background image

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 

____________________________________

Summary of Contents for Poly RadPICC

Page 1: ...adPICC Hydro Glide StatLock and Per Q Cath are trademarks and or registered trademarks of C R Bard Inc or an affiliate U S Patent 4 772 266 Copyright 2007 C R Bard Inc All rights reserved PK0714229 0703R Bard Access Systems Inc Salt Lake City UT 84116 USA 1 801 595 0700 Clinical Information Hotline 1 800 443 3385 Ordering Information 1 800 545 0890 Bard Access Systems I n s t r u c t i o n s F o r...

Page 2: ...tylet 3 Apply Tourniquet and Drape 4 Perform Venipuncture 5 Advance Guidewire 6 Remove Needle 7 Introduce Microintroducer 8 Measure Distance to Tip Location 9 Removing Dilator and Guidewire 10 Modification of Catheter Length 11 Insert and Advance the Catheter 12 Retract and Remove Microintroducer Sheath 13 Complete Catheter Insertion 14 Aspirate and Flush 15 Dress Catheter 16 Verify Placement 13 S...

Page 3: ...lowing air entry while changing injection caps hold the connector below the level of the patient s heart before removing the injection cap Place a finger over the needle to minimize blood loss and risk of air aspiration The risk of air aspiration is reduced by performing this part of the procedure with the patient holding his breath until the guidewire is inserted into the needle Product Descripti...

Page 4: ...lumen is opened or connected to other devices Precautions are intended to help avoid catheter damage and or patient injury I Prior to placement Examine the package carefully before opening to confirm its integrity and that the expiration date has not passed The catheter is supplied in a sterile package and is non pyrogenic Do not use if package is damaged opened or the expiration date has passed S...

Page 5: ... fossa is recommended 3 Release tourniquet 4 Set up the sterile field Bard Access Systems 6 Bard Access Systems 5 2 Preflush the Catheter and Stylet 1 Flush the catheter with heparinized saline solution or sterile water Note The catheter may be trimmed if a shorter length is required 2 Attach a syringe with heparinized saline solution or sterile normal saline to the Luer Lock fitting of the flush ...

Page 6: ...w antecubital fossa may result in an increased incidence of phlebitis Placement of PICC above antecubital fossa is recommended 5 Advance Guidewire 1 Introduce the guidewire through the nee dle advance the guidewire 15 to 20cm into the vessel Caution Do not advance the wire past the axilla without fluoroscopic guidance 6 Remove Needle 1 Release tourniquet Apply slight pres sure on the vessel above ...

Page 7: ...ir aspira tion The risk of air embolism is reduced by performing this part of the procedure with the patient performing the Valsalva maneuver or by attaching a syringe or injection cap to the dilator to reduce blood flow while trimming the catheter 10 Modification of Catheter Length Note Catheters can be cut to length if a different length is desired due to patient size and desired point of inser ...

Page 8: ...ize blood loss 14 Aspirate and Flush 1 Attach primed extension set and or saline filled syringe 2 Aspirate for adequate blood return and flush each lumen of the catheter to ensure patency Zero mark Single Lumen Dual Lumen StatLock Stabilization Device Procedure Single Lumen Dual Lumen Tape Strip Securement Procedure 1 Secure catheter with StatLock stabilization device 2 Cover site and StatLock sta...

Page 9: ...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 C a t h e t e r s w i t h M i c r o i n t r o d u c e r S e t When cleaning around your catheter Follow all instructions you are gi...

Reviews: