ACTIVE LEARNING TEMPLATE: Nursing Skill
Victoria Hagan
STUDENT NAME _____________________________________
PICC Line Care
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Skill
A physician, surgeon, or a RN thats has been specially trained can insert a catheter into the peripheral extremity through the
cephalic, or basilic vein that is positioned into the superior vena cava where medications, TPN, blood, and other substances
can be high diluted to avoid injury to surrounding tissues.
Indications CONSIDERATIONS
-patient needs PICC long-term for chemo, Nursing Interventions (pre, intra, post)
antibiotics, and TPN. This can also be used
-Patient need and eligibility for PICC. RN needs to
short-term if the medication that needs to be assess for any contraindications for PICC line
administered is highly damaging to the (infection to arm, dialysis line, lymphedema).
surrounding tissues through a normal IV line. - RN will assist with gathering supplies and assist
Also can prevent the patient from being with procedure is necessary.
stuck for blood draws, but can only be drawn - obtain X-ray to verify placement before using PICC.
RN will assess for pactency, change dressing using
by an RN not lab.
sterile technique keeping the dressing free of being
solided. RN will assess for signs of infection.
Outcomes/Evaluation
Client Education
- Patient will have fewer needle sticks
-Keep site clean and dry, do not take bath and
reducing risk of infection. get dressing wet. Cover with shower guard to
-PICC will remain free of infection, bleeding, prevent the dressing from being solided. Do
and any other complications. Tubing will not allow BP to be taken in the arm with the
remain patent and patient will be able to PICC. Report signs of infection (pain, redness,
receive TPN and other medications. swelling, bad smelling drainage). Report signs
of SOB or if the PICC is accidentally removed.
Potential Complications Nursing Interventions
- Infection, bleeding, blood clots, occlusion, -prevent tubing from dangling to reduce the risk
accidental removal, and air embolism. of infection or line being moved. assess
dressing every shift to prevent infection from
taking place. Assess patency and ease of being
bale to flush line, assess for occlusion to
prevent blood clots from breaking off. notify NA
that patient is save right/left arm to prevent BPs
being taken on that arm. Monitor patient for
signs of infection or SOB.
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9
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