bedbound-patient
Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your humidity, and cough hard.
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your family doctor’s office. Take your extra trach tube with you.
Instructed patient about Midline activities to avoid do not lift heavy items or do very hard exercise, such as shoveling. Do not use sharp objects near the catheter to avoid cutting or damaging it. Remind caregivers not to check your blood pressure or give needles in the arm where the catheter is placed.
Instructed patient what should you know about caring for your midline catheter: Hand washing: Always wash your hands with soap and water before touching the catheter or the area around it. Washing your hands will help prevent infection.
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.
Instructed patient catheters that present resistance to flushing and aspiration may be partially or completely occluded. Do not flush against resistance. If the lumen will neither flush nor aspirate and it has been determined that the catheter is occluded with blood, a declotting procedure per nurse may be appropriate.
Instructed patient training for patients and their caregivers who will be using the device at home should include how to: Recognize signs and symptoms of complications, such as redness, warmth, and pain associated with possible infection Contact appropriate healthcare providers, especially in emergency situations, respond to emergency situations; for instance, if bright red blood is seen in the tubing or canister, to immediately stop NPWT, apply direct manual pressure to the dressing, and activate emergency medical services.