ACTIVE LEARNING TEMPLATE: Nursing Skill
STUDENT NAME SKILL NAME Picc line
REVIEW MODULE CHAPTER
Description of Skill type of CVAD that is inserted into a larger portion of the head and is 18 to 29 inches long and sits just above the right atrium
Indications
CONSIDERATIONS
Administration of blood, long-term administration of chemotherapeutic agents, anabiotic's, TPN, hyperosmolar solutions, long term rehydration
Nursing Interventions (pre, intra, post) Ensure informed consent has been signed, cleanse the site with chlorhexidine, ensure sterility of equipment, confirm placement of pick line with x-ray, assess the site for redness, swelling, drainage, tenderness, and conditions of dressing, clean insertion port with alcohol for 15 seconds and allow it to dry completely, follow infusion protocol
Outcomes/Evaluation Patency of pic line, patient free of infection, patient will verbalize relief of pain and comfort related to insertion site, correctly assessed for patency and follow flushing procedures, successfully inspect line and insertion site for signs of infection, understands indication for picc line and care
Client Education Don't submerge arm in water, cover dressing site to avoid water exposure during shower, don't allow venipuncture taken in arm with pick line, educate on activity limitations, teach patient proper care
Potential Complications
Nursing Interventions
Phlebitis, inclusion, mechanical complications, infections
Search the site for signs and symptoms of infection, including redness, tenderness, or swelling, assess dressing and make sure that it's clean and intact, do not force fluid if resistance is encouraged
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCEDURE