Central line removal checklist

Central Venous Catheter (CVC) Removal Checklist ASSESSORS: PLEASE DO NOT LEAVE ANY ITEM UNRATED All points in checklist must be verbalized and/or performed. Please rate the examinee on the following items: 1. A physician order is required prior to removal of the CVC by RNs __ Done __ Not Done __N/A 2 This checklist provides sequential critical steps that have shown to reduce central line-associated infections. Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been shown to reduce these infections for central venous catheter Clotting Profile • If the patient is taking warfarin ensure the INR <3.0 prior to removal • A platelet count of >50 (x10٩ Litres) • If the patient is due to commence Dabigatran remove the central line prior to commencing. If the patient has been receiving Dabigatran stop it 48hrs prior to removal. Thi

1. Obtains sterile central line dressing kit and mask for patient. 2. Places patient in a semi-Fowler's position if tolerated; lowers the side rail, and puts the bed at a working height. 3. Explains the procedure to patient and places a mask on patient. If patient cannot tolerate a mask, directs him t A checklist for maintenance that begins by assessing necessity of central line, from The Joint Commission Central Line Removal Considerations pdf icon [PDF - 22 KB] external icon List of questions to determine the presence of an indication to remove a central line, from The Joint Commissio Perform hand hygiene and open central line dressing change tray. Don non-sterile gown, gloves, bouffant and mask with face shield. Perform hand hygiene and prepare dressing tray aseptically using transfer forceps to add supplies. Add sterile scissors for sutured line; Add additional chlorhexidine for removal of securement device if required Central Line Checklist A central line insertion checklist should be used to document that the insertion protocol was followed during insertion of a central line. The following elements, at a minimum, should be found on the checklist: Date, start time, end time, hands washed prior to insertion 1. State the criteria to be met prior to the removal of a central line. 2. Name four types of common sites/types of catheters for a central line insertion. 3. Collect the necessary equipment for removal of a central line. 4. Describe the actions to be taken for removal of a central line. 5. State six potential complications of central line.

Central Line Insertion Care Team Checklist Agency for

  1. Daily Review of Line Necessity with Prompt Removal of Unnecessary Lines Once the central venous access device (CVAD) has been indicated and placed, daily assessment begins. The patient is assessed daily to evaluate the health of the vessels, the functionality of the device and the continued need for the device
  2. CVC REMOVAL There are a number of basic assessments a practitioner should undertake before any T he removal of a central venous catheter (CVC) is a common procedure in hos-pitals and the community. Reasons for removal of a CVC include end of treatment, proven and unresolved catheter sepsis, catheter fracture, occlusion unresponsive t
  3. Central Line Maintenance Ghinwa Dumyati, MD University of Rochester precautions during central venous catheter insertion (checklist or note) •Removal and replacement of the securement device should be done with dressing changes . Additional Options:.
  4. CLABSI Prevention Strategies, Techniques, and Technologies. Chapter 3 focuses on evidence-based strategies and techniques for preventing central line-associated bloodstream infections (CLABSIs). Approaches not recommended for CLABSI prevention are also briefly reviewed. Key points include the following
  5. ation
  6. Implementing a central line checklist at the time of insertion will help to ensure that all processes related to central line placement are executed for each line placement, thereby leading to a reliable process. Nurses should be empowered to supervise the preparations using the checklist prior to line insertion and to stop the process if necessary

TAP Central Line-Associated Bloodstream Infections (CLABSI

  1. 1 See Appendix D for Standardized Central Line Insertion Checklist 2 Performed by the Acute Care Procedure Team or appropriately trained providers PRE-PROCEDURE POST-PROCEDURE See Box A on Page 5 for Post-Procedure flow 1CICC insertion Non-tunneled CICC exchange to a greater 1French size,2 Vascular Access Team performs patient evaluation and assessment to thoroughly review allergies.
  2. Central-line associated blood stream infections (CLABSI) are one of the main causes of health care-associated infec-tions but are easily prevented when evidence-based practices are implemented.[6] The Joint Commission recommends only allowing competent nurses to care for central lines
  3. central line insertion and care bundles in its pediatric ICU. Over a 10-month span, the pediatric ICU experienced a 55% drop in its CLABSI rate. The IWK Pediatric Intensive Care Unit in Halifax set a goal of reducing the incidence of line-related sepsis in the pediatric population by 20% within 12 months. Within 10 months, the team presented.
  4. Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access
  5. An observational study reports that implementation of a trauma intensive care unit multidisciplinary checklist is associated with reduced catheter-related infection rates (Category B2-B evidence). 6 Observational studies report that central line-associated or catheter-related bloodstream infection rates are reduced when intensive care unit.
  6. The physician who removed the CVC had completed the required central line training module a year earlier, which included one slide on proper removal technique. The physician was not aware that the hospital CVC removal protocol specified the use of a CVC removal kit, and that the kit was available on the ward
  7. Central Line Insertion Checklist/Indications Review elements of the insertion checklist, explain the purpose and importance of a 2nd observer to be present for support and documentation, both during and after the procedure (see appendix

Use of forcing functions (removal of betadine in kits, creation of an accessory pack and a checklist for line insertion) improved reliability. The appropriate floor for central line infections in ICUs is < 1 infection /1,000 line days Monitor: Observes sterile technique during placement of central line Monitor: Completes the central line insertion checklist Monitor and operator both sign checklist Checklist is placed in the progress notes section of the chart Courtesy and team work is expected and required from all members of the tea 2.4 The removal of a PICC can be performed by the nurse or authorized prescriber who have received training and demonstrated competency as outlined in this guideline. 2.5 In the Community Intravenous Program, nurses may remove the PICC without an order when the nurse recognizes that the patient has used the line for purposes other than th related to poor technique during line insertion, use of the line, or line removal. Infective complications The mean central venous catheter bloodstream infection (CVC-BSI) rate documented in a large study of 215 UK intensive care units (ICUs) that submitted data for up to 20 months was 2.0 per 1000 central venous catheter days. 1 Provide a checklist to clinicians to ensure adherence to aseptic insertion practices. Reeducate personnel at regular intervals on central line insertion, handling and maintenance, and policies, procedures, supplies, or equipment changes. Empower staff to stop non-emergent CVC insertion if aseptic technique is not maintained

Procedure: Removal of Central Venous Catheters (Jugular

Attachment D (samples of self reporting tools for central line removal) Checklist for ongoing need for access, frequency of line entry, line complications, and/or mechanical problems. Report results to staff. SLUG Bugs Standardizing Line Care Under Guideline Recommendation • Line tip position must be clearly documented before the line is used. Central Venous Catheters should be removed as soon as possible if they are not needed. Central line removal should only be attempted by those assessed as competent to do so. Various different types of CVC's are available and these are described below. Th

30 catheterization, (7) removal of central venous catheters,‡ (8) diagnosis and management of central venous 31 catheter-associated trauma or injury (e.g., pneumothorax or air embolism), with the exception of carotid arterial 32 injury, (9) management of peri-insertion coagulopathy, and (10) competency assessment for central line insertion See procedure for removal of a central venous line. All intravascular catheters should display a waveform appropriate to the tip location. If a waveform that is appropriate for the insertion site is not visible (despite troubleshooting and expanding the scale size), the line should not be used until the catheter location can be confirmed infection, and central line-associated bacterial infection. While these infections are common in healthcare facilities, the rates of these infections are still prevalent in removal checklist when the CVC is no longer medically necessary. A checklist was utilized to determine if the patient meets the requirements for CVC removal, and the. 8. Complete central line checklist for qua lity assurance, send to Infection Control Practitioner. This is not part of the medical record. E. Line Removal 1. Line removal is completed by the LIP 2. Pressure is applied to site until bl eeding is controlled. Assess site q15 minut es for 1 hour after removal to assure no further bleeding is noted

A novel procedure pack was designed to ensure removal of the guidewire after the critical moment. Normally, after the guidewire is removed from the patient and in order to complete the central venous catheter procedure, the following equipment is needed: suture, suture holder, and antimicrobial dressing Central line care and maintenance is a critical component of CLABSI prevention. Consider the following examples when developing your central line care and maintenance processes: • The Joint Commission CVC Maintenance Bundles The Joint Commission Daily Central Line Maintenance Checklist Template • IPRO Central Line Maintenance Bundl Lippincott® Procedures is your online source for instant, evidence-based procedure guidance at the point of care. With over 1,800 procedures and skills from a wide variety of nursing specialties including allied health, it combines the most trusted clinical content with powerful online workflow functionality that will enable your clinical staff to save time, standardize care and deliver. 4. Review for need and potential for removal of the CVAD Accessing a CVAD Accessing a CVAD must be done aseptically to prevent central line infections. Procedure: 1. Gather equipment 2. Explain procedure to the patient and family 3. Cleanse cap with alcohol wipe or chlorhexidine (2-3 times) and allow to dry 4

