1.A PICC LINE NEGLECTED IS A PICC LINE INFECTEDClinical Guideline(Adult)
2.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?
3.COMPLICATIONS
Heparin-Induced Thrombocytopenia Syndrome (HITS)
Allergic reaction to heparin
Catheter occlusion
Catheter Related Blood Stream Infections (CRBSI)
4.PREVENTION
Avoid cross-contamination of lumens
Keep end-caps tight
Maintain proper hand hygiene
Normal saline instead of heparin
5.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
6.MEDICATION INFUSION
Clean port
Scrub vigorously with an alcohol swab
Flush using SIS method
10mL syringe or larger
7.MAINTAINING PATENCY
Assess Patency
Upon initial assessment
Before administering medications
At least every 8 hours
Use 0.9% sodium chloride (normal saline)