8
9
9.
Insert and Advance the Catheter
• Insert the catheter into the Safety
Excalibur
*
Introducer sheath.
• Advance the catheter slowly. When
the catheter tip has advanced at
least 10 cm, the sheath
may be removed.
10.
Retract and Remove the Safety Excalibur
*
Introducer Sheath
• Stabilize the catheter position by applying
pressure to the vein distal to the Safety
Excalibur
*
Introducer sheath.
• Withdraw the Safety Excalibur
*
Introducer sheath from the vein and away
from the site.
• Split the Safety Excalibur
*
Introducer
sheath and peel it away from the
catheter.
P
e
r-
Q
-C
a
th
*
Catheter
P
e
r-
Q
-C
a
th
*
Catheter
11.
Complete Catheter Insertion
•
Continue to advance the catheter. For cen-
tral placement, when the tip has advanced
to the shoulder, have the patient turn head
(chin on shoulder) toward the insertion side
to prevent possible cannulation into the
jugular vein.
Caution: The Poly Per-Q-Cath
*
catheter fea-
tures a reverse-taper catheter design.
Placement of larger catheters at or below ante-
cubital fossa may result in an increased incidence of
phlebitis. Placement of PICC above antecubital fossa is
recommended.
• Position the arm at a 90° angle, maintaining sterility.
Complete catheter advancement into the desired position
(zero mark).
• Warning: This is not a right atrium catheter. Avoid
positioning the catheter tip in the right atrium.
Placement or migration of the catheter tip into the right atrium may
cause
cardiac arrhythmia, myocardial erosion or cardiac tamponade. The risk of
these complications may be more likely in neonatal patients.
Note: Resistance may be felt approximately 7 cm distal of catheter hub when
introducing the catheter into the sheath due to an increase in O.D. The intro-
ducer may be partially split, but not removed to facilitate insertion of the
catheter past this point if necessary.
12.
Remove the Stylet/ T-Lock Assembly
Disconnect the T-Lock from the
catheter Luer connector.
• Stabilize the catheter position by
applying light pressure to the vein dis-
tal to the insertion site.
• Slowly remove the T-Lock and stylet.
Zero mark
•
Withdraw the needle from the Safety
Excalibur
*
Introducer sheath.