17.9 Short‐term central venous catheter (non‐cuffed and non‐tunnelled) insertion into the internal jugular vein 17.10 Short‐term central venous catheter (non‐cuffed and non‐tunnelled): removal 6.1 Slipper bedpan use: assisting a patient 4.13 Source isolation: entering an isolation roo • Central-line cart with necessary supplies • Use of a standardized checklist for insertion to guide adherence • Empowerment of nursing staff and observers to halt procedures which do not follow checklist and adherence to guidelines or sterile procedure • Daily review of necessity of catheter • Feedback to providers regarding infection This DNP project focused on central line-associated bacterial infections. An interdisciplinary team checklist to assess readiness for appropriate medical removal of central venous catheter (CVC) was developed to assess intensive care unit patients for early appropriate medical CVC removal. The interdisciplinary team consisted of the project. COMPETENCY CHECKLIST. Central Venous Catheter . Note: The competency checklist is required to be completed for LPN staff during initial training and annually thereafter. Competency checks can also be conducted at any time at the discretion of the Nurse Manager. The competency checklist must be included as part of the employee's record t

Central Venous Catheter (CVC, Central Line) Placement. A time-out was completed verifying correct patient, procedure, site, positioning, and special equipment if applicable. The patient was placed in a dependent position appropriate for central line placement based on the vein to be cannulated. The patient's <right/left> < neck/shoulder/groin. Central Vascular Access Devices 2019-08-15 CVAD Removal Checklist Contact Clinical Knowledge Topics Page . 1. of . 3. CVAD Removal Checklist . Confirm with Clinical Nurse Educator or unit guidelines which certified practitioners remove CVADs on your unit

Insert the central line over the wire. Keep one hand on the wire at all times. When the central line is 2 cm away from the skin, slowly withdraw the wire back through the central line until the wire tip appears from the line port. Hold the wire here while you insert the line. Leave a few centimeters of the line outside the skin Central and PICC Line: Care and Best Practices 1. Central and PICC Lines Care and Best Practices Mary Larson, SN St. Cloud State University 2. Mary Larson Hometown: Atwater, MN St. Cloud State University Nursing Program: December 21st Capstone Semester Preceptor: Jamie Daniel 180 Direct Patient Care Hours, 90 Leadership Hours (40 at Meeker. The American College of Surgeons (ACS) Central Lines Home Skills booklet was developed by members of your surgical team. This program will walk you through understanding your central line (CVAD), skills to manage your central line, problem solving, and home management tips as well as other resources central catheter placement. Although PIVs remain common, the risk of complications is high (Franck, Hummel, Connell, Quinn, & Montgomery, 2001). Nonelective removal of a PIV due to complications occurs in up to 78% of insertions and can lead to premature removal of up to 95% of devices, though variations in reporting make accurate rates difficul Breakage of the PICC line. This is serious complication of PICC line removal. To prevent breakage, the line should be removed gently land slowly without exerting much force. Infection. This is another potentially serious complication that a patient with PICC line can experience. An infection can arise at any time

PPT - Central Line Maintenance PowerPoint Presentation

Daily Review of Line Necessity with Prompt Removal of

Background: Peripherally inserted central catheters (PICCs) removed prematurely for unconfirmed infection or thrombosis lead to subsequent reinsertions and associated complications. To improve clinical quality, a mandatory electronic communication tool (MECT) based on clinical practice guidelines was mandated for all inpatient adult PICCs in an academically affiliated tertiary medical center including femoral sheath removal ix. Nursing responsibilities b) Documentation of education, proctored clinical practice, and validation in vascular access ultrasound technology maintained by the RN or APRN and on file with employer/facility. c) Vascular access experience. d) Central line placement using ultrasound technology In January 2002 the SICU nurses developed a care team checklist to empower nurses to stop the physician at any point in the central line insertion or rewire procedures if all infection control practices weren't followed. This checklist also provided an independent redundancy in the system as an additional check

