How To Do A Central Line Dressing Change
Set up your supplies on a clean surface on a new paper towel. Allow to air dry.

Central Line Or Picc Line Dressing Change Nursing Tips Nursing Students Nursing School
You will change your dressings in a sterile very clean way.

How to do a central line dressing change. Clean the end of the line with an alcohol wipe for 5 seconds and throw it away. If the gel pad becomes very squishy and swollen after a few days it is time to change the dressing. Dry with a clean paper towel.
It should be changed immediately. The central line dressings should be changed a minimum of every seven days every 48hr if gauze is used. The gel pad with the antimicrobial is placed directly over the catheter insertion site.
Gather the supplies and place them in. People admitted to intensive care units and those with chronic health care problems often require long-term vascular access. Explain procedure to the patient andor significant others.
Central Line Dressing Change. Change all TRANSPARENT arterial and central venous line dressings Q 7 days transparent and PRN to maintain occlusivity. Central Line Dressing Change - Nursing Skills - YouTube.
Roll of tape label and central line line dressing kit. Prepare to change your dressing in a sterile very clean way. Open the catheter dressing kit on a clean work surface Put on clean gloves Remove wet or soiled dressing from the catheter exit site dispose per school policy Inspect the area around the catheter for redness swelling or fluid drainage.
Flush the line gently see flushing section below. Wash your hands with soap and water for 30 seconds. Dry your hands with a clean paper towel.
Be sure to wash between your fingers and under your nails. If your lines are color-coded you can change clear caps using the color order red white and blue 4. Circumferential dressings around a wrist can compromise circulation of the hand.
The best way to learn is to practice as much as you can while your child is in the hospital. Open central line kit. Our ICU has recently adopted a 2-person dressing change policy because it has been found to decrease central line associated bloodstream infections.
Make sure the area is COMPLETELY DRY before applying the dressing as covering a damp area can be a source of irritation. Check for providone-iodine or tape allergy. Remove all jewelry from your fingers before washing.
Central venous access devices CVADs are. Attach the new clear cap and normal saline or heparin flush syringe to the line and unclamp line. Dressing Change Frequency.
If playback doesnt begin shortly try restarting your device. Gather all necessary equipment. Wash your hands for 30 seconds with soap and water.
Date that the line was placed Date that the dressing and tubing were last changed Issues with patency of lumens Ongoing assessment of necessity should occur in the new care setting. How do I change a central line u dressing. To assess the effect of the frequency of CVAD dressing changes on the incidence of catheter-related infections and other outcomes including pain and skin damage Gavin et al 2016.
If at any time the dressing peels becomes wet underneath becomes dirty etc. Using this method can be easier on sensitive skin. Videos you watch may be added to the TVs watch history and influence TV recommendations.
Wash your hands for 30 seconds with soap and water. The type of dressing your child has will determine how often it will need to be changed. An alternative central line dressing change is another way to change your childs central line dressing.
Preparing the work surface. Changing central line dressings can be a daunting task for nurses who do not work with them regularly. Organize supplies and equipment at bedside to decrease the amount of time that site is open to air.
Be sure to wash between your fingers and under your nails. Clean the work surface with disinfectant. Gauze dressings do not allow site visualization.
It takes training and practice to change a central line dressing.

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