This is inserted in the patient’s arm and ends in the superior vena cava above the heart
What is a Peripherally Inserted Central Catheter (PICC)?
These wipes are known to assist with reducing CLABSI rates
What are 2% Chlorhexidine (CHG) wipes?
You cannot reinforce central line dressings with this item
What is tape?
This Personal Protective Equipment (PPE) is required for everyone in the room during dressing changes
What is a hair bonnet and a face mask?
(Staff assisting with dressing changes must also perform hand hygiene and wear gloves)
You must have this in place before removing a central line
What is a provider order?
These are inserted at the upper-arm and the tip extends to the axillary vein
What is a Midline?
This is a disinfectant alcohol impregnated cap system
What are alcohol impregnated caps/tips or Curos caps/tips?
These devices are accessed every seven days and do not follow the Sunday dressing change rule
What is a Port?
This may happen if you do not allow CHG to dry fully
What is a Medical Adhesive-Related Skin Injury (MARSI) or chemical burn?
Registered Nurses must complete this before they can access an Implanted Port
What is a competency validation (or more hands-on training)?
These are temporary and crucial for patients with end-stage kidney disease on hemodialysis.
What is a trialysis line?
What is SecurePortIV?
What is a central line?
In the inpatient setting, who must be present for a dressing change?
What are two trained staff?
(Home Health/Hospice - one trained Registered Nurse)
Pediatric patients use these instead of a CHG gel patch
What is a Biopatch?
This is a Central Vascular Access Device (CVAD) that is implanted
What is an Implanted Venous Port?
A non-coring needle with an extension, usually containing a right angle, which is used for accessing implantable ports
What is a Huber Needle?
These must be replaced when a new central line is placed
What is all IV tubing?
After central line dressing/cap changes, you must do this
What is document in EPIC under Lines, Drains, and Airways (LDA)?
You must be on the lookout for this when you remove a central line
What is a Venous Air Embolism?
(Immediately place patient in left lateral Trendelenburg position. Stay with patient and monitor vitals. Notify MET/Provider/Charge Nurse)
This has three bumps around the perimeter and can be visualized on an x-ray
What is a PowerPort?
This is an end cap placed on the lumen of a CVC, with a self-sealing septa designed to prevent leakage of blood or ingress of bacteria.
What is a Neutral Displacement Device (Microclave)?
If your patient is receiving this medication, the IV tubing must be changed every 12 hours
What is Propofol?
Prior to removing the central line dressing, you must do this first
What is measuring the external length of the catheter?
(Don't forget to measure after the dressing has been changed.)
You NEVER want to advance a central line catheter for these two reasons
What is a risk for infection and cardiac arrhythmia?