Nursing Care Procedures

Size: px
Start display at page:

Download "Nursing Care Procedures"

Transcription

1 Nursing Care Procedures Subject: : : RESPIRATORY CARE 1 of Title: Revision of: Effective Date: CLOSED CHEST DRAINAGE (PLEUR-EVAC SAHARA SYSTEM) 3/09 1/19/2010 NMH Framework for Nursing Practice and Guiding Principles for Care Delivery are based on the work of Virginia Henderson. I. PURPOSE A. The purpose of this policy is to allow a nurse to access it as a guide in the care, management and troubleshooting of chest tubes and the collection system. B. The purpose of this procedure is to provide instruction to a physician and/or mid-level provider (once approved/credentialed by NMH Medical Staff Board) in performing the surgical placement of chest tubes (CT). II. INDICATIONS FOR USE A. To evacuate air and/or fluid from pleural space. B. To maintain lung expansion in the presence of pleural disruption, and; C. To instill a sclerosing agent in the presence of malignant effusion. III. EQUIPMENT FROM SENTACT (possible floor stock in ICU units) FROM Floor Stock Chest Tube Insertion Tray Sterile Gloves Chest Tube 1% Lidocaine- 20ml x 2 Pleur-evac Chest Drainage System with 5ml and 10ml syringes Sterile Towels 18g and 25g needles Sterile Gowns Chlorhexidine gluconate x 3 Connector tubing and connectors Silk or Paper Tape (2 ) for dressing Suction apparatus (wall suction set-up) Sterile 4x4s (3) Ordered sedative/opiod/anxiolytic Consent form Bedside monitor (Dynamap)

2 2 OF 9 IV. GENERAL INFORMATION: A. The physician or midlevel provider will specify the size of the CT to be inserted. B. Wall suction to a Pleur-Evac system is the preferred means of providing suction to a chest tube. C. While a CT is ordered to be placed on suction, it is required for the RN to discuss with the service regarding patients ability to leave the floor with the CT off suction for a test/procedure, including a chest x-ray (CXR). D. CTs are NOT to be stripped by nurses. (Exception: In the CTICU with cardiac surgery patients according to the provider s specific orders.) E. CTs are not to be clamped by nurses, except when specifically ordered by the physician/mid-level provider as noted below. F. Chest tube clamps (located on the Pleur-Evac tubing; blue clamp) are applied only in the following situations: 1. Momentarily, when changing Pleur-Evac collection containers; 2. For control of drainage during initial insertion of a CT for a large pleural effusion and to prevent re-expansion pulmonary edema (as ordered by MD and/or mid-level provider); A specific order will be placed by MD/mid-level provider regarding the following: a. Period of time that clamp will be applied b. Amount of fluid to be drained at one time c. The goal at the end of the clamping is to leave the chest tube safely unclamped and to suction. 3. For several hours prior to removal of a CT, only upon a MD/mid-level provider order. The goal of this procedure is to ensure that the lung will stay inflated once the chest tube is pulled (the clamp simulates a pulled chest tube). The nurse is responsible to monitor patient clinically for any signs of respiratory distress, including dyspnea and desaturation. If these occur, the nurse is to inform service immediately and unclamp CT. G. Chest tube clamps are NOT applied during transportation of patients, unless specifically ordered by MD/mid-level provider. H. Pleur-Evac systems must be kept in an upright position below the level of the chest at all times. I. Autotransfusion may be performed per unit protocol using this system in approved units, ie CTICU. V. SPECIAL INSTRUCTIONS: A. SET-UP Pleur-EVAC 1. Open the package by grasping the bottom edge of flap and pulling up toward the sterile opening. 2. Remove the unit asking the provider if it is required to be maintained sterile or clean. 3. Obtain syringe from behind the Pleur-Evac unit and fill the air leak meter with the water using the needleless injection site (clean technique). 4. Pull out the blue stand from under Pleur-Evac system and place on the floor. Avoid taping this blue stand to the floor, to encourage ambulation..

3 3 OF 9 VI. PROCEDURE A. Insertion Steps 1. Together with the physician or midlevel provider, explain the procedure to the patient and provide emotional support. 2. Perform and document in Powerchart a TIME-OUT. 3. Administer pain medication/sedative as ordered by MD/mid-level provider before and during the procedure. 4. Prepare Pleur-Evac system and have available for physician/provider inserting the chest tube. The air leak meter must be filled with water to the fill range. 5. The physician or midlevel provider: a. Applies chlorhexidine gluconate to the insertion area. b. Dones sterile gown/gloves. c. Drapes the area with sterile drapes. d. Applies local anesthetic to the insertion site. e. Inserts and sutures the chest tube. f. Connects the chest tube to Pleur-Evac system. Be sure both the connectors chest tube to Pleur-Evac tubing-are firmly pushed together in place as securely as possible. Ensure that these connections are securely taped (see below). g. Connects Pleur-Evac to suction/adjust settings according to order. h. Applies dressing to chest tube site and covers area using paper or silk tape. Cloth or waterproof tape is to be avoided (except to secure chest tube connections see below). Vaseline gauze is NO longer used unless the MD/provider feels it is necessary to decrease air from around the chest tube (adding a chest tube stitch is ideal/preferred). i. Tape all connections securely using waterproof tape (see picture below for ideal taping method try to avoid wrapping tape repeatedly around tubing). Tape does not create an air tight seal. This is accomplished by firmly pushing the connectors into the chest tube and Pleur-Evac tubing. j. The Provider will write further specific orders for chest tube - i.e. settings, STAT chest x-ray. 6. The Nurse At time of insertion: a. Assesses the patient s vital signs before, during and after procedure. b. Ensures STAT CXR is ordered. c. Places the chest tube to suction or water seal, according to the provider s order; d. Observes and documents if an air leak is present in the water seal chamber of the Pleur-Evac system. e. Checks all connections to ensure they are tight, secure and taped (see picture below);

