central line dressing change pdf

LABEL the dressing with the following information. Masks must be worn when changing clear caps.

Central Venous Lines Nursing Times

Central Line Dressing Change external icon Video for staff education on central line dressing changes from the Armstrong Institute for Patient Safety and Quality at Johns Hopkins.

. PICC Line or Midline Catheter Dressing Change Purpose. Always check the length of the PICC catheter from where it exits your skin to its tip with each dressing change. Skills Sheet Central Line Dressing Change 14.

The mask is often at the bottom or top of the kit. Central line dressing kit. The date and time of dressing change.

To prevent external infection of the peripheral or central venous catheter Frequency. Watch Product Videos and Download Supporting Documentation on the Official HCP Site. Supplies for Clear Cap Change.

Put on the mask. Change needleless injection caps To keep blood out of the catheter when not in use clamp the port before removing the syringe. Secure central line with an extra piece of tape if necessary.

The clients tolerance of the procedure. Wash your hands again. Central Line Dressing Change Central Line Dressing Change Central Venous Access Device.

Obtains sterile central line dressing kit and mask for patient. Gathering old dressing in dominant hand remove clean gloves and dispose in waste receptacle. REMOVAL APPLICATION 01Gather appropriate supplies.

ASSESS Assess treat and reassess pain if present. Lowers the side rail and puts the bed at a working height. Discard all used supplies in.

Related Procedures PICC Line Dressing Change Policy History Approval Date Approved By 1112009 Anne Tyson Herman Pippin Sandra Hill. 08Remove Securement device per manufacturers instructions for use if applicable maintaining control of catheter 10Remove and discard soiled gloves. An alternative central line dressing change is another way to change your childs central line dressing.

Central Line Clear Cap Change and Flushing Instruction Sheet Change all clear caps every 7 days or any time the dressing is changed or if there is any blood in clear cap following flushing. Clean the work surface with disinfectant. Wash your hands with soap and water for 30 seconds.

Using this method can be easier on sensitive skin. Dressing Change for PICC or CVC 07Remove dressing by pulling towards the insertion site. Assess the dressing in the first 24 hours change for accumulation of blood fluid or moisture beneath the dressing.

Date time and initial of the nurse performing the dressing change. E-Module Central Line Care and Management Dressing Change Best practice recommendations are for site care and dressing changes every 7 days and prn. Preparing the work surface.

Clear caps for each line. Staff Training and CompetencySkills Assessments Maintenance. Standardize tubing change 5.

If patient cannot tolerate a mask directs him to. View Central Line Dressing Change Temppdf from RNSG MISC at San Antonio College. Open your central line dressing change packet.

Regular monitoring with feedback of results to staff can improve adherence to central line procedure and maintenance practices. Date dressing used if patient uses dressing other than Tegaderm. Use this tool to identify gaps and opportunities for improvement.

If gauze is present under the dressing dressing must be changed every 48 hours Use sterile technique Use central line dressing change kit Do not touch PICC or infusaport dressings. Hold the catheter at the exit site with the other gloved hand to keep it from being pulled out when removing the dressing. After the first 24 hours the frequency is every seven days.

Prepare the transparent dressing by removing the paper on the back and flatten the dressing by gently pulling it taut. Sample procedure note for documentation of central line insertion from Beth Israel Medical Center. Aseptic technique for accessing and changing needleless connector 4.

Place the transparent dressing directly over the catheter exit site molding it around the catheter with your gloved fingers. Proper Dressing Change 3. Central Venous Line Flowsheet for all routine procedures.

The patency of the line and the flush used. CHANGING YOUR CENTRAL LINE DRESSING YOU MAY NOW APPLY THE NEW DRESSING. Central Line Maintenance Bundle 1.

Apply new transparent dressing. Nursing Skill Tayler Hall STUDENT NAME_ Central Line Dressing Change SKILL NAME_ REVIEW. Ad Learn About a CHG Dressing Proven in over 15 Trials and Trusted by 60 of Hospitals.

Dressing change packetyour mask is at the top or bottom Supplies. Allow to air dry. Marschall J Mermel LA Fakih M et al.

Explains the procedure to patient and places a mask on patient. DOCUMENT on appropriate records ie. 3 of 3 I200 Central Line Dressing Change 2.

Time date and initial the dressing. Central Line Access andor Dressing Change Practices Version 20161013 Assessment completed by. Permanent tunneled long-term Hickman Broviac Groshong temporary non-tunneled singlemultilumen Arrow Hohn Cook accessed subcutaneous implanted ports non-tunneled long-term PICC See individual facility protocols.

If a sterile drape is provided carefully open it touching only the one inch margin and place it on the bedside table. Change infusion caps ensuring that the lines are CLAMPED and that the new caps are primed with saline before flushing the line. Infect Control Hosp Epidemiol.

If this is not possible place a mask on the patient. Strategies to Prevent Central LineAssociated Bloodstream Infections in Acute Care Hospitals. Places patient in a semi-Fowlers position if tolerated.

- Central Line Dressing Change Kit - Clean gloves. Dressing change by wearing a mask or turning your head away. PICC or Midline Catheter Sterile Dressing Change If parts of the gel come off the dressing remove the gel with a sterile saline soaked gauze.