Care of Your Hickman Catheter

Size: px
Start display at page:

Download "Care of Your Hickman Catheter"

Transcription

1 Care of Your Hickman Catheter Johns Hopkins Kimmel Cancer Center, Revised 7/11

2 Contents What is a Hickman Catheter? Page 3 Does the Catheter Limit My Activities? Page 4 How Do I Care for My Catheter? Page 5 Flushing Your Catheter Page 6 Capping Your Catheter Page 8 Changing the Transparent Dressing Page 9 Changing the Gauze Dressing Identifying and Reporting Problems Catheter-associated Bloodstream Infections Page11 Page12 Page13 2

3 What is a Hickman Catheter? A Hickman is a long, purple tube placed into a large vein in your chest, just above the heart As part of the procedure to place the catheter, you may have a stitch in your lower neck or skin glue will be used. This is called the entrance site. The stitch stays in for 7 days. The catheter is tunneled under the skin and comes out in your upper chest area. This area is called the exit site. It also has stitches which will be left in for 30 days. The catheter has a cuff that attaches under the skin to help keep the catheter in place even after the stitches are taken out. Your catheter may have one, two or three lumens, depending on the type of treatment you need. This catheter can be used to give you medications, chemotherapy, or blood products, and can also be used to draw blood, so you will not have to be stuck with needles as often. It can also be used for injections of IV contrast dye for CT Scans. Your catheter can stay in place for as long as it is needed. 3

4 Does a Hickman Catheter Limit My Activities? You may need to change some of your activities because of the catheter. You may shower, but you must completely cover your dressing and connections with plastic wrap and tape or a dressing cover such as Aquaguard. Do not let your catheter go under water, in the tub or pool. If your dressing gets loose or soiled, it must be changed right away. Do not damage or pull on the catheter. If your catheter dangles, secure it by taping it up or attaching it to a chain. Exercise, sexual activity and light housekeeping are permitted as long as your catheter and dressing are secure. You may not vacuum or iron, play tennis, golf, bowl or lift weights while you have the catheter. Moving the arm on the same side of the catheter over and over again may damage the catheter or cause it to move out of the vein If you have any other questions about activities you may or may not do, talk with your doctor or nurse. 4

5 How Do I Care for My Catheter? You must learn to do the following tasks: 1. Flushing your catheter 2. Changing your catheter caps 3. Changing the dressing 4. Identifying and reporting problems **A home care company will deliver the supplies you will need to care for your catheter. The supplies sent may be slightly different from what is described below. A nurse will review this procedure with you. 5

6 Flushing Your Hickman Catheter To keep blood from clotting in the catheter, you must learn to flush the catheter. You will flush each lumen once a day with 5 cc s of heparin solution. Your homecare company will give you pre-filled heparin syringes for flushing your catheter. Pre-filled syringes do not have to be refrigerated. Procedure: 1. Wash your hands. 2. Scrub the cap (end) of the catheter with an alcohol pad very well (at least 10 times). 3. Remove cap from end of heparin flush syringe, then gently push and twist the syringe into the catheter cap. 6

7 4. Open the clamp on the catheter. 5. With slow and steady pressure, push the heparin solution into the catheter. If you meet resistance, do not force. Call your doctor or nurse Immediately! 6. Clamp the catheter while pushing in the last ½ cc of heparin solution. This prevents blood from backing up into your catheter. 7. Take off the syringe and put it in the trash. 7

8 Capping Your Catheter Your catheter cap should be changed every 7 days. Supplies needed: 1. New injection cap 2. Alcohol wipe 3. Masks Procedure: 1. Patient and caregiver put on masks. 2. Wash your hands. 3. Be sure your catheter is clamped. 4. Remove the old cap by rotating it counter clockwise. 5. Scrub the catheter end with an alcohol pad very well (at least ten times). 6. Replace with a new sterile injection cap, rotating it clockwise until it is tight (but not too tight.) Be careful to touch only the outside of the cap and not the inside part that goes into the catheter. 8

