessing an implanted port to reduce the risk of vascular catheter-associated infection
What is sterile technique?
Changed every 7 days, when compromised or soiled, or as directed by a physician
What is transparent semipermeable dressing with an antimicrobial-impregnated sponge?
This is used prior to starting a PIV with a vigorous, side-to-side scrub for 30 seconds and allowed to dry completely
What is a Chlorhexidine gluconate 2% scrub (if allergy use 70% isopropyl alcohol followed by Povidone-iodine)?
Position that needle holder or syringe should be when entering patient’s vein
What is 30 degrees?
Palpate and locate the port before accessing with this special needle
What is a non-coring needle (or a Huber needle)?
This device helps the catheter to stay in place which helps to decrease the unintentional dislodgement
What is the engineered stabilization device?
Checking surrounding area for redness, swelling, drainage and/or tenderness
What is assessing the catheter site?
After filling the tubes in the correct order of draw, this is done to each one
What is gently inverting each tube the appropriate number of times to mix the sample?
Done daily to a port when there is not a continuous infusion
What is flushing with 10 mL of preservative-free normal saline?
At a minimum, scrub the port of positive pressure injection cap with 70% isopropyl alcohol for this long
What is 15 seconds?
After IV insertion, this should be visible in the IV catheter hub
What is blood return?
Patient name, date, time of collection and any other information required by the laboratory
What you write on the labels of the collection tubes?
After providing maintenance to the port and flushing, another way to reduce the risk of vascular catheter-associated infection is to replace these
What is the disinfectant-containing end caps on the needleless connectors?
Aspirate 6ml of blood with a 10 mL syringe, do not disconnect syringe and immediately push the blood back into catheter. Repeat 3-5 times. Withdraw blood sample. Flush catheter with 10-20 mL of normal saline
What is the push-pull method of withdrawing blood from the PICC line?
Every 5-7 days this should be changed if damp, visibly soiled, loosened, or dislodged
What is the dressing?
Keep blood samples cold by placing in a refrigerator or an insulated container
What you would do if transport is delayed?
Prior to de-accessing a port and with a provider order, flush with 10 mL of normal saline (preservative free) and this other flush
What is a heparin flush (3-5 mL or provider specific)?
Apply sterile petroleum-impregnated gauze to site. Cover with either transparent dressing or gauze dressing with tape. Ensure tip of catheter is intact
What is removing a PICC line?