Clinical Assessment Preparation

CPNE Study Guide

Changing PICC Line Dressing: • Assess PICC line dressing: a) Appearance of insertion site (e.g., redness, inflammation) b) Presence or absence of drainage c) Insertion date d) Condition of dressing e) Last dressing change date f) Length of PICC Line • Prepare supplies using sterile technique • Maintain asepsis • Maintain sterile technique when indicated • Change PICC line dressing, if appropriate a) Remove dressing without contaminating the site b) Dispose of soiled dressing in the designated container c) Prepare dressing supplies using sterile technique d) Cleanse the site e) Apply transparent dressing without contaminating the site f) Secure line with tape to skin g) Label dressing with date, time, and initials

Important Steps to Remember: 1. Organize the equipment. Try to set it up in the order in which you will use it. Reaching over your sterile field will result in failure. 2. Open the PICC line dressing kit away from you. 3. You may remove the mask without touching anything else in the sterile kit. Put on the face mask with the white side facing you and the blue side facing the patient. 4. Put on a pair of clean gloves. 5. Gently peel off the old dressing. DO NOT pull or touch the catheter where it comes out of the arm. 6. Throw away the old dressing and gloves. 7. Wash your hands and put on a new pair of sterile gloves. 8. Check the skin for redness, swelling, bleeding, or any other drainage around the catheter. During the dressing changes, assess the external length of the catheter to determine if migration of the catheter has occurred. 9. Squeeze the sides of the Chloraprep stick contained in the package and clean the site using a circular motion. Begin sterilizing at the insertion site and work in an outward motion. 10. Allow the area to dry on its own for at least 30 seconds. Cover the insertion site with clear dressing. 11. Secure the PICC line with tape to skin. 12. Label dressing with date, time, and initials.

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