9 Changing the Transparent Dressing You must change your dressing every 7 days, or immediately if it becomes loose or soiled. You will be able to see through the dressing. You should look at your catheter site and touch it over the dressing every day. If you see redness, swelling, drainage or have tenderness when you press, call your doctor or nurse. (See page 12) Supplies needed: A dressing kit or individual supplies listed below: 1. Chloraprep stick or Tincture of Iodine Swabsticks 2. 1 transparent dressing 3. 1 package of skin prep or other skin protectant 4. 2 masks Procedure: 1. Wash hands. 2. Patient and caregiver put on masks. 3. Prepare supplies by opening all packages and leaving the supplies in their sterile wrappers on a clean table. 4. Remove the old dressing from the chest. 5. Wash hands again. 9

10 6. Open chloraprep or tincture of iodine stick. 7. Using a scrubbing motion, clean in a circle, starting at the catheter exit site and moving away from it. Never retrace your steps! 8. Let dry for 1 minute. Do not wave hands to dry the site. 9. Apply skin prep to the skin where the outer edge of the dressing will be. Allow to dry for 1 minute. 10. Remove the backing from the transparent dressing. 11. Apply the dressing over the catheter with the catheter exit site showing through the window. 12. Remove the paper strip and smooth out the edges. 13. Apply strip under the catheter. 10

11 14. If you have a dangling catheter, clip the catheter with the clip on your chain to keep it from pulling. You may also tape the catheter up or tuck it into your bra. Changing the Gauze Dressing You may be taught to use a gauze dressing if you have an infected catheter, drainage at the site or irritated skin. The dressing can be changed every other day if it does not get wet, loose or soiled. If the dressing gets wet, loose or soiled, it must be changed right away. You should look at your catheter site every time you change the dressing. If you see redness, swelling, drainage or the site is sore, call your doctor or nurse. (See page 12.) Please follow the same steps for changing the transparent dressing. 11

12 Identifying and Reporting Problems It is very important to watch for and report the following symptoms to your doctor or nurse immediately. 1. Fever greater than Shaking chills (rigors) after flushing your catheter. 3. Redness, tenderness, bleeding or drainage at your catheter site or along the tunnel. 4. Skin rash under the dressing. 5. Pain, swelling, or numbness in your arm or neck on the same side as the catheter. 6. Catheter cuff seen at the exit site. 7. Difficulty flushing the catheter. If this occurs, do not force, since this may cause the catheter to rupture. 8. Breaks, leaks or tears in your catheter. If this occurs: clamp the catheter between the damaged area and your body. Cover the catheter with a sterile 4x4 gauze pad and call your doctor or nurse immediately. 9. Your catheter may need to be removed if complications occur. My Doctor is Phone Number My Nurse is Phone Number 12

13 FAQs (frequently asked questions) about Catheter-Associated Bloodstream Infections (also known as Central Line-Associated Bloodstream Infections ) What is a catheter-associated bloodstream infection? A central line or central catheter is a tube that is placed into a patient s large vein, usually in the neck, chest, arm, or groin. The catheter is often used to draw blood, or give fluids or medications. It may be left in place for several weeks. A bloodstream infection can occur when bacteria or other germs travel down a central line and enter the blood. If you develop a catheter-associated bloodstream infection you may become ill with fevers and chills or the skin around the catheter may become sore and red. Can a catheter-related bloodstream infection be treated? A catheter-associated bloodstream infection is serious, but often can be successfully treated with antibiotics. The catheter might need to be removed if you develop an infection. What are some of the things that hospitals are doing to prevent catheter-associated bloodstream infections? To prevent catheter-associated bloodstream infections doctors and nurses will: Choose a vein where the catheter can be safely inserted and where the risk for infection is small. Clean their hands with soap and water or an alcohol-based hand rub before putting in the catheter. Wear a mask, cap, sterile gown, and sterile gloves when putting in the catheter to keep it sterile. The patient will be covered with a sterile sheet. Clean the patient s skin with an antiseptic cleanser before putting in the catheter. Clean their hands, wear gloves, and clean the catheter opening with an antiseptic solution before using the catheter to draw blood or give medications. Healthcare providers also clean their hands and wear gloves when changing the bandage that covers the area where the catheter enters the skin. Decide every day if the patient still needs to have the catheter. The catheter will be removed as soon as it is no longer needed. Carefully handle medications and fluids that are given through the catheter. What can I do to help prevent a catheter-associated bloodstream infection? Ask your doctors and nurses to explain why you need the catheter and how long you will have it. Ask your doctors and nurses if they will be using all of the prevention methods discussed above. Make sure that all doctors and nurses caring for you clean their hands with soap and water or an alcoholbased hand rub before and after caring for you. If the bandage comes off or becomes wet or dirty, tell your nurse or doctor immediately. Inform your nurse or doctor if the area around your catheter is sore or red. Do not let family and friends who visit touch the catheter or the tubing. 13

