PICC line

PICC line

1. Indications

   • IVABs long term
   • Multiple IV therapies
   • Haemodynamic monitoring
   • Access for Blood
   • TPN
   • Acutely unwell patient
   • Poor IV access
   • Chemo
   • Highly vesciant medication
   • Critical care units/ patients

2. Management

3. 1-4 lumens

4. treat as dedicated line

5. 7 day dressing change

   • minimise exposure
   • minimise infection

6. Catheter related blood stream infection

7. 100% competency in theory and in practice

8. Positive pressure valves

   • Flush no clamp

9. Complications

   • thrombosis
   • Blood stream infection
   • Local irritation
   • air embolism
   • kinks in the line

10. Bio patch- blue to the sky

11. Normal bung

    • Flush + CLAMP

12. 10mL syringe with 8mL Push Flush post all IV

    • even after IVF infusion flush
    • Maintaining positive pressure

13. Within EN Scope

    • Competency must be achieved
    • dependant on hospital policy and procedure

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