Vascularaccessplus.net

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PICC Line Care and Maintenance Preview.just a
taste of what we can offer you and your facility!

• Vascular Access Plus
• [phone]
• info_at_vascularaccessplus.com

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PICC Line Care and Maintenance

• Vascular Access Plus
• Jamie L. Hamm RN, BSN
• Vascular Access Specialist

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Learning Objectives

• Verbalize and Demonstrate how to change a PICC
  line dressing
• Verbalize and Demonstrate how to change a
  needleless injection cap
• Verbalize and Demonstrate how to scrub the hub
• Verbalize and demonstrate how to perform PICC
  line measurements
• Verbalize and Demonstrate how to document PICC
  line care
• Verbalize and Demonstrate how to assess your
  patients PICC line

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Vascular Access Review

• What is a PICC line?
• Who can change a PICC line dressing and
  needleless injection cap in my facility?
• Who can perform a PICC line assessment in my
  facility?
• Who does the documentation?

• How is a central line different than a PICC line?
• What do these initials stand for?
• INS
• ONS
• JACHO
• ENOA
• AVA
• VAP

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PICC line Dressing Change

• ASSESS THE PATIENT

• GATHER SUPPLIES

• Does my patient still need the PICC line?
• What are the previous measurements for my
  patient?
• Do I have an insertion record?
• Do I need two nurses to change the PICC dressing?

• Central Line dressing change kit with CHG, mask,
  and sterile gloves
• Securement device (StatLock or Shield)
• Non-sterile gloves
• Antibacterial hand gel or soap and water
• Tape Measure
• BioPatch

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SHIELD
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Now you are ready to change the dressing at the
patients bedside

• 1. Set up your sterile field and position your
  patients arm. Use a piece of tape to hold the
  PICC in place on the arm if needed.
• 2. Wash your hands and put on non-sterile gloves
  and remove old dressing and discard gloves.
  Re-wash your hands.
• 3. Put on sterile gloves. Use CHG and cleanse the
  patients skin with FRICTION for a minimum of 30
  seconds. DONT FORGET TO WASH UNDER THE PICC LINE
  AND AN EXTENDED AREA 3 INCHES AROUND). Let Air
  Dry.
• You Can keep one hand sterile and one hand
  non-sterile OR
• You can use gauze to maintain sterility of both
  hands during cleaning
• 4. Place the BioPatch on if available.
• 5. Place Shield dressing or StatLock for
  securement.
• Cover all the PICC line past the junction and
  securement of the hub.

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Where is the hub?
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SCRUB THE HUB
There are 2 HubsWhere is the 2nd Hub to Scrub?
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SCRUB THE HUB
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What are the parts of a PICC line measurement?

• 1. Total Length of the PICC line on insertion
• You need the insertion record
• 2. External Length sticking out of patient
• Done Daily and prn
• 3. Arm circumference 3 inches above the insertion
  site and arm circumference is measured in cm
  around the arm
• Done Daily and prn

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External Length
This is the Junction. Your external measurement
starts here.
Between each dot 1cm (use your fingertip)
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Total Catheter Length

• The total length of a Power PICC solo catheter is
  55cm total
• You need to know the total catheter length before
  removing your patients PICC line.how do you
  know you got it all out?

Note how the PICC line starts with 0 instead of 1
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Troubleshooting 101

• If you do not have a blood return then you have a
  non-functioning vascular access deviceSTOP and
  call Vascular Access Plus for troubleshooting
  guidance at
• [phone]

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Does my patient still require a PICC line?

• How many days are left to complete the infusion
  therapy?
• Are we just keeping the PICC line to have IV
  access?
• Was the PICC line difficult to place?
• Did the physician want the PICC line removed when
  therapy ended?
• Are there signs of infection at the insertion
  site?
• Does my patient have a non-functioning access?

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Should my patient have a PICC line?

• CDC 2011 recommends a Midline or PICC line for
  any infusion therapy duration gt6 days
• If your patient requires more than 3 peripheral
  IV starts for the IV therapy, you will cost your
  facility/patient as much as putting in PICC line.
• What type if infusion therapy is ordered? INS
  recommends a PICC line for any drug with a pH lt5
  or greater than 9.
• Have I attempted peripheral IV access prior to
  requesting a PICC line? Should I attempt
  peripheral IV access before I call the PICC nurse?

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There is sooooooo much more! Call Today and book
your educational CEU event for your staff!
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