14 Make sure family and friends clean their hands with soap and water or an alcohol-based hand rub before and after visiting you. What do I need to do when I go home from the hospital? Some patients are sent home from the hospital with a catheter in order to continue their treatment. If you go home with a catheter, your doctors and nurses will explain everything you need to know about taking care of your catheter. Make sure you understand how to care for the catheter before leaving the hospital. For example, ask for instructions on showering or bathing with the catheter and how to change the catheter dressing. Make sure you know who to contact if you have questions or problems after you get home. Make sure you wash your hands with soap and water or an alcohol-based hand rub before handling your catheter. Watch for the signs and symptoms of catheter-associated bloodstream infection, such as soreness or redness at the catheter site or fever, and call your healthcare provider immediately if any occur. If you have additional questions, please ask your doctor or nurse. If you do not see your providers clean their hands, please ask them to do so. Co-sponsored by: SHEA, IDSA, AHA, APIC, CDC and JCAHO 14

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

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

Tunneled Central Venous Catheter (CVC) Placement

Tunneled Central Venous Catheter (CVC) Placement PATIENT EDUCATION patienteducation.osumc.edu Tunneled Central Venous Catheter (CVC) Placement A tunneled Central Venous Catheter (CVC) is a special type of intravenous (IV) line that is placed into a large

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

Central Venous Catheter (Broviac )

Central Venous Catheter (Broviac ) An Introduction to Your Child s Central Venous Catheter (Broviac ) An Introduction to Your Child s Central Venous Catheter (Broviac ) This book will teach you about your child s central venous catheter,

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

Safety FIRST: Infection Prevention Tips

Safety FIRST: Infection Prevention Tips Reading Hospital Safety FIRST: Infection Prevention Tips Reading Hospital is committed to providing high quality care to our patients. Your healthcare team does many things to help prevent infections.

More information

University Hospitals and Health System Jackson, MS

University Hospitals and Health System Jackson, MS University Hospitals and Health System Jackson, MS Pediatric PICC Line Care Instructions (Peripherally Inserted Central Catheter) PICC line was put in on (date/time): Type: Size: French Number of ports:

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

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

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

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

Pediatric Port An Implantable Vascular Access Device

Pediatric Port An Implantable Vascular Access Device Pediatric Port An Implantable Vascular Access Device This handout will explain what a port is and how to care for it once you are home. If you have any questions, please ask. Our staff is here to help

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

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

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

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

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

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

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

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

Site Care of Your Central Venous Catheter Sterile

Site Care of Your Central Venous Catheter Sterile Site Care of Your Central Venous Catheter Sterile Dressing Change Sterile Technique The skin surrounding your catheter s exit site must be kept clean, and a new sterile dressing should be applied on a

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

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

Peripheral Long Line Catheter or Long Line Peripherally Inserted Central Catheter or P.l.C.C.

