PICC Line Occlusion Teachings

Taught patient to monitor the PICC line with any indication of line occlusion.   Catheter occlusion is the partial or complete obstruction of a catheter, preventing or limiting the infusion of the IV medication.  Instructed patient that if this is encountered, to check the clamps that they are open, to check the catheter for kinks and if none of these are observed then to call SN immediately.

PICC Line Dressing Change - Using Chloroprep

Current PICC dressing observed to be clean, dry and intact.  Removed old PICC line dressing without difficulty and without movement to PICC line catheter. Measurement from PICC tip to insertion site noted to be ____ cm.  PICC site observed to have no redness, drainage, or swelling.  Using sterile gloves, cleansed site chloroprep, air-dried, stat-lock applied, covered PICC insertion site with biopatch, secured with window-dressing.  Date of dressing change indicated on provided tape.  Removed old PICC extension and injection cap and replaced with new, primed extension and injection cap. Flushed with NS to re-check patency then Heparin as last flush.

PICC Line Dressing Change - Using Alcohol/Iodine

Current PICC dressing observed to be clean, dry and intact.  Removed old PICC line dressing without difficulty and without movement to PICC line catheter. Measurement from PICC tip to insertion site noted to be ____ cm.  PICC site observed to have no redness, drainage, or swelling.  Using strile gloves, cleansed site alcohol x 3, iodine x 3, air-dried, stat-lock applied, covered PICC insertion site with biopatch, secured with window-dressing.  Date of dressing change indicated on provided tape.  Removed old PICC extension and injection cap and replaced with new, primed extension and injection cap. Flushed with NS then Heparin to check patency.

PICC Line Blood Draw

Removed line extension tubing so blood draw can be done directly close to the source.  Flushed line with 10 ml NS, drew 10 ml of blood as waste, then drew blood specimen for (list test(s) here).  Flushed line with 20 ml NS post-blood draw, replaced with new, primed, microclave tip and extension tubing, then infused 5 ml Heparin as last flush. Labeled specimen tubes with patient name, date of birth and today's draw date.