4 4 OF 9 Suction indicator f. Places a dressing over the chest tube site the dressing is dry 4x4 or a drainage sponge. Cover dressing using paper or silk tape. Cloth or waterproof tape is to be avoided (except to secure chest tube connections see above). Vaseline gauze is NO longer used unless the MD/provider feels it is necessary to decrease air from around the chest tube (adding a chest tube stitch is ideal/preferred). g. Initial, Date and time dressing after each change. B. Ongoing Nursing Care: 1. Daily Nursing Assessment of the Patient a. Vital signs at least every 8 hours while the patient has a chest tube in place. b. Daily CXR to evaluate chest tube placement and status of lungs. c. SpO2 at least every 8hours and assess for the first hour post-placement of chest tube for any signs of respiratory distress. d. Assess for the presence of subcutaneous (subq) emphysema and monitor for any extension of this subq air. Notify service if extension occurs, especially in the presence of respiratory distress. Order stat CXR. e. Pain Assessment and Reassessment: Sufficient analgesics should be available to the patient to allow for adequate pulmonary hygiene, including cough/deep breathing, sitting in chair and ambulation, according to MD s activity orders. f. Variation of fluid movement in the tubing with the patient s respirations is called tidaling. This is not an air leak. It can be considered a normal finding. It is indicative of a functional tube in the pleural space and the movement reflects pleural pressure changes during normal respiration. 2. Pleur-evac system Maintenance a. Suction i. Review order for amount of suction and set the Pleur-Evac. Note that the amount of suction is regulated by the Pleurevac not wall suction manometer. The goal is to adjust wall manometer to allow floating of red indicator as noted in picture. ii. Note: Low-Intermittent Wall suction is not used for chest tubes. Suction on the wall regulator is always on continuous. Wall suction must be at least sufficient to maintain the floating red indicator in the window throughout the patient respiratory cycle (see picture). This is usually on Low to Medium on the wall suction regulator. In some instances, the provider may request a higher wall suction setting to ensure the red device is continuously floating this usually occurs during a large air leak. b. Drainage i. Observe color (serous, seroussangionous) and amount. ii. Mark the level of drainage every 8 hours on the Pleur-Evac and in Powerchart.

5 5 OF 9 iii. Notify service if amount of drainage in Pleur-Evac is over 200ml/hour or if fluid changes in appearance especially observed bloody drainage of >100ml/hr; there are special circumstances to the amount of acceptable drainage: 1. Unit specific: i.e. CTICU has a different threshold 2. Clamping to control amount of drainage from a large pleural effusion (typically allows 500ml every 30minutes) see above. c. Air leak i. Observe for an air leak bubbling in water seal chamber (note: the air leak should improve over time and NOT worsen). ii. If a continuous air leak is observed (both inspiratory and expiratory) assess for a possible mechanical air leak (connections loose or eyelets on chest tube exposed). Notify service if a continuous air leak is observed. 3. Dressing Change a. Change the initial chest tube dressing (clean technique) after 48hours and then every 48hours (as a minimum) while the chest tube is in place. There may be a unit-specific policy on the frequency of CT dressing changes. b. If the dressing is saturated, dressing changes may occur more frequently. If excessive, whereby dressing requires reinforcement every ½ hour to 1hours, the MD/mid-level provider should be informed. c. Observe condition of site, surrounding skin, assess chest tube security (all chest tubes are sutured to the patient s skin) and the presence of any exposed chest tube holes. d. Apply clean split sponge or 4x4s. Cover site with a dry dressing and use paper or silk tape. Cloth or waterproof tape is to be avoided (except to secure chest tube connections see below). Vaseline gauze is NO longer used unless the MD/provider feels it is necessary to decrease air from around the chest tube (adding a chest tube stitch is ideal/preferred). e. Initial, Date and time dressing after each change. 4. Pleural Fluid Specimen Collection a. A sample of drainage fluid may be obtained from the resealable connecting tube. If drainage is minimal, a dependent loop in the tubing will allow fluid to collect for sampling. When sufficient fluid has collected, the nurse should wipe the tubing with a chloroprep wipe. The fluid sample can be aspirated with a 20-gauge or smaller needle at a 45-degree angle. Try to avoid a 90- degree angle needle entry as this may cause a permanent hole in the tubing. Angles entry into the tubing will create a track which will close when needle is removed. b. Specimen collection can also be obtained from specimen port. c. Collected pleural fluid may be placed in appropriate containers for analysis and ordered from powerchart.

6 6 OF 9 D. Chest tube removal 1. Criteria for removal of chest tube typically includes: a. No air leak b. Radiographic inflation of lung and/or removal of fluid c. Chest tube output amount over the last 24hours according to service assessment and criteria. 2. Chest tubes are removed by a MD or midlevel provider, except where permitted by unit policy (i.e. CTICU unit protocol). 3. The occlusive dressing applied at the time of chest tube removal must stay in place for at least 48 hours. 4. If the chest tube has been sutured, the suture remains in place after chest tube removal. It is usually removed 7-10 days since removal of the chest tube. VII. NURSING DOCUMENTATION A. When caring for a patient with a chest tube, in addition to standard respiratory assessment (e.g. VS, lung sounds) the following should be documented every shift in Powerchart under Respiratory Assessment: 1. Location and number of chest tube(s) 2. Presence and degree of air leak 3. Appearance of drainage 4. Appearance of CT site and CT dressing 5. Presence of drainage around the CT site 6. Presence of subcutaneous emphysema 7. Whether CT is to water seal or suction (if on suction, document amount of suction) 8. Document amount of drainage during each shift under I&O B. Upon insertion or removal of a chest tube, document in Powerchart under Respiratory Assessment: 1. All of the above 2. Date and time tube was inserted/removed 3. How patient tolerated procedure 4. Any medications that were given during insertion procedure C. PRN chest tube documentation: 1. Clamping of chest tube 2. Change in collection system (new Pleur-Evac, change from water seal to suction, change in the amount of suction, or change to bulb suction, Pneumo-stat or other collection device) 3. Dressing changes 4. Changes in assessment during shift (new air leak, change in type of drainage)

