NURS 225 Lecture Notes - Lecture 14: Asepsis, Chlorhexidine, Blood Culture
4 Nov 2020
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Use sterile technique (chlorhexidine, sterile gloves, mask) Have patient face away from the site while changing to decrease risk of infection. Supplies: tape, skin closure strips, securing device (statlock, sakura catheter - this one is permanent, does not need to be replaced), tegaderm (semi permeable membrane dressing) **palpate the insertion site if not visible (covered in gauze or tape)** **do not stretch tegaderm, or it can cause adhesion failure** Aspirate and discard any locking solution if other than ns, low dose heparin or sodium citrate. Valved catheters (open picc, tunneled cvad) - 10ml ns. Non-valved (all others) - 10ml ns or 5ml (10u/ml) heparin or 3ml 4% sodium citrate - Use 20ml when flushing blood, lipids or anything that might crystallize. Every lumen needs its own flushing syringe requires a health provider order, use 2 syringes for each lumen. No more than every 96 hours but at least every 7 days.
