central line dressing change pdf

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. Central Line Dressing Kit pre-packaged or the following supplies.

2 pair of sterile gloves 1 sterile barrier 1 Antimicrobial or Chlorhexidine disc.

. Aseptic technique for accessing and changing needleless connector 4. Standardize tubing change 5. Skills Sheet Central Line Dressing Change 14.

This becomes your sterile field. Dons clean gloves 4Rremoves old dressing correctly. Screw the syringe onto the clear cap and.

Components are assembled in sequence of use in a flexible package and include presaturated swab-. Your nurse may instruct you to anchor the dressing with tape. Remove none adherent film and labels dressing with date of change.

Don clean gloves and mask. Obtain necessary supplies UIH has central line dressing change kits 2. Hands are washed before dressing change.

Place the transparent dressing directly over the catheter exit site molding it around the catheter with your gloved fingers. Cap change n 1473 comprised 222 and dressing changeport needle insertion n 1248 comprised 159 of RfIs. Time date and initial the dressing.

832 Packed 50 trayscarton Central Line Dressing Change Kit with Tegaderm Dressing and Skin Protectant Swabsticks Provides the necessary components to streamline maintenance care of the central line catheter. Mask clean gloves and central line dressing change kit. Remove and discard gloves and dressing in a plastic bag for disposal in household trash 7.

If a sterile drape is provided carefully open it touching only the one inch margin and place it on the bedside table. Textbook Solutions Expert Tutors Earn. Apply mask pinch over nose to secure in place.

PROCEDURE YES NO NA 1. Inspect the catheter site for any signs of redness or drainage. Perform hand hygiene then open dressing tray 2.

Prepare the transparent dressing by removing the paper on the back and flatten the dressing by gently pulling it taut. Central Line Access andor Dressing Change Practices Version 20161013 Assessment completed by. Proper Dressing Change 3.

Cleans site with appropriate antimicrobial solution 7. Apply appropriate dressing to the insertion site of the central line. Change needleless injection caps To keep blood out of the catheter when not in use clamp the port before removing the syringe.

IV tubing labeled with date and time of next scheduled change. Over the 25-year postimplementation period influencers completed 7836 RfIs approximately 10 of all CL days. Daily review of catheter necessity.

Change infusion caps ensuring that the lines are CLAMPED and that the new caps are primed with saline before flushing the line. MidlineCentral Line Dressing Change Date. Initials of the nurse performing the dressing change.

Carefully remove the old dressing. Do not palpate the site with non-sterile method and then replace dressing if the decision is for the line to remain in place. PICC or Midline Dressing Changes Page 2 of 3 CarePro Health Services Phone 800-755-6997 Revised.

Dressing Changes Change gauze dressing every 2 days clear dressings every 7 days unless dressing becomes damp loosened or visibly soiled then change. Discard all used supplies in appropriate waste containers. ASSESS Assess treat and reassess pain if present.

PROCEDURE YES NO NA 1. If patients require frequent dressing change 324h consider changing to another type dressingBarrier film is recommended for all changes found in dressing change kit StatSeal for hemostasis by trained RNs BMTGVHRadiationThiotepa patients- may use dry dressing betadine securement device sterile gauze burn. Sample procedure note for documentation of central line insertion from Beth Israel Medical Center.

Flush the line gently see flushing section below. Need for central line and consider alternatives. Put on non-sterile gloves 5.

The need for the central line is assessed daily by a practitioner with prompt removal of unnecessary lines. Clean the end of the line with an alcohol wipe for 5 seconds and throw it away. May require chart review Yes No Yes No Yes No Yes No M5.

Change Q7 days and PRN Use gauze dressing for oozing site and change DAILY. Line access was the most frequently used tool n 4845 accounting for 618 of all RFIs. Put on non-sterile gloves.

Obtain sterile Central Line and Arterial Line Dressing Tray plus dressing sterile gloves and Cavilon Dressing Change Steps. Remove and discard gloves and dressing in a plastic bag for disposal in household. Change needleless components as often as the administration set and no more often than 72 hours.

Do not stretch gently press out towards edges to ensure adhesion 14. Open dressing kit and Central line dressing package maintaining sterility. Assesses site for signs of complications.

Take out your sterile gloves. Central line dressing kit. Attach the new clear cap and normal saline or heparin flush syringe to the line and unclamp line.

Open dressing kit and Central line dressing package maintaining sterility. Presence of intermittent infusion caps on each lumen Measure the extremity 6-12 cm above the insertion site for all peripherally inserted catheters PICC. Nursing Skill Tayler Hall STUDENT NAME_ Central Line Dressing Change SKILL NAME_ REVIEW.

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. Use sterile gauze or sterile transparent semipermeable dressings. Apply mask pinch over nose to secure in place 4.

Staff Training and CompetencySkills Assessments Maintenance. View Central Line Dressing Change Temppdf from RNSG MISC at San Antonio College. If performing a dressing change a scrubbing method is used when applying CHG to the insertion site.

Explains procedure to patient. Nursing Skill Amanda Kelly STUDENT NAME_____ line dressing change SKILL NAME__Central _____ REVIEW MODULE CHAPTER_____ Description of Skill Gather. Apply new transparent dressing.

Secure central line with an extra piece of tape if necessary. One dressing change label CATALOG NO. The nurse should provide privacy and wash hands followed by identifying the patient by.

Carefully remove the old dressing. Central Line Maintenance Bundle 1. Inspect the catheter site for any signs of redness or drainage.

Remove hair PRN using sterile clippers BEFORE skin cleansing and draping. Gathering old dressing in dominant hand remove clean gloves and dispose in waste receptacle.