7 7 OF 9 RESPIRATORY STATUS TROUBLESHOOTING A PLEUR-EVAC SYSTEM: Area Assessment Nursing Action Patient is in respiratory distress CARDIAC STATUS (mediastinal tubes) CHEST TUBE Insertion Site PATIENT CHEST TUBES Are there signs of cardiac tamponade? Is dressing clean? intact? Is there crepitus upon palpation around the site? (subcutaneous emphysema) Eyelets of chest tube noted to be out of skin/ accidental removal of tube. System becomes disconnected Patient requires transport while on suction Patient requires transport on water seal Air leak Meter bubbles Is the suction set at prescribed setting? Orange float is not in indicator window while on suction. Orange float device in window Assess the patient. With pleural chest drainage systems, the major hazard is a tension pneumothorax. The most likely cause is a secondary etiology. Quickly, assess the tubing s patency and observe tubing for a possible obstruction and notify service immediately. If yes, notify surgeon immediately and follow unit protocol. Dressings are to be changed every 48hours. When the dressing is oversaturated, dressing changes may occur more frequently. If excessive, whereby dressing requires reinforcement every ½ hour to 1hours, the MD/mid-level provider should be informed promptly. Assess tube patency. Obtain vital signs - note for desaturation. Change dressing and note extent of crepitus. Mark borders and reassess frequently for any increase in size. Notify service of its presence. A CXR may be ordered STAT Apply occlusive dressing immediately and notify service STAT. Stay with patient. Assess pt s vital signs. Order STAT CXR. If patient decompensates, an airway emergency should be called. Wipe ends of tubing with chloroprep wipe, if able to do so quickly. Reattach the system and notify the physician. Tape connections securely as noted above. DO NOT clamp tubing due to the high risk for a tension pneumothorax. Observe water seal chamber for an air leak. Discuss with the service the need for the use of a portable suction machine vs portable x-ray. DO NOT clamp chest tube for transport. Keep the chest tube collection system below the level of the chest at all times. Maintain chest tube connected to Pleur-Evac system. This signifies an air leak. Check all the connections for tightness/secure. If the air leak is new and all connections are tight, notify service immediately. Turn the dial to click to correct prescribed Setting 20cm suction is most common for adults. Orange float device should be floating while on suction. Review order for amount of suction and apply to Pleur-Evac. Note that the amount of suction is regulated by Pleurevac not wall suction manometer. The goal in to adjust wall manometer to allow floating of red indicator as noted in picture.

8 2 OF 9 Patient changed from suction to water seal Fluid moves up and down in CT tubing with respirations Collection chamber spill over to other columns Pleur-Evac is full Locking connector Disconnect suction from pleue-evac system. Observe the patient for any changes and Notify service. In a patient with a pleural chest tube, tidaling is normal. If no tidaling is present, consider: 1) an occlusion somewhere between pleural space and the water seal; 2) a full expansion of lung where suction has drawn the lung against the holes of the chest tube or; 3) PEEP or suction is on, thus hindering tidaling. Patients with mediastinal chest tubes have no tidaling. Assure all connections are intact. Mark each column s level with the date/time. Change the Pleur-Evac system a. To change the system a nurse can clamp the chest tube with the blue clamp and chloraprep the Locking Connector. b. Squeeze the clamp to unlock the old Pleur-Evac while squeezing the Locking Connector port on the new Pleur-Evac system and connect the patient s chest tube tubing to the new Pleur-Evac. Unclamp the chest tube and ensure functionality by watching for tidaling. VIII. REFERENCES A. Halm, M.A. To Strip or not to strip? Physiological effects of chest tube manipulation. AJCC. 2007;16(6): B. Allibone, L. Nursing Management of chest drains. Nrsg Standands, 2003; 17(22): C. Sullivan, Ben. Nursing Management of patients with a chest drain. BJN 2008; 17(6): D. Couglin, A, et al. Go with the flow of chest tube therapy. Nursing 2006; 36(3); E. Deknatel Product Group. Pleur-Evac Sahara chest drainage system. Genzyme Product insert. F. Teleflex Medical. Nursing Considerations and troubleshooting

9 2 OF 9 IX. APPROVAL Responsible Party: Carol Payson Director, Surgical Patient Care Electronic approval: 12/15/08 Reviewers: Advanced Practice Nurse, Trauma Surgery Nursing Professional Practice Committee Approval Party: Michelle A. Janney Senior Vice President and Chief Nurse Executive Electronic approval: 1/19/2010 X. REVIEW HISTORY WRITTEN: August, 1972 REVISED: March, 2002 REVISED: November, 2002 REVISED: March, 2006 REVISED: December, 2008

N26 Chest Tubes 5/9/2012

N26 Chest Tubes 5/9/2012 Thoracic cavity, pleural space 1 Conditions requiring chest drainage_1 Air between the pleurae is a pneumothorax Occurs when there is an opening on the surface of the lung or in the airways, y, in the

More information

CHEST TUBES AND CHEST DRAINAGE SYSTEMS

CHEST TUBES AND CHEST DRAINAGE SYSTEMS CHEST TUBES AND CHEST DRAINAGE SYSTEMS Central Nursing Orientation April 2008 Revised September 2011 OBJECTIVES Describe common tubes and indications for use at LHSC Review indications and contraindications,

More information

INTERDISCIPLINARY CLINICAL MANUAL Policy & Procedure

INTERDISCIPLINARY CLINICAL MANUAL Policy & Procedure INTERDISCIPLINARY CLINICAL MANUAL Policy & Procedure TITLE: Section: Source: Distribution: Chest Drainage and Chest Tube Management Respiratory/Thoracic Joy Tarasuk, CNE, Thoracic Surgery Capital Health

More information

Caring for a Tenckhoff Catheter

Caring for a Tenckhoff Catheter Caring for a Tenckhoff Catheter UHN A Patient s Guide What is a Pleural Effusion? There is a small space between the outside of your lung and the chest wall (ribs). This space is called the pleural space.

