MedComp VASCU-PICC Gebrauchsanweisung Und Pflegetipps Seite 6

CATHETER MEASUREMENT
4.
Position the patient's arm at a 90º angle.
•
SCV placement - Using measuring tape, measure from the
anticipated insertion site over to the sternal notch, and then down
to the third intercostal space.
Note: External measurement does not exactly duplicate the internal
anatomy.
PREPARE CATHETER
5.
Preflush catheter.
Note: For insertion with a stiffening stylet, see Alternate Insertion
Technique using Stiffening Stylet and Sideport Adapter Section.
•
Attach needleless access port(s) to female luer(s) of catheter.
•
Attach a saline filled syringe to the needleless access port and
completely flush catheter. For multi-lumen catheters, flush all
lumens. Remove syringe(s) prior to clamping extension(s).
Caution: The needleless access port should not be used with needles,
blunt cannula, or other non-luer connectors, or luer connectors with
visible defects. If needle access is attempted, the needleless access port
must be replaced immediately. Do not exceed 100 actuations.
6.
The catheter may be trimmed to a shorter length, if necessary.
•
Using sterile scissors, cut the catheter squarely at a 90º angle at the
desired length.
INSERTION
•
Strict aseptic technique and full barrier protection must be used
during catheter insertion, maintenance, and removal procedures.
Provide a sterile operative field. Use sterile drapes, instruments, and
accessories. Wear gloves and mask.
7.
Set up sterile field. Prep and drape insertion site following
institution policy.
8.
Apply tourniquet to arm above anticipated insertion site to distend
the vein.
Note: For insertion with OTN or safety introducer needle/catheter see
Alternate Insertion Technique using OTN or Safety Introducer Needle/
Catheter Section.
9.
Insert the introducer needle with attached syringe into the target
vein. Aspirate to ensure proper placement. Release tourniquet.
10.
Remove the syringe and place thumb over the end of the needle to
prevent blood loss or air embolism. Draw the flexible end of marked
.018" guidewire back into the advancer so that only the end of the
guidewire is visible. Insert the advancer's distal end into the needle
hub. Advance guidewire with forward motion into and past the
needle hub into the target vein.
Caution: The length of the wire inserted isetermined by the size of the
patient. Monitor patient for arrhythmia throughout this procedure. The
patient should be placed on a cardiac monitor during this procedure.
Cardiac arrhythmias may result if guidewire is allowed to pass into the
right atrium. The guidewire should be held securely during this
procedure.
11.
Remove needle, leaving guidewire in the target vein. Thread sheath/
dilator over the proximal end of the guidewire into target vein.
Remove the guidewire leaving the sheath and dilator in the vein.
Caution: DO NOT bend the sheath/dilator during insertion as bending
will cause the sheath to prematurely tear. Hold sheath/dilator close to
the tip (approximately 3cm from tip) when initially inserting through the
skin surface. To progress the sheath/dilator towards the vein, regrasp
the sheath/dilator a few centimeters (approximately 5cm) above the
original grasp location and push down on the sheath/dilator. Repeat
procedure until sheath/dilator is fully inserted.
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