Bard Groshong PICC, Инструкция по эксплуатации, Страница: 17 / 20

15
Suggested Catheter Maintenance &
Catheter Removal
Suggested Catheter Maintenance
The catheter should be maintained in accordance with standard hospi-
tal 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
For intermittent use, flush the catheter with saline once each week
or after each use.
Note: When infusion volume is a concern in small or pediatric
patients, flush with 3ml per lumen.
Caution: To reduce potential for blood backflow into the catheter tip,
always remove needles or needleless caps slowly while injecting the
last 0.5 ml. of saline.
• Occluded or Partially Occluded Catheter
Catheters that present resistance to flushing and aspiration may be
partially or completely 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 procedure per
institution protocol may be appropriate.
Catheter Removal
• 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.