Peripheral Long Line Catheter or Long Line Peripherally Inserted Central Catheter or P.l.C.C. Peripheral Long Line Catheter or Long Line Peripherally Inserted Central Catheter or P.l.C.C. A Peripheral Long Line Catheter ( Long Line ) and a Peripherally Inserted Central Catheter ( P.I.C.C. ) are

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

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

Changing Your Central Line Catheter Cap

Changing Your Central Line Catheter Cap Changing Your Central Line Catheter Cap The catheter cap on each lumen of your central line needs to be changed once a week. A lumen is a small tube within your catheter. These same steps can be used for

More information

Peripherally Inserted Central Catheter

Peripherally Inserted Central Catheter Peripherally Inserted Central Catheter (PICC) by Patricia Griffin Kellicker, BSN En Español (Spanish Version) Definition A peripherally inserted central catheter is a long, thin tube that is inserted through

More information

Caring for a Hickman or Broviac Central Line Catheter

Caring for a Hickman or Broviac Central Line Catheter Home Care Services Caring for a Hickman or Broviac Central Line Catheter Receiving medicine and supplies When you receive a shipment, make sure you have the correct medicine and supplies. Check the medicine,

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

Home Care for Your Nephrostomy Catheter

Home Care for Your Nephrostomy Catheter Home Care for Your Nephrostomy Catheter This handout covers information about caring for your nephrostomy catheter right after placement and caring for it long term. If you have any questions, please call

More information

How to Care for your Child s Indwelling Subcutaneous Catheter

How to Care for your Child s Indwelling Subcutaneous Catheter The Emily Center How to Care for your Child s Indwelling Subcutaneous Catheter Procedure/Treatment/Home Care Si usted desea esta información en español, por favor pídasela a su enfermero o doctor. #1054

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

CATHETER for Hemodialysis

CATHETER for Hemodialysis CATHETER for Hemodialysis What You Need to Know to Stay Healthy with a Catheter One treatment choice for kidney failure is hemodialysis (HD). HD removes wastes and excess fluid from your blood. Your lifeline

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

Pediatric Central Line Care

Pediatric Central Line Care Pediatric Central Line Care 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

Central Venous Catheter Care For Haemodialysis

Central Venous Catheter Care For Haemodialysis Central Venous Catheter Care For Haemodialysis Information For Parents and Carers Haemodialysis Unit 01 878 4757 Main Hospital Number 01 878 4200 Central Venous Catheters We hope this booklet will help

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

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

Peripherally Inserted Central Venous Catheter (PICC) Invasive Devices Clinical Nurse Specialist Chief Nurse

Peripherally Inserted Central Venous Catheter (PICC) Invasive Devices Clinical Nurse Specialist Chief Nurse Peripherally Inserted Central Venous Catheter (PICC) Invasive Devices Clinical Nurse Specialist Chief Nurse This leaflet has been designed to give you important information about your condition / procedure,

More information

Page 1 of 10 MC1482 Peripherally-Inserted Central Catheter. Peripherally-Inserted Central Catheter (PICC)

Page 1 of 10 MC1482 Peripherally-Inserted Central Catheter. Peripherally-Inserted Central Catheter (PICC) Page 1 of 10 MC1482 Peripherally-Inserted Central Catheter Peripherally-Inserted Central Catheter (PICC) Page 2 of 10 MC1482 Peripherally-Inserted Central Catheter Introduction A peripherally-inserted

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

Tunnelled haemodialysis catheter

Tunnelled haemodialysis catheter Liver, Renal & Surgery Tunnelled haemodialysis catheter Information for patients and carers This leaflet explains what a tunnelled haemodialysis catheter is and how it is put in. It also covers the risks

More information

Flushing Your Catheter - The James

Flushing Your Catheter - The James PATIENT EDUCATION patienteducation.osumc.edu To keep your catheter from clogging, it should be flushed with a normal saline solution. Flushing clears any blood or medicine from inside the lumen, so it

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

Flushing Your Central Line Catheter

Flushing Your Central Line Catheter Flushing Your Central Line Catheter Each lumen of your Central Line Catheter needs to be flushed once a day with a Heparin Flush. A lumen is a small tube within your catheter. These same steps can be used

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

call 811 to get advice from a nurse, or have someone drive the patient to a hospital Emergency Department. Patients should NOT drive themselves.

call 811 to get advice from a nurse, or have someone drive the patient to a hospital Emergency Department. Patients should NOT drive themselves. Taking Care at Home After Surgery This checklist is to help you and your support person know what to do after you go home following your surgery. If you are given instructions verbally or in writing by

