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I n s e r t i o n I n s t r u c t i o n s
1. Identify the Vein and Insertion Site
1. Apply a tourniquet above the anticipated insertion site.
2. Select a vein by assessing patient anatomy and condition. Recommended veins are cephalic, basilic
or median cubital basilic. The
PowerPICC* SV
catheter features a reverse-taper catheter design.
Caution: Placement of larger catheters at or below antecubital fossa may result in an increased
incidence of phlebitis. Placement of
PowerPICC* SV
catheter above antecubital fossa is recom-
mended.
3. Release tourniquet.
4. Set up the sterile field.
2. Preflush the Catheter and Stylet
1. Flush the catheter with heparinized saline solution or sterile normal saline.
Note:
The catheter may be trimmed if a shorter length is required.
Optional:
For use only when the catheter is not inserted using the over the wire
insertion technique.
2. Attach a syringe with sterile normal saline to the Luer Lock fitting of the flush through
stylet hub.
3. Inject enough solution to wet the stylet surface entirely. This will activate the hydro-
phyllic coating, making the stylet surface very lubricious.
4. Remove the stylet from its holder and insert it into the catheter. If the catheter has been trimmed, only advance the stylet to
the distal end of the catheter.
Note:
If the surface of the stylet becomes dry after removal from the holder, wetting with addi-
tional sterile normal saline will renew the hydrophyllic effect.
5. The catheter stylet assembly can now be introduced as described in the following information.
3. Apply Tourniquet and Drape
1. Position arm at 90° angle.
2. Re-apply the tourniquet above the intended insertion site to distend the vessel.
3. Prepare the site according to institution policy using sterile technique.
4. Drape the patient by placing the fenestrated drape over the anticipated puncture site.
5. When alcohol is used as a skin prep, it must be allowed to completely air dry.
4. Perform Venipuncture
1. Remove the needle guard and attach a syringe.
2. Introduce the needle into the vessel and observe for flashback.
3. When the vein has been entered, remove the syringe leaving the needle in place.
WARNING: Place a finger over the needle to minimize blood loss and risk of air aspira
-
tion. 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.
Caution:
Avoid placement or securement of the catheter where kinking may occur, to
minimize stress on the catheter, patency problems or patient discomfort.
Caution:
The
PowerPICC* SV catheter features a reverse-taper catheter design. Placement of larger catheters at or below
antecubital fossa may result in an increased incidence of phlebitis. Placement of the
PowerPICC* SV
catheter above antecu-
bital fossa is recommended.
5.
Advance Guidewire
1. Introduce the guidewire through the needle; advance the guidewire 15 to 20 cm into
the vessel.
Caution:
Do not advance the wire past the axilla without fluoroscopic guidance.
6. Remove Needle
1. Release tourniquet. Apply slight pressure on the vessel above the insertion site to
minimize blood flow.
2. If necessary, enlarge the puncture site with a #11 scalpel blade.
3. Leaving the guidewire in place, withdraw the needle.
7. Introduce Microintroducer
1. Introduce the microintroducer assembly over the guidewire. Using a twisting motion,
advance the assembly into the vessel.
