Instructed patient / caregiver keep the insertion site and dressing dry, do not go swimming as swimming pools not only harbor bacteria but a wet dressing is an ideal medium for bacterial growth, do not allow pets or young children to play with the PICC line.
Instructed patient caregiver seek professional help immediately if any discharge, redness, swelling or pain around the catheter insertion site is noticed.
Instructed patient caregiver knowledge of maintenance and care of PICC lines insures long term use. Problems, detected early, greatly decrease any complications that might be associated with this line.
Instructed patient / caregiver blood pressure readings in the arm cannulated with the PICC should be avoided.
Instructed patient / caregiver strenuous work, with hand cannulated, lifting objects greater than ten pounds, or repetitive motion should all be avoided.
Instructed patient / caregiver that if the catheter breaks, whether bleeding does or does not occur, do not panic. Using sterile gauze, apply sufficient pressure at the site so it is tightly and well covered and immediately report this to the physician. Maintain pressure on the site at all times.
Instructed patient what should you know about caring for your midline catheter: Loop extra tubing: If you have long tubing attached to your catheter, loosely loop the tubing together, and secure it with tape. This will help prevent the PICC or midline catheter from being pulled out of your arm by accident.
Skilled nurse performed PICC line dressing change , prepare to change your dressing in a sterile (very clean) way , Remove the dressing and check patient's skin, clean the area and catheter, place a new dressing, Tape the catheter to secure it and write down the date you changed your dressing.
Instructed patient about when should you seek immediate help? Call nurse or go to the emergency room if: The area around where the catheter enters your skin looks red, feels warm or painful, or it is oozing fluid. You see a red line going up your arm from the place where the catheter enters your skin. Your arm will also be painful.
Instructed patient flush PICC line after and before the procedure, resistance to flushing may indicate partial or complete catheter occlusion. Do not proceed with power injection study until occlusion has been cleared.