MedComp SPLIT CATH Gebrauchsanleitung Seite 10

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Reposition patient.
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Have patient cough.
•
Provided there is no resistance, flush the catheter vigorously with
sterile normal saline to try to move the tip away from the vessel
wall.
INFECTION:
Caution:
Due to the risk of exposure to HIV (Human Immunodeficiency
Virus) or other blood borne pathogens, health care professionals should
always use Universal Blood and Body Fluid Precautions in the care of all
patients.
•
Sterile technique should always be strictly adhered to.
•
Clinically recognized infection at a catheter exit site should be
treated promptly with the appropriate antibiotic therapy.
•
If a fever occurs in a patient with a catheter in place, take a
minimum of two blood cultures from a site distant from catheter
exit site. If blood culture is positive, the catheter must be removed
immediately and the appropriate antibiotic therapy initiated. Wait
48 hours before catheter replacement. Insertion should be made on
opposite side of original catheter exit site, if possible.
•
Once an .018" guidewire has been introduced into the target vein,
the 4F sheath dilator should be threaded over the proximal end of
the wire and inserted into the target vein.
•
When the 4F sheath dilator is located in the target vein, remove the
guidewire and dilator one at a time.
•
Insert an .038" guidewire into and through the sheath until it is
located in the target vein.
•
Remove the sheath and continue following directions starting at
#13.
Warning:
Only a physician familiar with the appropriate techniques
should attempt the following procedures.
Caution:
Always review hospital or unit protocol, potential complications
and their treatment, warnings, and precautions prior to catheter removal.
1. Palpate the catheter exit tunnel to locate the cuff.
2. Administer sufficient local anesthetic to exit site and cuff location to
completely anesthetize the area.
3. Cut sutures from suture wing. Follow hospital protocol for removal
of skin sutures.
4. Make a 2 cm incision over the cuff, parallel to the catheter.
5. Dissect down to the cuff using blunt and sharp dissection as
indicated.
6. When visible, grasp cuff with clamp.
7. Clamp catheter between the cuff and the insertion site.
8. Cut catheter between cuff and exit site. Withdraw internal portion of
catheter through the incision in the tunnel.
9. Remove remaining section of catheter (i.e. portion in tunnel) through
the exit site.
Caution:
Do not pull distal end of catheter through incision as
contamination of wound may occur.
10. Apply pressure to proximal tunnel for approximately 10-15 minutes
or until bleeding stops.
11. Suture incision and apply dressing in a manner to promote optimal
healing.
MICRO PUNCTURE INSERTION METHOD
CATHETER REMOVAL
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