More information

PATIENT GUIDE. Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL

PATIENT GUIDE. Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL PATIENT GUIDE Understand and care for your peripherally inserted central venous catheter (PICC). MEDICAL Introduction The following information is presented as a guideline for your reference. The best

More information

PATIENT GUIDE. Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Clinician s Signature: Every drainage Weekly

PATIENT GUIDE. Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Clinician s Signature: Every drainage Weekly PATIENT GUIDE Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Every drainage Weekly Clinician s Signature: ACCESS SYSTEMS Pleural Space Insertion Site Cuff Exit Site Catheter

More information

Appendix L: Accessing/Deaccessing Implanted Central Venous Access Port

Appendix L: Accessing/Deaccessing Implanted Central Venous Access Port Effective Date: 03/01/2008 Page 1 of 5 Recommendations for Use Insertion Considerations Implanted Port Dressing Access/ Reaccess An implanted port is strongly recommended for patients in whom more than

More information

NHS FORTH VALLEY Chest Drain Insertion by Seldinger Method (Pigtail drains)

NHS FORTH VALLEY Chest Drain Insertion by Seldinger Method (Pigtail drains) NHS FORTH VALLEY Chest Drain Insertion by Seldinger Method (Pigtail drains) Date of First Issue 12/12/2012 Approved 12/12/2012 Current Issue Date 12/12/2012 Review Date 12/12/2014 Version 1 EQIA Yes 14/12/2012

More information

Information for patients and nurses

Information for patients and nurses Information for patients and nurses Rocket IPC Pleural Catheter Indwelling Catheter Rocket Indwelling Pleural Catheter (IPC) Contents Contact Information...03 What s in the Rocket Dressing Pack and Bottle

More information

To maintain a port of entry to venous flow when all available peripheral ports have failed.

To maintain a port of entry to venous flow when all available peripheral ports have failed. I. Purpose: To maintain a port of entry to venous flow when all available peripheral ports have failed. II. General Comments: Since its development, these catheters have been used with increasing frequency

More information

Patient Information Guide Morpheus CT Peripherally Inserted Central Catheter

Patient Information Guide Morpheus CT Peripherally Inserted Central Catheter Patient Information Guide Morpheus CT Peripherally Inserted Central Catheter IC 192 Rev C A measure of flexibility and strength. Table of Contents 1. Introduction 2. What is the Morpheus CT PICC? 3. What

More information

PATIENT GUIDE. Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Clinician s Signature: Every drainage Weekly

PATIENT GUIDE. Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Clinician s Signature: Every drainage Weekly PATIENT GUIDE Care and Maintenance Drainage Frequency: Max. Drainage Volume: Dressing Option: Every drainage Weekly Clinician s Signature: ACCESS SYSTEMS Pleural Space Insertion Site Cuff Exit Site Catheter

More information

Aspira* Pleural Drainage Catheter

Aspira* Pleural Drainage Catheter Aspira* Pleural Drainage Catheter Instructions For Use Access Systems Product Description: The Aspira* Pleural Drainage Catheter is a tunneled, long-term catheter used to drain accumulated fluid from the

More information

Within the Scope of Practice/Role of APRN RN _ X_LPN CNA

Within the Scope of Practice/Role of APRN RN _ X_LPN CNA Wyoming State Board of Nursing 130 Hobbs Avenue, Suite B Cheyenne, WY 82002 Phone (307) 777-7601 Fax (307) 777-3519 E-Mail: wsbn-info-licensing@wyo.gov Home Page: https://nursing-online.state.wy.us/ OPINION:

More information

3. Roles and responsibilities

3. Roles and responsibilities Nursing Procedure: Underwater seal chest drainage in the Highly Dependent or Critically Ill Infant or Child 2. The nurses role in ongoing chest drain management Lead Manager: Ms. Elaine Johnstone, Lead

More information

Caring for Your PleurX Pleural Catheter

Caring for Your PleurX Pleural Catheter Caring for Your PleurX Pleural Catheter A PleurX Pleural Catheter has been placed in your chest through a small incision in your skin into the pleural space (see picture below). This allows you to drain

More information

VUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance

VUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance VUMC Guidelines for Management of Indwelling Urinary Catheters UC Insertion Preparation & Procedure Indications for insertion and continued use of indwelling urinary catheters include: Urinary retention

More information

STANDARDIZED PROCEDURE BONE MARROW ASPIRATION

STANDARDIZED PROCEDURE BONE MARROW ASPIRATION I. Definition: This protocol covers the task of bone marrow aspiration by an Allied Health Professional. The purpose of this standardized procedure is to allow the Allied Health Professional to safely

More information

Atrium Pneumostat Chest Drain Valve. Discharge Instructions

Atrium Pneumostat Chest Drain Valve. Discharge Instructions Atrium Pneumostat Chest Drain Valve Discharge Instructions Your Physician Name: Contact Number for Emergencies: Introduction Your physician has decided to change your chest drainage system to a smaller

More information

Policies & Procedures. Care of

Policies & Procedures. Care of Policies & Procedures Title: SUPRAPUBIC CATHETER Care of Changing Removal Authorization: [x] SHR Nursing Practice Committee I.D. Number: 1021 Source: Nursing Date Revised: November 2014 Date Effective:

More information

CUESTA COLLEGE REGISTERED NURSING PROGRAM CRITICAL ELEMENTS

CUESTA COLLEGE REGISTERED NURSING PROGRAM CRITICAL ELEMENTS CUESTA COLLEGE REGISTERED NURSING PROGRAM CRITICAL ELEMENTS LEVELS I through IV A. OVERRIDING CRITICAL ELEMENTS Violation of an overriding area will result in termination and failure of the particular

More information

Care for your child s Central Venous Catheter (CVC)

Care for your child s Central Venous Catheter (CVC) Care for your child s Central Venous Catheter (CVC) This booklet is intended for general informational purposes only. You should consult your doctor for medical advice. Please call the clinic or your home

More information

Management of Chest Tubes and Air Leaks after Lung Resection

Management of Chest Tubes and Air Leaks after Lung Resection Management of Chest Tubes and Air Leaks after Lung Resection Emily Kluck PA-C The Johns Hopkins Hospital Baltimore, MD AATS 2014, Toronto, CAN April 2014 Management of Chest Tubes 1 Overview Review the

More information

X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary

X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary X-Plain Subclavian Inserted Central Catheter (SICC Line) Reference Summary Introduction A Subclavian Inserted Central Catheter, or subclavian line, is a long thin hollow tube inserted in a vein under the

More information

CHEST TUBE REVIEW Orientation Package

CHEST TUBE REVIEW Orientation Package Return Test By: 1 CHEST TUBE REVIEW Orientation Package Reviewed 2011 Created by M Gordon, CNE Surgery (2008) Adapted from the Chest tubes package by Nicky Holmes (2002), ICU/CCU, NYGH OBJECTIVES: 2 After

More information

Sterile Dressing Change with Tegaderm CHG for Central Venous Catheter (CVC)

Sterile Dressing Change with Tegaderm CHG for Central Venous Catheter (CVC) Sterile Dressing Change with Tegaderm CHG for Central Venous Catheter (CVC) The dressing protects your catheter site. It also helps prevent infection at the site. Keep your dressing clean and dry at all

More information

PLEUR EVAC CHEST DRAINAGE SYSTEMS. Great Innovations to Enhance Chest Drainage

PLEUR EVAC CHEST DRAINAGE SYSTEMS. Great Innovations to Enhance Chest Drainage PLEUR EVAC CHEST DRAINAGE SYSTEMS Great Innovations to Enhance Chest Drainage 2 INTRODUCTION Teleflex Great Innovations to Enhance Chest Drainage Trusted brands make Teleflex a reliable and strong partner.

