ATI Template PICC Line PDF

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Summary

ATI Template PICC Line...

Description

ACTIVE LEARNING TEMPLATE:

Nursing Skill

STUDENT NAME _____________________________________

PICC Line 22 SKILL NAME____________________________________________________________________________ REVIEW MODULE CHAPTER ___________

Description of Skill The physician or a specially-trained nurse inserts a catheter (with or without a guidewire) into a peripheral site such as the antecubital area. The catheter is then maneuvered to the superior vena cava via the median, cephalic, or basilic vein.

Indications Short-term or moderate-length IV access for frequent blood sampling, medication administration, or other intensive therapies in acutely or chronically ill children.

CONSIDERATIONS

Nursing Interventions (pre, intra, post) PreAssess need and eligibility for PICC line insertion Assess for any contraindications such as infection in limb, lymphedema, or dialysis port Assess antecubital veins IntraAssist with obtaining necessary equipment Provide patient support Post(Possibly) obtain ultrasound or X-ray to verify placement Assess tubing for patency Assess dressing to make sure it's clean, dry, and intact Assess site for signs and symptoms of infection Assess limb for signs of edema or poor perfusion

Outcomes/Evaluation Patient experiences fewer needle sticks Patient remains free of infection, bleeding, and potential complications Tubing remains patent Medications and TPN are easily administered Blood is easily drawn

Potential Complications Infection Bleeding Blood clots Catheter occlusion Accidental removal Air embolism

ACTIVE LEARNING TEMPLATES

Client Education *Keep PICC site and dressing clean & dry *Do not take a bath and cover site with tape when showering *Do not wear restrictive clothing on affected arm *Do not do anything that requires excessive movement of affected arm *Do not let tubing dangle *Be aware of signs of infection such as pain, redness, swelling, warmth, and bad-smelling drainage *Alert the nurse if you have any signs of infection, have fluid or blood leaking from the PICC, have a fever, have sudden shortness of breath, or if the PICC line is accidentally removed

Nursing Interventions *Reduce risk of pulling and infection by preventing the tubing from dangling *Assess dressing for wetness, peeling, or looseness every shift *Change dressing per hospital policy *Take care not to pull on or accidentally remove the catheter when changing dressings *Assess for patency and ease of flushing *If resistance is felt, assess tubing for clots or kinks *Assess for bleeding *Do not take blood pressure readings on the arm with the PICC line *Monitor patients for new-onset cardiac irritability...