MedComp VASCU-PICC Gebrauchsanweisung Und Pflegetipps Seite 8

•
After drug administration each lumen should be flushed again with
normal saline and then locked to maintain patency.
Injection Caps - Injection cap(s) or needleless access port(s) should be
changed per institutional policy. If using the supplied needleless access
ports(s), do not exceed 100 actuations.
•
Occluded/Partially Occluded Catheter - If resistance is encountered
to aspirating or flushing, the lumen may be partially or completely
occluded.
Warning: Do not flush against resistance.
•
If the lumen will neither aspirate nor flush, and it has been
determined that the catheter is occluded with blood, follow
institutional declotting procedure.
1.
Remove old dressing and inspect insertion site for redness,
tenderness, and drainage.
2.
Grasp catheter near insertion site and using a slow steady motion,
remove catheter from vein.
3.
If resistance is felt - STOP. Retape the catheter and apply a warm
compress to the extremity for 20-30 minutes.
4.
Resume removal procedure. If catheter remains "stuck", notify the
physician for further intervention.
5.
Apply pressure, if necessary, until bleeding stops and dress site
following institutional policy.
Note: Inspect catheter and measure length. It must be equal to baseline
measurement taken when the catheter was inserted.
ALTERNATE INSERTION TECHNIQUE USING STIFFENING STYLET
PREPARE CATHETER
1.
Preflush catheter, sideport adapter, and needleless access ports.
•
Attach saline filled syringe to luer of sideport adapter and flush
adapter and catheter. Clamp sideport extension and remove syringe
For multi-lumen catheters, attach needleless access port to
remaining extension(s) and completely flush all lumens. Remove
syringe from access port prior to clamping extension. Flush
remaining needleless access port and set aside.
Caution: Never close clamp on catheter stylet; stylet and catheter
damage may result.
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.
INSERTION
2.
Strict aseptic technique must be used during insertion,
maintenance, and catheter removal procedures. Provide a sterile
operative field. Use sterile drapes, instruments, and accessories.
Perform surgical scrub. Wear gown, cap, gloves, and mask.
3.
Apply tourniquet to arm above anticipated insertion site to distend
the vein.
4.
Insert the introducer needle with attached syringe into the target
vein. Aspirate to ensure proper placement. Release tourniquet.
CATHETER PERFORMANCE
CATHETER REMOVAL
AND SIDEPORT ADAPTER
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