More information

Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter

Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter Guy s, King s and St Thomas Cancer Centre The Cancer Outpatient Clinic Central venous catheter: Peripherally inserted central catheter This information leaflet aims to help answer some of the questions

More information

Caring for a Hemovac Drain

Caring for a Hemovac Drain Caring for a Hemovac Drain 269 12. Raise side rail. Lower bed height and adjust head of bed to a comfortable position. 13. Remove additional PPE, if used. Perform hand hygiene. These promote patient safety.

More information

Peripherally Inserted Central Catheter (PICC)

Peripherally Inserted Central Catheter (PICC) Peripherally Inserted Central Catheter (PICC) Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified healthcare provider. Please

More information

PICC and Midline Catheters

PICC and Midline Catheters PICC and Midline Catheters Infusion RN s Deb Bucher RN BSN CRNI Dawn Finch RN CRNI Marianne Hansen RN BSN CRNI Karman Youngblood RN BS CRNI Infusion Pharmacist Kathy Cimakasky Pharm D Tamara Migut RPh

More information

Peripherally Inserted Central Catheter (PICC) Patient Instructions

Peripherally Inserted Central Catheter (PICC) Patient Instructions Patient Care Services 300 Pasteur Drive Stanford, CA 94305 Peripherally Inserted Central Catheter (PICC) Patient Instructions A Peripherally Inserted Central Catheter (PICC) is a soft flexible tube inserted

More information

Policies & Procedures. I.D. Number: 1073

Policies & Procedures. I.D. Number: 1073 Policies & Procedures Title:: CENTRAL VENOUS CATHETERS INSERTION ASSISTING I.D. Number: 1073 Authorization [] Pharmacy Nursing Committee [] MAC Motion #: [x] SHR Nursing Practice Committee Source: Nursing

More information

Placement of Epidural Catheter for Pain Management Shane Bateman DVM, DVSc, DACVECC

Placement of Epidural Catheter for Pain Management Shane Bateman DVM, DVSc, DACVECC Placement of Epidural Catheter for Pain Management Shane Bateman DVM, DVSc, DACVECC Indications: Patients with severe abdominal or pelvic origin pain that is poorly responsive to other analgesic modalities.

More information

HICKMAN Catheter Care with a Needleless Connector

HICKMAN Catheter Care with a Needleless Connector HICKMAN Catheter Care with a Needleless Connector Table of Contents Part 1 Learning about the HICKMAN Catheter... 2 Part 2 Caring for Your Hickman Catheter... 3 A. Preventing Infection... 3 B. Bathing...

More information

TRACHEOSTOMY TUBE PARTS

TRACHEOSTOMY TUBE PARTS Page1 NR 33 TRACHEOSTOMY CARE AND SUCTIONING Review ATI Basic skills videos: Tracheostomy care and Endotracheal suction using a closed suction set. TRACHEOSTOMY TUBE PARTS Match the numbers on the diagram

More information

Vaxcel PICCs Valved and Non-Valved. A Patient s Guide

Vaxcel PICCs Valved and Non-Valved. A Patient s Guide Vaxcel PICCs Valved and Non-Valved A Patient s Guide Information about your Vaxcel PICC is available by calling the Navilyst Medical Vascular Access Information Line 800.513.6876 Vaxcel Peripherally Inserted

More information

All About Your Peripherally Inserted Central Catheter (PICC)

All About Your Peripherally Inserted Central Catheter (PICC) All About Your Peripherally Inserted Central Catheter (PICC) General Information Intravenous (IV) therapy is the delivery of fluid directly into a vein. An intravenous catheter is a hollow tube that is

More information

Your Guide to Peritoneal Dialysis Module 3: Doing Peritoneal Dialysis at Home

Your Guide to Peritoneal Dialysis Module 3: Doing Peritoneal Dialysis at Home Your Guide to Peritoneal Dialysis Module 3: 6.0959 in Preparing to do PD One of the most important things about PD is to keep the dialysis area and anything that comes in contact with the PD equipment

More information

I-140 Venipuncture for Blood Specimen Collection

I-140 Venipuncture for Blood Specimen Collection I-140 Venipuncture for Blood Specimen Collection Purpose Obtain a blood specimen by venipuncture for laboratory analysis using aseptic technique. Applies To Registered Nurses Licensed Practical/Vocational

More information

ATI Skills Modules Checklist for Urinary Catheter Care

ATI Skills Modules Checklist for Urinary Catheter Care For faculty use only Educator s name Score Date ATI Skills Modules Checklist for Urinary Catheter Care Student s name Date Verify order Patient record Assess for procedure need Identify, gather, and prepare

More information

PICCs and Midline Catheters

PICCs and Midline Catheters Patient Education PICCs and Midline Catheters Patient s guide to PICC (peripherally inserted central catheter) and midline catheters What are PICCs and midline catheters used for? Any medicine given over

More information

Section 6: Your Hemodialysis Catheter

Section 6: Your Hemodialysis Catheter Section 6: Your Hemodialysis Catheter What you should know about your dialysis catheter How to change your catheter TEGO connectors Starting dialysis using a catheter End of dialysis using a catheter Changing

More information

NORTH CAROLINA BOARD OF NURSING NURSE AIDE II TRAINING MODULE

NORTH CAROLINA BOARD OF NURSING NURSE AIDE II TRAINING MODULE PART A: PREPARING FOR ADMINISTRATION OF IV FLUIDS All four parts of this module, including skills checklists must be successfully completed in order to complete this training module. This activity is a

More information

The planners of the educational activity have no conflicts of interest to disclose.

