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Infections (CLABSI)
catheters.
PICC line- A peripherally inserted central
(bacteremia)
Hemodynamic changes and organ dysfunction
CLABSI Definition
CLABSI is the term used by the US Centers for
A home care infusion company will give you the supplies needed to
care for the central line at home.
The central line is flushed daily to keep it from clotting. You are taught
how to do this by a nurse from your home care infusion company.
Change the dressing and cap weekly. Also change the dressing if it
comes loose and is no longer covering the exit site. A nurse will do
this until you are trained to do so.
Keep the central line safe by using the securing device supplied by
the home care infusion company and avoid tugs or pulls on the line.
Anyone else caring for your child, such as babysitters and teachers,
will need to learn central line safety and emergency care.
Nonspecific
Fever
Chills, shaking rigor
Hypotension, shock
Hyperventilation
Gastrointestinal
abdominal
Highly Suggestive of
Line Sepsis
pain
Vomiting
Diarrhea
Neurologic
confusion
seizures
Signs &
symptoms
Observe proper hand washing procedures with antisepticcontaining soap and water before you or anyone
accesses your line.
Dressing Changes-1
Replace the catheter dressing if it becomes damp,
Dressing Changes-2
Do not use topical antibiotic ointment or creams
on insertion sites.
Do not submerge the catheters under water.
Visually inspect site for swelling, erythema (redness)
or drainage. If any of these symptoms are present notify your
physician.
Do not use acetone or adhesive remover to remove old
dressings.
Transparent dressing material will release when stretched.
Chlorhexidine Alert . . .
Chlorhexidine should not be used as a skin
prep for:
Infants less than 2 months of age
Caution: change the cap when it has been removed for any reason or
any time the cap appears damaged, is leaking, blood is seen in the
catheter without explanation, blood residue in the cap or when cap has
been laid down on a non-sterile surface.
References