A PICC LINE NEGLECTED IS A PICC LINE INFECTED

							    A PICC LINE
NEGLECTED IS A PICC
  LINE INFECTED
  Clinical Guideline
        (Adult)
      The Clinical Question


In adult patients with PICC lines, what
 are the best practices related to routine
      care, medication infusion, and
      maintaining patency to reduce
              complications?
       COMPLICATIONS
 Heparin-Induced    Thrombocytopenia
  Syndrome (HITS)
 Allergic reaction to heparin

 Catheter occlusion

 Catheter Related Blood Stream
  Infections (CRBSI)
     PREVENTION
Avoid  cross-contamination of
 lumens
Keep end-caps tight

Maintain proper hand hygiene

Normal saline instead of
 heparin
    ROUTINE CARE & DRESSING
           CHANGES
   Initial & Routine
      24 hrs post insertion

      Every seven days

   Maintain sterile/aseptic
    technique
      Surgical mask, non-
       powdered sterile gloves,
       sterile dressing change
       kit
   Indications for dressing change
      Soiled, raised, loose, torn, or
       damp
     MEDICATION INFUSION
   Clean port
     Scrub vigorously
      with an alcohol
      swab

   Flush using SIS
    method
     10mL syringe or
      larger
MAINTAINING PATENCY
             Assess Patency
                Upon initial
                 assessment
                Before administering
                 medications
                At least every 8
                 hours
             Use 0.9% sodium
              chloride (normal
              saline)
    DATABASES USED…

 CINAHL

 MedLine
QUESTIONS???
Thank you for your time!