MedComp VASCU-PICC Gebrauchsanweisung Und Pflegetipps Seite 10

14.
Attach syringe(s) to extension(s) and open clamp(s). Blood should
aspirate easily. If excessive resistance to blood aspiration is
experienced, the catheter may need to be repositioned to obtain
adequate flow.
15.
Once adequate aspiration has been achieved, lumen(s) should be
irrigated with saline filled syringe(s). Clamp(s) should be open for
this procedure.
Caution: Small syringes will generate excessive pressure and may
damage the catheter. Ten (10)cc or larger syringes are recommended.
16.
Close the extension clamp(s), and remove the syringe(s). Avoid air
embolism by keeping catheter tubing clamped at all times when
not in use and by aspirating then irrigating the catheter with saline
prior to each use. With each change in tubing connections, purge
air from the catheter and all connecting tubing and caps.
17.
Confirm and document proper tip placement with fluoroscopy prior
to use. The distal tip should be positioned at the level of the caval
atrial junction.
Caution: Failure to verify catheter placement may result in serious
trauma or fatal complications.
Note: If there is no blood return, verify catheter position before use.
18.
Continue following directions at "Catheter Securement and
Dressing" Section.
ALTERNATE INSERTION TECHNIQUE USING OTN OR SAFETY
1.
Maintaining sterility, access target vein with introducer needle/
catheter.
•
If using the safety introducer needle/catheter: Remove the
protective cover in a straight outward motion.
•
Perform the venipuncture, and confirm entry into vein by observing
for a flashback of blood.
•
Holding the needle stationary, advance the introducer sheath into
the vein by pushing forward.
Caution: Never reinsert the needle into the introducer as this could
shear or sever the introducer.
•
Release the tourniquet. Support the introducer to avoid
displacement. Apply digital pressure on the vessel, above the
introducer tip, to minimize blood flow.
•
Withdraw the needle from the introducer sheath. Retract the needle
by depressing the white button (if applicable). Dispose of any
unshielded needles immediately.
Caution: Do not withdraw needle from introducer without depressing
the white button. (If needle retraction does not occur, depress the button
again.)
2.
Insert distal tip of the catheter into and through the introducer
sheath until the catheter tip is correctly positioned according
to the length determined by the measurement taken.
3.
Stabilize the catheter position by applying pressure to the vein
proximal to the insertion site.
4.
Remove the tear-away sheath by slowly pulling it out of the vessel
while simultaneously splitting the sheath by grasping the tabs and
pulling them apart(a slight twisting motion may be helpful).
5.
Attach syringe(s) to extension(s) and open clamp(s). Blood should
aspirate. If excessive resistance is experienced, the catheter may
need to be repositioned.
6.
Following aspiration, each lumen of the catheter should be filled
with 10cc of normal saline to ensure patency.
Caution: Small syringes will generate excessive pressure and may
damage the catheter. Ten (10)cc or larger syringes are recommended.
INTRODUCER/CATHETER
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