Page 343 - CHHA Binder 2.3.20

4/11/2019

Central Line

Do Don’t

• Scrub using Chloroprep (chlorhexidine/alcohol) with back • Blot, fan or blow on the site to speed drying.
and forth motion for 30 seconds and let dry 2 minutes.
Cleanse at least 1 to 1.5 inches on all sides of port or • Use Chloroprep on children 2 months of age or younger.
catheter exit site.
• Use Chloroprep if patient allergic to chlorhexidine.
• Use 70% alcohol followed by povidone iodine or povidone
alone if Chloroprep cannot be used. Cleanse from center
outward using circular motion .
• Ensure saline and heparin syringes are in sterile package. • Place non-sterile syringes on the sterile field.
• Use the transparent semi-permeable dressing of choice. • Use gauze under transparent dressing unless severe
diaphoresis or drainage (expect some drainage after
insertion).
• Use gauze dressings unless copious drainage, or
diaphoresis.
• Don mask.
• Have patient turn away from the site.
• Measure the length of external catheter from exit at SOC
and with each dressing change.
• Measure the arm circumference 10 cm above PICC catheter
exit site at SOC and with each dressing change.
11

Needleless Connector Change

 Wash hands
 Don clean gloves.
 Utilize aseptic no touch technique throughout procedure.
 Attach 10 mL syringe containing 0.9% NaCl to cap and flush the
connector until drops of saline are noted at end of cap. Remove
syringe.
 Place connector aside.
 Cleanse area at junction of catheter and connector with 70% alcohol
swab vigorously for 15—30 seconds.
 Remove old connector and cleanse end with alcohol wipe. Allow to
dry.
 Attach new connector.

12

6