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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.
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A PICC LINE NEGLECTED IS A PICC LINE INFECTEDClinical 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, non-powdered 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