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

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

Care of your central venous catheter A guide for patients and their carers. We care, we discover, we teach

Care of your central venous catheter A guide for patients and their carers. We care, we discover, we teach Care of your central venous catheter A guide for patients and their carers We care, we discover, we teach This booklet contains information about central venous catheters (CVC). These are sometimes called

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

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

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

Insertion of a Central Catheter (Hickman/Groshong Catheter)

Insertion of a Central Catheter (Hickman/Groshong Catheter) Insertion of a Central Catheter (Hickman/Groshong Catheter) Patient Information Introduction This booklet has been written to provide information to patients about to have a central catheter inserted in

More information

Community Nurse Referral Letter (Hickman Line Care)

Community Nurse Referral Letter (Hickman Line Care) Community Nurse Referral Letter (Hickman Line Care) Name of nurse making the referral: Name Signature.. Date Ward.Tel 0845 1555 000 Ext. Dear Community Nurse The following patient requires care for a Hickman

More information

How to safely collect blood samples from persons suspected to be infected with highly infectious blood-borne pathogens (e.g.

How to safely collect blood samples from persons suspected to be infected with highly infectious blood-borne pathogens (e.g. How to safely collect blood samples from persons suspected to be infected with highly infectious blood-borne pathogens (e.g. Ebola) Step 1: Before entering patient room, assemble all equipment (1 st part)

More information

The temporary haemodialysis catheter

The temporary haemodialysis catheter The temporary haemodialysis catheter Department of Renal Medicine Patient Information Leaflet Introduction The information in this booklet is for: People have renal failure and who require urgent haemodialysis.

More information

Chest Port Port-a-cath

Chest Port Port-a-cath Patient Education Port-a-cath This handout explains what a chest port is and what to expect when you have one. What is a chest port? Your doctor has asked us to insert a chest port (also called a port-acath)

More information

Heart problems - What are the possible side effects of AVONEX? What is AVONEX? Who should not take AVONEX?

Heart problems - What are the possible side effects of AVONEX? What is AVONEX? Who should not take AVONEX? MEDICATION GUIDE AVONEX Interferon beta-1a (Including appendix with instructions for using AVONEX Vials) Please read this guide carefully before you start to use AVONEX (a-vuh-necks) and each time your

More information

Discharge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure

Discharge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure Discharge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure FORM # W-00500 June 2014 Discharge Information after a Coronary Angiogram or Coronary Angioplasty/ Stent Procedure

More information

GOING HOME AFTER YOUR TAVR PROCEDURE

GOING HOME AFTER YOUR TAVR PROCEDURE GOING HOME AFTER YOUR TAVR PROCEDURE HENRY FORD HOSPITAL CENTER FOR STRUCTURAL HEART DISEASE GOING HOME After your TAVR procedure, you will need help when you go home. It is hard to predict how much help

More information

How can you protect yourself from infections?

How can you protect yourself from infections? How can you protect yourself from infections? Your Infection Prevention Guide www.esrdncc.org Table of Contents Preventing an infection is an important part of your kidney care...3 Things you can do...4

More information

Hemodialysis Access: What You Need to Know

Hemodialysis Access: What You Need to Know Hemodialysis Access: What You Need to Know Hemodialysis Access: What You Need To Know Whether you already get hemodialysis treatment, or you will need to start dialysis soon, this booklet will help you

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

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

Tunnelled indwelling pleural catheter (TIPC)

Tunnelled indwelling pleural catheter (TIPC) Tunnelled indwelling pleural catheter (TIPC) A patient s guide 1 What is a tunnelled indwelling pleural catheter? A tunnelled indwelling pleural catheter is a specially designed small tube to drain fluid

More information

Black Hills Healthcare System

Black Hills Healthcare System Black Hills Healthcare System Methicillin Resistant Staphylococcal Aureus (MRSA) Patient and Family Information What is MRSA? Staphylococcus Aureus, often referred to simply as staph, is a bacteria commonly