Other strategies to minimize pain during injection include: 1) Rapidly inserting the needle through the skin, 2) injecting the solution slowly and steadily while withdrawing the needle, and 3) Injecting into the subcutaneous tissue also minimize the pain of injection. (AFP 2014) Further Reading / References 1. Removal of the central line, or possible date of removal discussed daily during patient round. -Baseline 7% -Audit 33% 2. Healthcare staff has received education and training in regards to management of central lines. -Baseline 0% -Audit 100% 3. A gauze and tape dressing has been changed daily. -Baseline 87% -Audit 90% 4 Use the central line insertion and care bundle checklist and continuation checklist (CR4030 & CR4032) to record: adherence to the CVC care bundle components record on-going CVC management, including complications and removal details on-going audit and feedback on adherence to infection prevention practices

PICC Line Removal Instructions (and video): How to Remove a PICC Line. Removing picc lines from a patient is an important nursing skill that will likely be performed on a regular basis. Removing a picc line is a simple procedure, but you want to make sure you follow the proper steps to minimize risk of infection or complications. This article presents an overview of how to remove a picc line. CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI) IV fluid changes and daily review of line necessity with timely removal.1. Secondary Driver > IMPLEMENT STOP THE LINE A checklist ensures best practices for CLABSI reduction are followed. It is important t

The CDC Central Line Insertion Practices form was completed by an independent observer (_) starting with the first handwash prior to starting sterile technique. A time out was performed. My hands were washed immediately prior to the procedure. I wore a surgical cap, mask with protective eyewear, full gown and sterile gloves throughout the. An estimated 250,000 central line-associated infections occur each year in U.S. hospitals, and 12 to 25 percent of affected patients die from the condition. and removal of catheters when no. A central line (or central venous catheter) is like an intravenous (IV) line. But it is much longer than a regular IV and goes all the way up to a vein near the heart or just inside the heart. A patient can get medicine, fluids, blood, or nutrition through a central line. It also can be used to draw blood A central venous line is a device inserted into the superior vena cava or right atrium. Abstract. VOL: 99, ISSUE: 10, PAGE NO: 28. Gail Mooney, MSc, RGN, is lecturer, School of Health Science, University of Wales, Swansea. Dee Comerford, MSc, DMS, CertEd, SRN, is clinical nurse specialist in pain control, Carmarthenshire NHS Trust

(PDF) Prevention of peripherally inserted central line

CLABSI Toolkit - Chapter 3 The Joint Commissio

  1. Infection prevention measures during central line insertion or maintenance, such as hand hygiene, maximal sterile barriers during catheter insertion, chlorhexidine skin disinfection, optimal catheter site selection, and daily review of line necessity with prompt removal of unnecessary lines, are known to decrease CLABSI risk [8, 9]. The.
  2. needed to clear the line) - Withdraw required amount of blood - Reinsert initial blood withdrawn - Flush with the amount of NS needed to clear line - * Follow with flush of 3 ml Heparin Pediatric: < 12 kg - 10 units/ml >12 kg - 100 units/ml NICU: 10 units/ml or per physician's order • ONLY withdraw blood using the following PICC sizes
  3. Central line-associated bloodstream infection prevention bundle elements, b N (%) Daily assessment for central line removal 300 (67.7) 344 (68.8) 0.72 * Central line dressing clean and intact 436 (98.4) 492 (98.4) 0.98 * Catheter-associated urinary tract infection prevention bundle elements, c N (%) Daily assessment for urinary catheter removal

• The Central Line Insertion Care Team Checklist : - is not part of the medical record - Use it to ensure and document compliance with Infection Control guidelines (ie. sterile technique) and with Safety Practices (ie. the guidewire was removed). • CVC insertion is to be observed by an RN who ha The Central Line Bundle The central line bundle is a group of evidence-based interventions that, when implemented together, result in better outcomes that when implemented individually. The science supporting each bundle component is established and can now be considered standard care. (10) The Central Line Bundle has five key components: 1 PREVENT CENTRAL LINE INFECTIONS Getting Started KitGGetting Started Kitetting Started Kit Effective March 14, 2019, the Canadian Patient Safety Institute has archived the Central Line-Associated Bloodstream Infection (CLABSI) intervention. For additional inquiries, please contact info@cpsi-icsp.c