The planners of the educational activity have no conflicts of interest to disclose. Chest Tube Management Two (2.0) Contact Hours Course Expires: 11/01/2016 First Published: 08/30/2007 Updated: 08/30/2010 Updated: 11/01/2013 Reproduction and distribution of these materials is prohibited

More information

III-701 Urinary Catheterization/Bladder Irrigation Original Date: 3/1/1977 Last Review Date: 10/28/2004

III-701 Urinary Catheterization/Bladder Irrigation Original Date: 3/1/1977 Last Review Date: 10/28/2004 III-701 Urinary Catheterization/Bladder Irrigation Original Date: 3/1/1977 Last Review Date: 10/28/2004 Purpose A. Allow for precise measurement of urine output. B. Collect a sterile urine specimen. C.

More information

Care of Your Hickman Catheter

Care of Your Hickman Catheter Care of Your Hickman Catheter Johns Hopkins Kimmel Cancer Center, Revised 7/11 Contents What is a Hickman Catheter? Page 3 Does the Catheter Limit My Activities? Page 4 How Do I Care for My Catheter? Page

More information

Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information

Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information The Purpose of this Information Sheet This information sheet has been written by patients, members of the public and

More information

Section 4: Your Vascular Access. What is vascular access?

Section 4: Your Vascular Access. What is vascular access? Section 4: Your Vascular Access What is vascular access? What is a fistula? Taking care of a new fistula What is a graft? Taking care of a new graft What is a hemodialysis catheter? Taking care of a hemodialysis

More information

Caring for Your Gastrostomy

Caring for Your Gastrostomy Caring for Your Gastrostomy Table of Contents What Is a Gastrostomy Tube (G-tube)?... 2 Types of Gastrostomy Tubes... 3 Cleaning the Gastrostomy Site... 4 Gastrostomy Feedings... 5 Giving Medicines...

More information

NURSING 500.105 Effective Date Title: 6/12 SCOPE OF PRACTICE FOR STUDENT NURSES AND NURSING ASSISTANTS

NURSING 500.105 Effective Date Title: 6/12 SCOPE OF PRACTICE FOR STUDENT NURSES AND NURSING ASSISTANTS XXX DAYTONA XXX _OCEANSIDE HEALTH CARE PARTNERS Department: Page 1 of 5 POLICY & PROCEDURE Policy Number NURSING 500.105 Effective Date Title: 6/12 SCOPE OF PRACTICE FOR STUDENT NURSES AND NURSING ASSISTANTS

More information

PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) Fong So Kwan APN, Haematology unit Medical Department, QMH

PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) Fong So Kwan APN, Haematology unit Medical Department, QMH PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) Fong So Kwan APN, Haematology unit Medical Department, QMH 1 What is a PICC catheter? Primary vascular access device since their introduction in the mid-1970s,

More information

Biliary Drain. What is a biliary drain?

Biliary Drain. What is a biliary drain? Biliary Drain What is a biliary drain? A biliary drain is a tube to drain bile from your liver. It is put in by a doctor called an Interventional Radiologist. The tube or catheter is placed through your

More information

Troubleshooting a Patient with a Chest Drain. A Simulation Workshop

Troubleshooting a Patient with a Chest Drain. A Simulation Workshop Troubleshooting a Patient with a Chest Drain. A Simulation Workshop Outline This is a simulation session that aims to improve skills at assessing a patient with a chest drain. It is undertaken using a

More information

PRACTICE GUIDELINE TITLE: INTRAVENOUS LINE INSERTION: PERIPHERAL AND CENTRAL

PRACTICE GUIDELINE TITLE: INTRAVENOUS LINE INSERTION: PERIPHERAL AND CENTRAL PRACTICE GUIDELINE Effective Date: 9-17-04 Manual Reference: Deaconess Trauma Services TITLE: INTRAVENOUS LINE INSERTION: PERIPHERAL AND CENTRAL PURPOSE: To outline the indications and options for intravenous

More information

TREATMENT 1. Control bleeding by applying pressure over wound with Gauze Pads (Surgical Supply-4). 2. Contact Surgeon for laceration repair options.

TREATMENT 1. Control bleeding by applying pressure over wound with Gauze Pads (Surgical Supply-4). 2. Contact Surgeon for laceration repair options. Page 1 of 8 pages NOTE Contact Surgeon before giving any medication marked with an asterisk. In an emergency or during Loss of Signal, begin appropriate treatment; then call Surgeon as soon as possible.

More information

Care of your peripherally inserted central catheter

Care of your peripherally inserted central catheter Care of your peripherally inserted central catheter A guide for patients and their carers We care, we discover, we teach Contents What is a PICC?.... 1 How is it put in?.... 1 What are the benefits of

More information

How To Become A Surgical Technologist

How To Become A Surgical Technologist JOB DESCRIPTION: SURGICAL TECHNOLOGIST. The Standards and Guidelines for the Accreditation of Educational Programs in Surgical Technology have been approved by the Association of Surgical Technologists

More information

NIH Clinical Center Patient Education Materials Giving a subcutaneous injection

NIH Clinical Center Patient Education Materials Giving a subcutaneous injection NIH Clinical Center Patient Education Materials What is a subcutaenous injection? A subcutaneous injection is given in the fatty layer of tissue just under the skin. A subcutaneous injection into the fatty

More information

URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER

URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER URINARY CATHETER INSERTION - STRAIGHT OR INDWELLING CATHETER PURPOSE To obtain a sterile urine specimen. To facilitate emptying bladder. To relieve bladder distention. To irrigate bladder. To measure residual

More information

RATIFIED BY NNPDG SEPTEMBER 2006 FOR REVIEW 2009

RATIFIED BY NNPDG SEPTEMBER 2006 FOR REVIEW 2009 NOTTINGHAM UNIVERSITY HOSPTIALS/RUSHCLIFFE PCT NURSING PRACTICE GUIDELINES GUIDELINES FOR CARE OF A PATIENT WITH A WOUND DRAINAGE SYSTEM CONTENTS PAGE Introduction and Types of Drains 1 Procedure for Applying

More information

A. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS

A. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS SUBCUTANEOUS THERAPY A. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS PARTS I. Purposes II. General Information III. Responsibilities IV.