More information

PICC/Midclavicular/Midline Catheter

PICC/Midclavicular/Midline Catheter 47 PICC/Midclavicular/Midline Catheter Introduction- PICC/ MCV/ Midline You have a PICC/Midclavicular/Midline (peripherally inserted) catheter. This catheter should make receiving I.V. medicines or solutions

More information

Peripherally Inserted Central Catheter (PICC Line)

Peripherally Inserted Central Catheter (PICC Line) Feedback We appreciate and encourage feedback. If you need advice or are concerned about any aspect of care or treatment please speak to a member of staff or contact the Patient Advice and Liaison Service

More information

INSTRUCTIONS FOR USE. Read this information before you start. Important things to know about your SmartJect autoinjector. Important things to remember

INSTRUCTIONS FOR USE. Read this information before you start. Important things to know about your SmartJect autoinjector. Important things to remember INSTRUCTIONS FOR USE SIMPONI (SIM-po-nee) (golimumab) SmartJect autoinjector If your doctor decides that you or a caregiver may be able to give your injections of SIMPONI at home, you should receive training

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

Going home with your Tunneled Catheter

Going home with your Tunneled Catheter Going home with your Tunneled Catheter Your Tunneled Catheter was put in by on Interventional Radiologist Date Your Tunneled Catheter was put in at: McMaster University Medical Centre Hamilton General

More information

Understanding Your Hemodialysis Access Options UNDERSTANDING YOUR HEMODIALYSIS ACCESS OPTIONS

Understanding Your Hemodialysis Access Options UNDERSTANDING YOUR HEMODIALYSIS ACCESS OPTIONS Understanding Your Hemodialysis Access Options UNDERSTANDING YOUR HEMODIALYSIS ACCESS OPTIONS What is a vascular access? A vascular access is a place on your body close to a vein and artery. This place

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

Interstitial Breast Brachytherapy

Interstitial Breast Brachytherapy Patient Education Questions? Your questions are important. Call your doctor or health care provider if you have questions or concerns. UWMC clinic staff are also available to help at any time. During normal

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

Going Home with a Urinary Catheter

Going Home with a Urinary Catheter Going Home with a Urinary Catheter Doctor: Phone Number: About Your Catheter A urinary catheter is a small tube that goes through your urethra and into your bladder. This tube then drains the urine made

More information

1-800-862-2731 Administration of IV Medications Using an Minibag Plus System

1-800-862-2731 Administration of IV Medications Using an Minibag Plus System 1-800-862-2731 Administration of IV Medications Using an Minibag Plus System Drug Name: Volume and Rate: Schedule: FLUSHING: Saline Drug Saline Heparin KEY POINTS: 1. Always wash your hands with an antibacterial

More information

Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line): a Guide for Nurses

Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line): a Guide for Nurses Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line): a Guide for Nurses Information for Nurses Introduction This information is for community nursing staffs who have been asked to

More information

Infection Prevention

Infection Prevention Infection Prevention Dear HSS Patient: The Hospital for Special Surgery is committed to patient safety and quality patient care and is proud to have achieved one of the lowest infection rates in New York

More information

1-800-862-2731 Administration of Meropenem For Child

1-800-862-2731 Administration of Meropenem For Child 1 Drug Name: _Meropenem 1-800-862-2731 Administration of Meropenem For Child Dosage: milligrams every hours over 5 minutes Key Points: FLUSHING: Meropenem Heparin flush 1. Always wash your hands with an

More information

VRE. Living with. Learning how to control the spread of Vancomycin-resistant enterococci (VRE)

VRE. Living with. Learning how to control the spread of Vancomycin-resistant enterococci (VRE) VRE Living with Learning how to control the spread of Vancomycin-resistant enterococci (VRE) CONTENTS IMPORTANT VRE is a serious infection that may become life-threatening if left untreated. If you or

More information

1-800-862-2731. Administration of Meropenem 2 Grams

1-800-862-2731. Administration of Meropenem 2 Grams 1 1-800-862-2731 Administration of Meropenem 2 Grams Drug Name: _Meropenem_2 grams Dosage: 2grams every hours over 10 minutes Key Points: FLUSHING: Saline Meropenem Saline Heparin 1. Always wash your hands

