bedbound-patient
Procedures
Instructed patient maintaining a clean and dry dressing is paramount to a continued well functioning PICC line.
SN instructed patient about oxygen use precautions: Oxygen is a safe gas as long as it is used properly. Do not store your oxygen system near any heat sources or open flames. Do not smoke or allow others to smoke in the same room as your oxygen system, sparks from a cigarette could cause facial burns. Post “No Smoking” signs in the room where your oxygen is kept.
SN instructed patient/CG keep the skin around your biliary catheter dry. You can take showers if you cover the area with plastic wrap. If the area does get wet, dry the skin completely after you shower.
SN instructed patient/cg if you notice leakage of bile around the biliary tube, this may be a sign that the catheter is blocked, call your nurse.
Instructed patient / caregiver the arm with the PICC line must not be babied. Normal use, in fact increases blood circulation in that arm.
Instructed patient / caregiver inspect the site daily for any irregularities, such as swelling, redness, leakage or pain. If any irregularities or complications are noted, report them to a healthcare professional immediately.
Instructed patient / caregiver 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 / caregiver for minimizing problems associated with PICC lines, guidelines include: Always wash hands before touching the PICC line, do not allow any sharp objects near the line, do not clean the skin near the line with any acetone containing cleanser.
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.