SRT PICCHOW WE DO IT
ReferencesINFUSION NURSES SOCIETY• 2011 Infusion Nursing Standards of Practice
ReferencesCENTRE FOR DISEASE CONTROLGuidelines for the Prevention of IntravascularCatheter-RelatedInfections, 2011
MEMORY AID• Wash Your Hands First• Use Body Fluid Precautions• Aseptic Care Of The Vascular Access Devices• The Fluid Path...
WHAT IS A PICC
WHAT IS A PICC
WHAT IS A PICC
WHAT IS A PICC
WHAT IS A PICC
WHAT IS A PICC
ASEPSIS• Medical Asepsis– clean: reduce and prevent spread ofmicroorganisms– sterile: aim to eliminate microorganisms• Sur...
FLUSH THE CATHETER• ASSESS CATHETER PATENCY• BLOOD RETURN• FLUSHES FREELY
FLUSH THE PICC1. Wash your hands first.2. Use body fluid precautions.3. Aseptic care of vascular access devices.4.The flui...
FLUSH THE CATHETER• FIBRIN SHEATH
FLUSH THE CATHETER
FLUSH THE CATHETER
MALPOSITION
MALPOSITION
FLUSH THE PICC• The Infusion Nursing Standards of Practice establishesthe national standard for all infusion therapy.• Thi...
FLUSH THE PICC• SASH Saline Admixture Saline Heparin• Lock non-valved catheters with positivepressure.
FLUSH THE PICC• Vascular access devices shall be flushed prior to eachinfusion as part of the steps to assess catheter func...
PICC SKIN CLEANING SOLUTIONS• >.5% Chlorhexidine• Povidone-iodine• 70% Alcohol
DRESS THE PICC• Wash Your Hands First• Use Body Fluid Precautions• Aseptic Care Of The Vascular Access Devices• The Fluid ...
DRESS THE PICC• Replace transparent dressings used ontunneled or implanted CVC sites no more thanonce per week (unless the...
DRESS THE PICC• Remove the old dressing in the direction ofthe insertion site to avoid pulling out thecatheter.• Secure th...
DRESS THE PICC
DRESS THE PICC1. Wash your hands first.2. Use body fluid precautions.3. Aseptic care of vascular access devices.4. The flu...
SECURE THE PICC• Use a suture less securement device to reducethe risk of infection for intravascular catheters[105]. Cate...
DO NOT REMOVE THE PICC1. Air Embolism2. Syncope3. Venous Spasm4. Catheter Fracture
VENOUS SPASM
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Srt how picc

  1. 1. SRT PICCHOW WE DO IT
  2. 2. ReferencesINFUSION NURSES SOCIETY• 2011 Infusion Nursing Standards of Practice
  3. 3. ReferencesCENTRE FOR DISEASE CONTROLGuidelines for the Prevention of IntravascularCatheter-RelatedInfections, 2011
  4. 4. MEMORY AID• Wash Your Hands First• Use Body Fluid Precautions• Aseptic Care Of The Vascular Access Devices• The Fluid Pathway Must Remain Sterile• All Cleaning Solutions Must Be Allowed To Dry• Catheters Must Be Secured• Do Not Remove A PICC
  5. 5. WHAT IS A PICC
  6. 6. WHAT IS A PICC
  7. 7. WHAT IS A PICC
  8. 8. WHAT IS A PICC
  9. 9. WHAT IS A PICC
  10. 10. WHAT IS A PICC
  11. 11. ASEPSIS• Medical Asepsis– clean: reduce and prevent spread ofmicroorganisms– sterile: aim to eliminate microorganisms• Surgical Asepsis
  12. 12. FLUSH THE CATHETER• ASSESS CATHETER PATENCY• BLOOD RETURN• FLUSHES FREELY
  13. 13. FLUSH THE PICC1. Wash your hands first.2. Use body fluid precautions.3. Aseptic care of vascular access devices.4.The fluid pathway must remain sterile.5. All cleaning solutions must be allowed to drycompletely.6. Catheters must be secured.7. Do NOT remove a PICC.
  14. 14. FLUSH THE CATHETER• FIBRIN SHEATH
  15. 15. FLUSH THE CATHETER
  16. 16. FLUSH THE CATHETER
  17. 17. MALPOSITION
  18. 18. MALPOSITION
  19. 19. FLUSH THE PICC• The Infusion Nursing Standards of Practice establishesthe national standard for all infusion therapy.• This standard on flushing emphasizes the goals ofmaintaining patency and preventing contact betweenheparin and incompatible solutions.• The standard incorporates the concepts of catheterflushing and locking. Flushing assesses catheterpatency and functionality and removes the previouslyinfused medication. Locking the catheter creates aclosed column of fluid inside the catheter lumenintended to prevent blood from moving into thelumen. (IV)
  20. 20. FLUSH THE PICC• SASH Saline Admixture Saline Heparin• Lock non-valved catheters with positivepressure.
  21. 21. FLUSH THE PICC• Vascular access devices shall be flushed prior to eachinfusion as part of the steps to assess catheter function• Vascular access devices shall be flushed after eachinfusion to clear the infused medication from thecatheter lumen, preventing contact betweenincompatible medications.• Vascular access devices shall be locked aftercompletion of the final flush solution to decrease therisk of occlusion. (IV)• SASH Saline Admixture Saline Heparin
  22. 22. PICC SKIN CLEANING SOLUTIONS• >.5% Chlorhexidine• Povidone-iodine• 70% Alcohol
  23. 23. DRESS THE PICC• Wash Your Hands First• Use Body Fluid Precautions• Aseptic Care Of The Vascular Access Devices• The Fluid Pathway Must Remain Sterile• All Cleaning Solutions Must Be Allowed To Dry• Catheters Must Be Secured• Do Not Remove A PICC
  24. 24. DRESS THE PICC• Replace transparent dressings used ontunneled or implanted CVC sites no more thanonce per week (unless the dressing is soiled orloose), until the insertion site has healed.• Replace catheter site dressing if the dressingbecomes damp, loosened, or visibly soiled• Replace dressings used on short-term CVCsites every 2 days for gauze dressings. (CDC)
  25. 25. DRESS THE PICC• Remove the old dressing in the direction ofthe insertion site to avoid pulling out thecatheter.• Secure the catheter.• Work from clean to dirty.• Clean everything that will be under the newdressing, skin and catheter
  26. 26. DRESS THE PICC
  27. 27. DRESS THE PICC1. Wash your hands first.2. Use body fluid precautions.3. Aseptic care of vascular access devices.4. The fluid pathway must remain sterile.5. All cleaning solutions must be allowed to drycompletely.6. Catheters must be secured.7. Do NOT remove a PICC.
  28. 28. SECURE THE PICC• Use a suture less securement device to reducethe risk of infection for intravascular catheters[105]. Category II
  29. 29. DO NOT REMOVE THE PICC1. Air Embolism2. Syncope3. Venous Spasm4. Catheter Fracture
  30. 30. VENOUS SPASM

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