Bard Access Systems
13
S u g g e s t e d C a t h e t e r M a i n t e n a n c e
The catheter should be maintained in accordance with standard hospital protocols.
Suggested catheter maintenance is as follows:
• Dressing
Changes
Assess the dressing in the first 24 hours for accumulation of blood, fluid or moisture
beneath the dressing. During all dressing changes, assess the external length of the
catheter to determine if migration of the catheter has occurred. Periodically confirm
catheter placement, tip location, patency and security of dressing.
• Flushing
Flush the catheter with heparinized saline every 12 hours or after each use. Usually, one
ml per lumen is adequate.
• Occluded or Partially Occluded Catheter
Catheters that present resistance to flushing and aspiration may be partially or complete-
ly 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 proce-
dure per institution protocol may be appropriate.
• When cleaning the exit site
WARNING: Do not wipe the catheter with acetone based solutions, or ointment. These
can damage the polyurethane material if used over time.
Do: • Maintain according to hospital protocol. Avoid using acetone based solutions, or
ointment. These substances are known to degrade polyurethane.
• Use chlordexidine gluconate or iodine to clean the exit site around the catheter.
• Allow all cleaning agents / antiseptics to dry completely before applying dressing.
C a t h e t e r R e m o v a l
•
Remove dressing.
•
Grasp catheter near insertion site.
•
Remove slowly. Do not use excessive force.
•
If resistance is felt, stop removal. Apply warm
compress and wait 20-30 minutes.
•
Resume removal procedure.
Important: Please fill
out the patient information card
and separate from booklet.
Fold on the crease provided
and give to the patient for them
to keep at all times.
Note: See other side for special
instructions for care and maintenance.
Please fill this card out
and keep on your person at all times
Bar
d Access Systems, Inc.
Salt Lake City
, UT
USA
841
16 801-595-0700
Clinical Hotline: 1-800-443-3385 Ordering: 1-800-545-0890
www
.bardaccess.com
Home Healthcare
Agency
______________________________
Agency Phone No.
( )
______________________________
______________________________________________________
_
_
Patient Information Card
Bard Access
Systems
Catheters with
Micr
ointr
oducer
Set
When cleaning around your catheter:
-
Follow all instructions you are given by your hospital or home health
facility
.
-
Use chlorhexidine gluconate and/or povidone iodine to clean
around the catheter
.
Always remember the following warning when
cleaning and caring for your catheter:
-
Allow all cleaning materials and antiseptics to dry completely
before putting on a clean bandage.
Catheter Maintenance
-
Flush the catheter with heparinized saline every 12 hours or after
each use. Follow the instructions of your nurse for the exact amount.
Bard Access
Systems
W
ARNING
!
When cleaning or changing the bandage
(dressing) around your catheter
, do not clean the catheter
with ointment or with solutions that contain acetone. (Check
label for these ingredients.)
These can damage the
polyurethane material if used over time.
Bard Access
Systems
•
Caution: The catheter must be secured in place to minimize the risk of catheter break-
age and embolization.
•
Warning: When using alcohol or alcohol containing antiseptics with polyurethane
PICCs, care should be taken to avoid prolonged or excessive contact. Solutions
should be allowed to completely dry before applying an occlusive dressing.
Chlordexidine gluconate and/or povidone iodine are the suggested antiseptics to use.
•
Warning: Alcohol should not be used to soak or declot polyurethane PICCs because
alcohol is known to degrade polyurethane catheters over time with repeated and pro-
longed exposure.
•
Warning: Acetone and polyethylene glycol containing ointments should not be used
with polyurethane catheters,as these may damage the device.
16. Verify Placement
•
Verify catheter tip location radiographically.
Patient’
s Name
____________________________________________
Doctor
____________________________________________________
Doctor
’s Phone No.
( )
________________________________
Date of Insertion
__________________________________________
Catheter Product Code
____________________________________