A PICC LINE NEGLECTED IS A PICC LINE INFECTED A Clinical

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  • 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)
  • 8.DATABASES USED… CINAHL MedLine
  • 9.QUESTIONS???
  • 10.Thank you for your time!