MedComp VASCU-PICC Gebrauchsanweisung Und Pflegetipps Seite 7

Caution: Never leave sheath in place as an indwelling catheter. Damage
to the vein will occur.
12.
Remove dilator from sheath.
13.
Insert distal tip of catheter into and through the sheath until
catheter tip is correctly positioned in the target vein.
14.
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).
Caution: Do not pull apart the portion of the sheath that remains in the
vessel. To avoid vessel damage, pull back the sheath as far as possible
and tear the sheath only a few centimeters at a time.
15.
Make any adjustments to catheter under fluoroscopy. The distal tip
should be positioned at the level of the caval atrial junction.
Caution: Do not clamp the lumen portion of the catheter. Clamp only
the extension(s). Do not use serrated forceps, use only the in-line
clamp(s) provided.
16.
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.
17.
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.
18.
Remove the syringe(s) and close extension clamp(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.
19.
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.
CATHETER SECUREMENT AND DRESSING:
•
The insertion site and external portion of the catheter should
always be covered with a protective dressing.
20.
Dress and secure the catheter following institutional policy.
Provided in the tray for these purposes are the following:
steri-strips, adhesive dressing, and a StatLock
Securement Device.
• Dressing Changes - A dressing should cover the insertion site at
all times. The dressing should be changed per institutional policy or
any time it becomes soiled, wet, or non-occlusive.
Note: During all dressing changes the external length of the catheter
should be assessed to determine if catheter migration has occurred.
Periodically confirm catheter placement and tip location.
• Flushing and Locking - Flush and Lock- Follow institutional
policy for flushing and locking catheter.
•
The catheter should be flushed with normal saline prior to drug
administration to remove locking solution.
CATHETER MAINTENANCE
-5-
Catheter
®