8
Triple Lumen
1. Place 1st anchor tape over
wings.
2. Cover site and 1st anchor
tape with transparent dressing
up to hub, but not over hub.
3. Place 1st anchor tape sticky
side up, under one extension
leg. Wedge tape between hub
and wings. Chevron anchor
tape on top of transparent
dressing.
4. Place 2nd and 3rd anchor
tapes sticky side up under
remaining hubs. Wedge tape
between hubs and wings.
Chevron anchor tape on top of
transparent dressing.
15. Verify Placement
A. PICCs should be positioned with the catheter tip in the lower 1/3 of the SVC. Verify correct catheter tip position using
radiography or other appropriate technology.
16. Power Injection Procedure
WARNING: PowerPICC SOLO
2
® catheter indication for power injection of contrast media implies the catheter’s ability to with
stand the procedure, but does not imply appropriateness of the procedure for a particular patient. A suitably trained clinician is
responsible for evaluating the health status of a patient as it pertains to a power injection procedure.
A. Remove the injection/needleless cap from the PowerPICC SOLO
2
® catheter.
B. Attach a 10 mL or larger syringe filled with sterile normal saline.
C. Aspirate for adequate blood return and vigorously flush the catheter with the full 10 mL of sterile normal saline. This will
ensure the patency of the PowerPICC SOLO
2
® catheter and prevent damage to the catheter. Resistance to flushing may
indicate partial or complete catheter occlusion. Do not proceed with power injection study until occlusion has been cleared.
WARNING: Failure to ensure patency of the catheter prior to power injection studies may result in catheter failure.
D. Detach syringe.
E. Attach the power injection device to the PowerPICC SOLO
2
® catheter per manufacturer’s recommendations.
F. Contrast media should be warmed to body temperature prior to power injection.
WARNING: Failure to warm contrast media to body temperature prior to power injection may result in catheter failure.
G. Use only lumens marked “Power Injectable” for power injection of contrast media.
WARNING: Use of lumens not marked “Power Injectable” for power injection of contrast media may cause failure of the
catheter.
H. Complete power injection study taking care not to exceed the flow rate limits. Do not exceed the maximum flow rate of 5
mL/sec.
WARNING: Exceeding the maximum flow rate of 5 mL/sec, or the maximum pressure of power injectors of 300 psi, may
result in catheter failure and/or catheter tip displacement.
WARNING: Power injector machine pressure limiting feature may not prevent over-pressurization of an occluded catheter,
which may cause catheter failure.
I. Disconnect the power injection device.
J. Replace the injection/needleless cap on the PowerPICC SOLO
2
® catheter.
K. Flush the PowerPICC SOLO
2
® catheter with 10 mL of sterile normal saline, using a 10 mL or larger syringe. Use of heparin
flush solution to lock each lumen of the catheter is optional.
• The PowerPICC SOLO
2
® catheter testing included 10 power injection cycles.
17. Suggested Catheter Maintenance
Caution: As reported in literature, anaphylactic or anaphylactic-like reactions occur in a small percentage of the population
during placement
1
, positioning
1
, flushing
2
of central venous catheters or cleaning of catheter exit site
3
. These reactions are
reported in association with insertion, rapid flushing, or manipulation of the catheter and/or use of chlorhexidine gluconate
(CHG) in some patients. Be aware of the potential symptoms or signs of these reactions and take precautionary steps as
dictated by institution protocol for their prevention or treatment.
Caution: If CHG allergy is suspected, confirmatory testing is recommended
4,5
.
A. Dressing Changes/ Exit Site Cleaning
Caution: Do not use scissors to remove dressing to minimize the risk of cutting catheter.
Caution: Do not suture through or around any part of the catheter’s tubing (shaft or extension legs). If using sutures to
secure catheter USE THE SUTURE WINGS and make sure they do not occlude, puncture, or cut the catheter.
Caution: The catheter must be secured in place to minimize risk of catheter breakage and embolization.
1. 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.
WARNING: Do not wipe the catheter with acetone-based solutions, tincture of iodine or polyethylene glycol-containing
ointments. These can damage the polyurethane material if used over time.