More information

Introduction. What does PICO do? How does PICO work?

Introduction. What does PICO do? How does PICO work? Patient Information Introduction This patient handbook will provide you with important information while you are receiving negative pressure wound therapy (NPWT) from Smith & Nephew s PICO system. The

More information

MECHINICAL VENTILATION S. Kache, MD

MECHINICAL VENTILATION S. Kache, MD MECHINICAL VENTILATION S. Kache, MD Spontaneous respiration vs. Mechanical ventilation Natural spontaneous ventilation occurs when the respiratory muscles, diaphragm and intercostal muscles pull on the

More information

How to care for a Midline Catheter

How to care for a Midline Catheter How to care for a Midline Catheter Developed by the health care professionals of the IV Program with assistance from the Department of Learning and Development. All rights reserved. No part of this book

More information

ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES

ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES ACI UROLOGY NETWORK - NURSING BLADDER IRRIGATION GUIDELINES The following pages provide examples of clinical guidelines to enable clinicians to develop their own resource material relevant to their hospital

More information

Instructions for Use

Instructions for Use Pleural Effusion Shunt with External Pump Chamber Catalog No. 42-9005 Instructions for Use Denver Biomedical, Inc. Table of Contents Description 2 Indications 2 Contraindications 2 Warnings 4 Cautions

More information

PICC & Midline Catheters Patient Information Guide

PICC & Midline Catheters Patient Information Guide PICC & Midline Catheters Patient Information Guide medcompnet.com 1 table of contents Introduction 4 What is a PICC or Midline Catheter? 4 How is the PICC or Midline Catheter Inserted? 6 Catheter Care

More information

Page: Page 1 of 7 Author: Kristin Smith MAL Director: Dr. Peggy Borum FSHN Chair: Dr. Neil Shay

Page: Page 1 of 7 Author: Kristin Smith MAL Director: Dr. Peggy Borum FSHN Chair: Dr. Neil Shay Page 1 of 7 Author: Kristin Smith MAL Director: Dr. Peggy Borum FSHN Chair: Dr. Neil Shay I PURPOSE The purpose of the preparation of surgery trays is to have instruments ready in the PNICU for sterile

More information

Ward 29 guide to the safe preparation and administration of intravenous (IV) antibiotics at home

Ward 29 guide to the safe preparation and administration of intravenous (IV) antibiotics at home Ward 29 guide to the safe preparation and administration of intravenous (IV) antibiotics at home Contents Page Important contact numbers 1 General information on preparing and administering IV antibiotics

More information

Central Line Care for Adults

Central Line Care for Adults Central Line Care for Adults Table of Contents What is a Central Venous Catheter?... 2 Central Venous Catheter Placement: What to Expect... 2 Catheter Care at a Glance... 2 Fast Facts on Central Line Care:

More information

REMOVAL OF A PICC. Possible Cause Nursing Actions Prevention

REMOVAL OF A PICC. Possible Cause Nursing Actions Prevention REMOVAL OF A PICC PICC lines are removed following a physician order, when therapy is completed or complications such as line sepsis, thrombosis or phlebitis, require removal. The removal of a PICC line

More information

Introduction A JP Drain is a soft tube and container used to drain fluids that build up under the skin after surgery.

Introduction A JP Drain is a soft tube and container used to drain fluids that build up under the skin after surgery. JP Drain Introduction A JP Drain is a soft tube and container used to drain fluids that build up under the skin after surgery. This reference summary explains what a JP Drain is and discusses how to take

More information

Managing Your Non-Tunneled (Percutaneous) Catheter: PICC, SICC, and JCC. What is a PICC catheter?

Managing Your Non-Tunneled (Percutaneous) Catheter: PICC, SICC, and JCC. What is a PICC catheter? Managing Your Non-Tunneled The staff of the Procedure, Vascular Access, Conscious Sedation Service has written this information to explain your new PICC (peripherally inserted central catheter), SICC (subclavian

More information

Ultrasound. PATIENT GUIDE and PREPARATION. Thoracentesis

Ultrasound. PATIENT GUIDE and PREPARATION. Thoracentesis Ultrasound PATIENT GUIDE and PREPARATION Thoracentesis What is a Thoracentesis? A Thoracentesis is a procedure that involves using a needle to drain fluid from either within the lungs or the surrounding

More information

Clinical Guideline for: Aseptic Technique

Clinical Guideline for: Aseptic Technique Clinical Guideline for: Technique Summary This guideline provides the principles of, Non Touch, and Clean Techniques to be implemented in the hospital environment. Key Points The essential elements of

More information

PICC Catheter for IV Therapy

PICC Catheter for IV Therapy PICC Catheter for IV Therapy A Patient Guide for: PATIENT PICC A PICC is defined as a Peripherally Inserted Central Catheter. A PICC is a special IV Catheter. It is put in an arm vein and ends in a large

More information

Percutaneous Nephrostomy. Care of your Nephrostomy. Department of Urology

Percutaneous Nephrostomy. Care of your Nephrostomy. Department of Urology Percutaneous Nephrostomy Care of your Nephrostomy Department of Urology You may encounter some problems at home but these are usually easily overcome. Listed below are some questions patients commonly

More information

My patient has a feeding tube

My patient has a feeding tube My patient has a feeding tube What does that mean? Martha Kliebenstein, MSN, RN Clinical Educator (December, 2014) Types of tubes Gastrostomy (G-tube) Gastrostomy jejunostomy (G-J tube) Naso gastric (NG

More information

MEDICAL WASTE MANAGEMENT

MEDICAL WASTE MANAGEMENT MEDICAL WASTE MANAGEMENT Biological Safety INTRODUCTION PURPOSE Regulated medical waste is a designation for wastes that may contain pathogenic microorganisms which was previously termed infectious waste.

More information

Paediatric Intensive Care Unit Nursing Guideline: Chest Drains

Paediatric Intensive Care Unit Nursing Guideline: Chest Drains Paediatric Intensive Care Unit Nursing Guideline: Chest Drains A chest drain is a tube inserted into the pleural space to drain its contents of air or fluid. The tube remains in place until drainage is

More information

Chester Chest Model 2400 User s Manual

Chester Chest Model 2400 User s Manual Chester Chest Model 2400 User s Manual 308 South Sequoia Parkway, Canby, Oregon 97013 USA ph. 503.651.5050 fax 503.651.5052 email info@vatainc.com Thank You For Your Purchase! Thank you for your purchase

More information

Department of Surgery

Department of Surgery What is emphysema? 2004 Regents of the University of Michigan Emphysema is a chronic disease of the lungs characterized by thinning and overexpansion of the lung-like blisters (bullae) in the lung tissue.

