foley catheter/1000
Instructed patient assess PICC line site, line note any leakage from catheter or around the site. Note any redness, drainage or pain at the site.
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 seek professional help immediately if any discharge, redness, swelling or pain around the catheter insertion site is noticed.
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.
Skilled nurse remove PICC,line per doctor order, the catheter tip should also be examined and there is no breakage at the end, no S/S of infections noted. Skilled nurse applied at the insertion site with sterile gauze to prevent bleeding which and when the bleeding stops, the gauze is removed and a sterile dressing is applied. Instructed patient the dressing should remain for approximately 24 hours. After this time, the site should be assessed and a new dressing applied if needed. Patient understand the instructions given.
Instructed patient Wipe the connecting ends of the drainage bag with alcohol or iodine before you reconnect the bag to the tube. This helps prevent infection. Instructed patient check the catheter to be sure it is in place after you change your clothes or do other activities. Do not wear tight clothing over the tube. Place the tubing over your thigh rather than under it when you are sitting down. Be sure that nothing is pulling on the nephrostomy tube when you move around.
Instructed patient in medications Vancomycin and Cefepime treats bacterial infections. Instructed patient about Midline activities to avoid Bathing: Caregivers may tell you to take showers rather than baths to help prevent infection. When bathing, keep the area where the catheter is inserted covered and sealed with plastic wrap. This will keep the area of skin and the bandage dry, and help prevent an infection.
Instructed patient check your skin where the catheter enters it every day. Look for signs of infection and other problems. Instructed patient call your health care provider if you: Have bleeding, redness or swelling at the PICC line or Midline site, have pain near the site or in your arm, have signs of infection (fever, chills), are short of breath.
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.