PICC Patency
Any Central Catheters are flushed every 8 hours and PRN, before and after medications, with 10ml of this solution. 20ml of this solution is also used prn before or after blood draws and blood transfusions.
What is Normal Saline?
The nurse or physician must perform this activity prior to any access of an IV catheter.
What is hand hygiene?
This is the day of the week designated for weekly dressing changes.
What is Tuesday ("Take it off Tuesday")?
IV administration sets, extention sets, arterial and venous pressure monitoring sets, and needleless valves should be changed at this minimum interval.
What is NO LONGER than 96 hours?
When at all possible, this site should be avoided when obtaining blood cultures.
What is the intravenous line?
This type of flushing technique helps to ensure patency of central lines.
What is Pulsatile?
Any individual touching a central line must don this PPE prior to touching the device.
What are clean, non-sterile gloves?
This should be found written on each central line dressing.
What is date and initials?
Blood Administration sets/filters should be changed after this amount of time.
What is every 4 hours
Air Embolism, Catheter fracture, Dislodgement of thrombus, Hemorrhage and bleeding are potential complications of this procedure.
What is Central Line Removal?
A patient with a device such a central line, foley catheter, chest tube, etc., should receive this type of bath daily.
What is Chlorhexidine (CHG)?
A gauze and tape dressing must be changed with this frequency per standards?
What is every 2 days?
Administration sets used to infuse TPN should be changed at this interval.
What is every 24 hours.
What is the femoral vein (groin).
This medication is used to dissolve an intraluminal clot in a central line catheter.
What is Cathflo (Activase)?
The needleless valve (INT port) must be cleaned, scrubbed and allowed to dry with this type of pad prior to attaching a sterile tubing or syringe for infusion.
What is Alcohol/CHG swab(pad)?
If a central line dressing is found loose, wet or soiled, this should be done immediately.
What is a sterile central line dressing change?
Whenever a central line is removed and a new line is placed, this should also be replaced.
What is all tubings?
"Field" IVs should be replaced in this time frame.
What is ASAP or within 24 hours?
The cost of one vial of Cathflo is how much?
$147
(ROH used 496 vials in 2018 for an approximate cost of $73,000.00).
This type of Sterile Barrier must be used when inserting any central line.
What is Maximum Sterile Barrier Precaution?
Following hand hygiene, these two items of PPE should be worn any time the central line site is exposed.
What are sterile gloves and a mask?
IV solutions should never hang longer than this time period.
What is 24 hours?
This is the best way to avoid Central Line Associated Blood Stream Infection.
What is "not to have a central line?"