Term
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Definition
a. Explain procedure to patient/family
b. Establish sterile field
c. Open dressing kit and put on face mask.
d. For sites on the chest or neck, position patient with head turned away OR put a mask on patient. |
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Term
| Wearing clean gloves do the following: |
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Definition
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Term
| Precautions when removing dressing or cleaning around the area: |
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Definition
Do NOT use acetone or adhesive remover as these agents break down the material from which many catheters are made.
Do NOT use alcohol-based solutions or ointment. |
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Term
| After removing the old dressing, do this next: |
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Definition
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Term
| Once inspection is complete, do this next: |
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Definition
| Apply sterile gloves and open all packages of swabs. |
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Term
| Once sterile gloves are donned, do this next: |
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Definition
Cleanse skin with Chloroprep swab cleaning from the inside out.
Allow to dry.
Do NOT fan or blow on skin. |
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Term
| Acceptable cleansers for the area: |
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Definition
Chlorhexidine gluconate
Povidone iodine |
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Term
| What if my patient has a sensitivity to Chloroprep? |
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Definition
You may use alcohol in an outward circular motion.
Allow it to dry.
Then, clean catheter and tubing with alcohol from the insertion site upwards.
Then clean the site with Povidone-Iodine in an outward circular motion and allow to dry. |
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Term
Place this at insertion site of all central lines
* Immediately after insertion
* 24 hours after initial insertion
* Subsequent dressing changes |
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Definition
Absorptive dressing
Antimicrobial disk (if appropriate) |
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Term
| Positioning of Antimicrobial Disk |
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Definition
Slit is around catheter or needle
Grid side up (BLUE)
Foam surface next to the skin |
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Term
| Reasons antimicrobial disk might NOT be appropriate |
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Definition
ICN
Special Care Nursery
Site is draining |
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Term
| IF antimicrobial disk is not indicated use this: |
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Definition
Commercially precut 2X2
IF commercially precut 2X2 is NOT available, place one 2X2 under and one over catheter. |
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Term
| After placing antimicrobial disk or 2X2, do this: |
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Definition
Apply appropriate size transparent dressing.
Option: Tape/gauze may be used if skin sensitivity is present |
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Term
| After applying transparent dressing, do this: |
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Definition
| Form a loop of the tubing/catheter outside the dressing and anchor securely to the skin with tape. |
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Term
| After looping and securing the tubing, do this: |
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Definition
| Label site with date, time, initials. |
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Term
| After labeling the site, do this: |
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Definition
Document:
Dressing change
Condition of insertion site |
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