A PICC LINE NEGLECTED IS A PICC LINE INFECTED A Clinical
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Transcript A PICC LINE NEGLECTED IS A PICC LINE INFECTED A Clinical
A PICC LINE
NEGLECTED IS A PICC
LINE INFECTED
Clinical Guideline
(Adult)
The Clinical Question
In adult patients with PICC lines, what
are the best practices related to routine
care, medication infusion, and
maintaining patency to reduce
complications?
COMPLICATIONS
Heparin-Induced
Thrombocytopenia
Syndrome (HITS)
Allergic reaction to heparin
Catheter occlusion
Catheter Related Blood Stream
Infections (CRBSI)
PREVENTION
Avoid
cross-contamination of
lumens
Keep end-caps tight
Maintain proper hand hygiene
Normal saline instead of
heparin
ROUTINE CARE & DRESSING
CHANGES
Initial & Routine
24 hrs post insertion
Every seven days
Maintain sterile/aseptic
technique
Surgical mask, nonpowdered sterile gloves,
sterile dressing change
kit
Indications for dressing change
Soiled, raised, loose, torn, or
damp
MEDICATION INFUSION
Clean port
Scrub vigorously
with an alcohol
swab
Flush using SIS
method
10mL syringe or
larger
MAINTAINING PATENCY
Assess Patency
Upon initial
assessment
Before administering
medications
At least every 8
hours
Use 0.9% sodium
chloride (normal
saline)
DATABASES USED…
CINAHL
MedLine
QUESTIONS???
Thank you for your time!