More information

Patient Information. PORT-A-CATH Implantable Venous Access Systems

Patient Information. PORT-A-CATH Implantable Venous Access Systems Patient Information PORT-A-CATH Implantable Venous Access Systems Your doctor has prescribed treatment that requires the frequent administration of medications or other fluids directly into your bloodstream

More information

Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line)

Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line) Flushing and Dressing a Peripherally Inserted Central Catheter (PICC Line) Patient Information Introduction This booklet has been written to provide information to patients with a Peripherally Inserted

More information

Atrial Flutter Ablation

Atrial Flutter Ablation Atrial Flutter Ablation Vancouver General Hospital Atrial Fibrillation Clinic 899 West 12th Avenue Vancouver BC V5Z 1M9 Tel: 604-875-4111 Your doctor has offered you an ablation procedure for the treatment

More information

Community Nurse Referral Letter (PICC Care)

Community Nurse Referral Letter (PICC Care) Community Nurse Referral Letter (PICC Care) Name of nurse making the referral: Name Signature.. Date Ward.Tel 0845 1555 000 Ext. Dear Community Nurse The following patient requires care for a PICC (Peripherally

More information

MRSA. Living with. Acknowledgements. (Methicillin-Resistant Staphylococcus aureus)

MRSA. Living with. Acknowledgements. (Methicillin-Resistant Staphylococcus aureus) How can I keep myself healthy? Hand washing and use of an alcohol-based hand sanitizer are the primary way to prevent acquiring or transmitting bacteria. If you get a cut or scrape, wash it well with soap

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

Medications or therapeutic solutions may be injected directly into the bloodstream

Medications or therapeutic solutions may be injected directly into the bloodstream Intravenous Therapy Medications or therapeutic solutions may be injected directly into the bloodstream for immediate circulation and use by the body. State practice acts designate which health care professionals

More information

Policies & Procedures. ID Number: 1118

Policies & Procedures. ID Number: 1118 Policies & Procedures Title: INTRAVENOUS AND/OR PERIPHERAL SALINE LOCK INSERTION AND MAINTENANCE ID Number: 1118 Authorization [X] SHR Nursing Practice Committee Source: Nursing Date Revised: September

More information

PERIPHERAL STEM CELL TRANSPLANT INTRODUCTION

PERIPHERAL STEM CELL TRANSPLANT INTRODUCTION PERIPHERAL STEM CELL TRANSPLANT INTRODUCTION This booklet was designed to help you and the important people in your life understand the treatment of high dose chemotherapy with stem cell support: a procedure

More information

Management of Catheters Infectious Diseases Working Party/Nurses Group

Management of Catheters Infectious Diseases Working Party/Nurses Group Management of Catheters Infectious Diseases Working Party/Nurses Group Arno Mank RN PhD, Amsterdam (NL) www.ebmt.org London 09/04/2012 Content Background Management of CVC Types of CVC Care aspect of CVC

More information

What You Need to Know About Your Nephrostomy Tube

What You Need to Know About Your Nephrostomy Tube What You Need to Know About Your Nephrostomy Tube Information for patients and families UHN Read this information to learn about: what a nephrostomy tube is and why you may need one how to prepare for

More information

Central Venous Lines (CVP)

Central Venous Lines (CVP) 2011 Central Venous Lines (CVP) Central Venous Line This pamphlet is about a central venous pressure (CVP) line and why it may be needed. We would like to encourage you to read this pamphlet. The nurses

More information

Care of Your Wounds After Amputation Surgery by Paddy Rossbach, RN

Care of Your Wounds After Amputation Surgery by Paddy Rossbach, RN Care of Your Wounds After Amputation Surgery by Paddy Rossbach, RN Depending on the reason for your amputation and the state of your limb at the time of surgery, definitive closure of the wound may take

More information

MRSA Transmission. About MRSA

MRSA Transmission. About MRSA Minnesota Department of Health Fact Sheet 12/2007 Learning about MRSA (Methicillin-Resistant Staphylococcus aureus): A guide for patients About MRSA What is MRSA and why is it so serious? Staphylococci

More information