More information

X-Plain Foley Catheter Male Reference Summary

X-Plain Foley Catheter Male Reference Summary X-Plain Foley Catheter Male Reference Summary Introduction A Foley catheter is a tube that is put through the urinary opening and into your bladder to drain urine. Your doctor may have placed or may ask

More information

Home Care for Your Wound Drain

Home Care for Your Wound Drain PATIENT EDUCATION patienteducation.osumc.edu When you go home after surgery, you may have one or more drains in place to help your wounds heal. Hemovac, Jackson Pratt (JP) and Blake are common drains used

More information

SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: NON-INVASIVE POSITIVE PRESSURE (NPPV) VENTILATION (CPAP/BIPAP) Job Title of Reviewer: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Director, Respiratory

More information

Peripherally Inserted Central Catheter (PICC) for Outpatient

Peripherally Inserted Central Catheter (PICC) for Outpatient Peripherally Inserted Central Catheter (PICC) for Outpatient Introduction A Peripherally Inserted Central Catheter, or PICC line, is a thin, long, soft plastic tube inserted into a vein of the arm. It

More information

Located On IV Pole Front of cart- Arrest Board

Located On IV Pole Front of cart- Arrest Board ADULT CRASH CART Adult Crash Cart First Supply To Expire Located On IV Pole Front of cart- Arrest Board In a Sleeve (back of cart) Top of cart Clipboard Zoll- checklist Exam gloves- 1 box under defib ACLS

More information

Understanding Anesthetic Delivery Systems Dean Knoll, CVT, VTS (Anes.) Anesthesia Technician Supervisor University of Wisconsin Madison, WI May 2003

Understanding Anesthetic Delivery Systems Dean Knoll, CVT, VTS (Anes.) Anesthesia Technician Supervisor University of Wisconsin Madison, WI May 2003 Understanding Anesthetic Delivery Systems Dean Knoll, CVT, VTS (Anes.) Anesthesia Technician Supervisor University of Wisconsin Madison, WI May 2003 Knowing the functions of the anesthetic delivery system

More information

PROCEDURE FOR SUBCUTANEOUS INSERTION, REMOVAL, MEDICATION ADMINISTRATION AND FLUID ADMINISTRATION FOR COMMUNITY PALLIATIVE CARE PATIENTS

PROCEDURE FOR SUBCUTANEOUS INSERTION, REMOVAL, MEDICATION ADMINISTRATION AND FLUID ADMINISTRATION FOR COMMUNITY PALLIATIVE CARE PATIENTS PROCEDURE FOR SUBCUTANEOUS INSERTION, REMOVAL, MEDICATION ADMINISTRATION AND FLUID ADMINISTRATION FOR COMMUNITY PALLIATIVE CARE PATIENTS Approved: February 2010 Date for review: February 2010 1 PROCEDURE

More information

TITLE CLIN_216 HEMODIALYSIS/PLASMAPHERESIS PROCEDURE AND CATHETER MANAGEMENT FOR THE ADULT AND PEDIATRIC PATIENT

TITLE CLIN_216 HEMODIALYSIS/PLASMAPHERESIS PROCEDURE AND CATHETER MANAGEMENT FOR THE ADULT AND PEDIATRIC PATIENT Policies and procedures are guidelines and are not a substitute for the exercise of individual judgment. If you are reading a printed copy of this policy, make sure it is the most current by checking the

More information

School Health Special Procedures April 2000

School Health Special Procedures April 2000 Policy for Tracheostomy Care and Suctioning in the School Health Setting Courtesy of Escambia County Health Department-School Health Program Escambia County Florida 1 Tracheostomy Care Purpose: A tracheostomy

More information

Location: Clinical Practice Manual

Location: Clinical Practice Manual Subject: Area: Classification: Relevant to: Bladder Management Clinical Practice All Clinical Staff Implementation Date: March 2001 Review Date: March 2004 Responsible for Review: Approved by: Distribution:

More information

A4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO)

A4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO) A4.7 Management of a totally occluded central catheter and persistent withdrawal occlusion (PWO) Types of Catheter Related Thrombotic A catheter-related thrombus may be intraluminal (inside the catheter)

More information

SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE

SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE UNIT: INTENSIVE CARE UNIT - ICU SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: INTENSIVE CARE UNIT-ICU STANDARD I - SAFETY 3/88

More information

Policy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters

Policy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters Policy and Procedure Flushing and / or Blood withdrawal Aspiration Procedure For PICC Line and Midline Catheters Purpose: Blood Withdrawal: To obtain blood samples for laboratory evaluation, eliminating

More information

Health Technician skills checklist Health Services Department Lincoln Public Schools TEMPERATURE

Health Technician skills checklist Health Services Department Lincoln Public Schools TEMPERATURE Rev. 2/07 Health Technician skills checklist TEMPERATURE 1. Explain to student what you are going to do. 2. Wait for Welch-Allyn thermometer to beep, then apply probe cover. Make sure probe cover is secure.

More information

Central Venous Catheter (CVC) Sterile Dressing Change - The James

Central Venous Catheter (CVC) Sterile Dressing Change - The James PATIENT EDUCATION patienteducation.osumc.edu Central Venous Catheter (CVC) Sterile Dressing Change - The James A dressing protects your catheter site and helps reduce the risk of infection. You will need

More information

2. Does the patient have one of the following appropriate indications for placing indwelling urinary catheters?

2. Does the patient have one of the following appropriate indications for placing indwelling urinary catheters? A. Decision to Insert a Urinary Catheter: 1. Before placing an indwelling catheter, please consider if these alternatives would be more appropriate: Bladder scanner: to assess and confirm urinary retention,

More information

Male Catheterisation

Male Catheterisation 1 Prepare your equipment, put what you need on to the trolley, choose catheter appropriate for urethral size and check the volume of water needed to inflate the balloon. All this information is written

More information