RELATED TOPIC:
Nursing Knowledge
A PICC line is a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near the heart. It is important to change the dressing regularly to prevent infection and ensure the line remains functional.
PICC line dressings have the function of covering and protecting the PICC insertion site, preventing infection and maintaining the line’s position.
Transparent film dressings are often used for visible inspection of the insertion site, allowing for a barrier to moisture but still being breathable. Some protocols may use sterile gauze and medical tape (e.g., when the client has an allergy to transparent dressing materials). Some types of dressings contain antiseptics to actively counteract microbial growth at the insertion site, such as chlorhexidine gluconate dressings. Hydrocolloid or foam dressings may be used if there is increased drainage or the client has fragile skin.
To change a PICC line dressing, gather the following supplies:
Before changing a PICC line dressing, check the client’s skin integrity and consider any allergies the client may have against dressing materials. Monitor the insertion site regularly for signs of infection.
Pre-procedure: preparing a dressing change
Potential complications of PICC dressing changes include infection, bleeding, and dislodgement of the catheter. These can be prevented by following proper hand hygiene, using sterile technique, and monitoring the site for any signs of complications.
The frequency of PICC line dressing changes depends on institutional policies, the care setting, and the client’s individual needs. Generally, transparent dressings are changed every 5–7 days or sooner if there are any signs of wear or compromise. Gauze dressings are often changed every 48 hours.
Documentation of a PICC dressing change should include the following and always according to institutional guidelines:
RELATED TOPIC:
Free Download
Master the topic with a unique study combination of a concise summary paired with video lectures.
USMLE™ is a joint program of the Federation of State Medical Boards (FSMB®) and National Board of Medical Examiners (NBME®). MCAT is a registered trademark of the Association of American Medical Colleges (AAMC). NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN®). None of the trademark holders are endorsed by nor affiliated with Lecturio.
Your free account gives you access to:
or