Chapter 15 Catheter and Port Removal: Techniques and Follow-Up Care Janice Newsome Jaime Tisnado The use of central venous catheters has increased dramatically over the past 20 years. These devices now are considered essential in providing dependable venous access for both acute and chronically ill patients. Whereas much emphasis is placed on the insertion an accessing the PICC line (Pratt et al. 2007, NICE 2003). This will help to prevent the introduction of organisms to the line. A strong correlation exists between bacteraemia and the presence of a central venous line (DoH 2001) although other factors such as poor handling technique and general hygiene will affect line infection rates Converting a Primary IV Line into a Saline Lock. Phlebotomy. Peripheral Lab Draw Using a Butterfly Needle and a Syringe. Peripheral Lab Draw Using a Straight Needle and a Vacutainer Holder. Urinary Catheterization. Catherization - Insertion of an Indwelling Catheter. Catherization - Continuous Closed Bladder Irrigation

Gap Analysis

Central Line Insertion Checklist IHI - Institute for

• Insert using the Central Line Insertion Checklist using a Central Line Bundle • Assess device . daily. to evaluate the health of the vessel, functionality, and need • Remove the device as soon as no longer medically necessary. 2 • Do not routinely replace PICCs. 3 • Consider limiting umbilical venous catheter dwell time to 7 to 14. This checklist was part of the IV Safety Task Force position paper project on Recommendations for Improving Safety Practices for Short Peripheral Catheters. Modeled after the CDC checklist for Prevention of Central Line Associated Blood Stream Infections, the SPC Checklist covers assessment, monitoring, removal, and safety strategies

Peripheral Vascular Access Devices 2019-08-15 PVAD Removal Checklist Contact Clinical Knowledge Topics Page . 1. of . 2. PVAD Removal Checklist . Supplies • Gloves, non-sterile • Gauze, sterile • Tape or adhesive bandage PIV; Central; Lines; Occlusion (Blocked, Stuck); Competency (proficiency); Pediatric; Infant; Child; Adult; Central. Demonstration of how to change a patient's central line dressing. When removing the clean gloves and before donning the sterile gloves, use hand sanitizer - Central line cart with necessary supplies - A checklist was used to ensure compliance - Providers were STOPPED in non-emergent situations if these practices were not followed - Removal of catheters was discussed on daily rounds - Teams received feedback regarding the number and rates of CRBSI Adherence to evidence-based central line maintenance practices remains a challenge, particularly in complex patient populations. Using an evidence-based observational checklist, areas of nonadherence were identified and a focused educational intervention was developed, resulting in improved adherence across all aspects of the central line maintenance care bundle A central venous catheter (CVC) is a commonly used access device in critically ill patients. Although CVCs enable the administration of life supporting medications and therapies, the presence of these catheters place patients at risk of catheter-related blood stream infections or central line associated bacteraemia (CLAB) which can be fatal

Accountable Care ACO Requirements: Building a

Assuring RN competency in central line catheter car

  1. Central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) are morbid and expensive healthcare-associated infections (HAIs). 1-8 While these HAIs are prevalent in intensive care units (ICUs) and general wards, most of the research, prevention efforts, and financial penalties have been focused in the ICU. 9,10 For hospitalists, who are.
  2. • Include optimal site selection as part of your checklist for central line placement with room for appropriate contraindications (e.g., bleeding risks). Central line bundle 20. Daily review of Lines/ Prompt removal: tips • Empower nursing to enforce use of a central line checklist to be sure all processes related to central line placement.
  3. Invasive procedure checklist for EDS DO THIS checklist for all invasive procedures Including chest drain, central line, LPs, all cases with sedation. 2. Procedure: Repeat 'Time Out' any changes to team or patient National Safety Standards for Invasive Procedures England if 3. After the procedure 'Sign Out' Has the procedure been recorded
  4. A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when germs enter the bloodstream through a catheter (tube) that healthcare providers often place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests
  5. Complications and removal. Central lines must be closely observed for complications. Infection should be suspected if the surrounding skin is red, tender and there is a discharge on occasions; or in a tunnelled central line, if there is pain and hardening along the track of the line
  6. A Definition. A central line is known by multiple names ie. central venous catheter or central venous line. There is also a variation of the traditional central line which most commonly enters via the neck/chest or the groin called a peripherally inserted central venous catheter ( PICC line) which most commonly enters via a vein in the upper arm

Central line complications - PubMed Central (PMC

A central line is often used instead of a standard IV (intravenous) line when you need treatment for longer than a week or so. The line can deliver medicine or nutrition right into your bloodstream. It can also be used to measure blood flow (hemodynamic monitoring), to draw blood, or for other reasons To conclude, removal of a central venous catheter should not be taken lightly and must be regarded as a major health care-related undertaking. The procedure should not be delegated to inexperienced personnel. Establishment of a protocol along with its strict adherence is essential (Table 2) The median rate of catheter-related bloodstream infection per 1000 catheter-days decreased from 2.7 infections at baseline to 0 at 3 months after implementation of the study intervention (P≤0. Central line-associated bloodstream infections, or CLABSIs, are associated with increased morbidity, mortality, and health care costs [].It is now recognized that CLABSIs are largely preventable when evidence based guidelines are followed for the insertion and maintenance of Central Venous Catheters (CVC) [].The intent of this document is to highlight practical recommendations in a concise.

Infection is one of the most frequent and serious complications associated with central-line catheters (Haller and Rush, 1992). Most catheter-related bloodstream infections are bacterial (predominantly staphylococci), but they may also be fungal, especially in severely immunosuppressed patients (Krzywda et al, 1999) The IHI Central Line (CL) Bundle consists of five interventions: hand hygiene; maximal barrier precautions; chlorhexidine skin antisepsis; optimal catheter site selection, with avoidance of the femoral vein for central venous access in adult patients; and daily review of the line necessity, with prompt removal of unnecessary lines A central line-associated bloodstream infection (CLABSI) is one type of HAI in which bacteria enter a person's bloodstream via a central line. A central line is a type of IV catheter that is placed into a large vein of the body and can be used for many purposes, including administering medications and IV fluids, measuring blood pressure, and. Place a copy of this notification and the enclosed Central Line Insertion Checklist with each unit of affected product currently in your inventory. 2. Complete the enclosed Acknowledgement Form and fax it to 1-855-419-8507, Attn: Customer Service or e-mail to recalls@teleflex.com

Practice Guidelines for Central Venous Access 2020

Along with eliminating central line infections in critical areas, the initiative has reduced the cost of care at NUMC. Although the exact figure is hard to pinpoint, according to the IHI s minimum to maximum cost criterion for treating such infections, between $106,000 to $835,200 has been saved by reducing CLABSI, Finnerty said Directions for Completing Skills Checklist. The following is a list of equipment and/or procedures performed in rendering care to patients. Please indicate the level of experience/proficiency with each and, where applicable, the types of equipment and/or systems with which you are familiar Central Line Bundle Elements 1. Hand hygiene 2. Maximal barrier precautions 3. Chlorhexidine skin antisepsis 4. Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters in adults 5. Daily review of line necessity with prompt removal of unnecessary lines 6. Line secure and dressing clean and intac A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a catheter placed into a large vein.It is a form of venous access.Placement of larger catheters in more centrally located veins is often needed in critically ill patients, or in those requiring prolonged intravenous therapies, for more reliable vascular access A PICC line gives your doctor access to the large central veins near the heart. It's generally used to give medications or liquid nutrition. A PICC line can help avoid the pain of frequent needle sticks and reduce the risk of irritation to the smaller veins in your arms.. A PICC line requires careful care and monitoring for complications, including infection and blood clots

CVC Removal: A Procedure Like Any Other PSNe

Care and Removal of Peripherally Inserted Central Catheters (PICC) for Adults Date Effective Sept. 15, 2017 Policy No. VII -B 305 Page 3 of 22 References Alexander, M., Corrigan, A., Gorski, L., Hankins, J., Perucca, R. Infusion Nurses Society: Infusion Nursing: An evidence-based Approach. 3rd Edition. 2010 Centres for Disease Control and Prevention Secure the line. Place the pad that fits around the insertion site as directed. Place the tape bandage under your catheter line to secure it to your skin. Snap the line in place. Apply a new dressing as directed. If the dressing is clear, make sure you can see the insertion site. How to care for the caps and tubing Click here to Order a Custom answer to this Question from our writers. It's fast and plagiarism-free

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