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Comment on this procedure
STANDARDS:
* Registered Nurses accredited towork with pressure lines in an Intensive Care Setting and Registered Nurses training to work in an Intensive Care Setting under the supervision of an accredited Registered Nurse may manage Radial/Femoral Arterial Lines
* Arterial Catheter dressings must be changed at least every 48hrs or when dressing becomes soiled.
* Area around catheter insertion site will remain free from any signs or symptoms of possible infections.
* Area around catheter insertion site will remain aseptic to decrease changces of possible infection.
* Any sign of infection or possible infection will be reported to the Physician for assessment at the earliest possible moment.
OUTCOMES:
* The area around the catheter insertion site is to remain infection free during the hsopital stay of the patient.
* If signs of infection do occur, arrangements must be made with the Physician for earliest possible site changed to be carried out.
EQUIPMENT: Dressing pack x 1 Hansaport wound dressing 15cm x 8cm x 1cm
Hibitane solution Rubbish bin
Micropore tape Overbed table
R : 35.1
PROCEDURE:
* Explain the procedure to patient prior to commencement.
* Aseptic preparation prior to commencing procedure.
* Prepare dressing pack at bedsie on overbed table prior to positioning patient.
* Remove armband and place arm on bed with dressing facing up. If patient restless have second nurse to secure limb to avoid accidental removal of arterial line.
* Remove old dressing and check site for erythema, drainage, tenderness, suture integrity and catheter position.
* Clean area around insertion site with Hibitane solution, allow area to dry before applying Hansapor dressing. Ensure pressure line loops over top of Hansapor dressing.
* Use micropore tape to secure pressure line and transducer so it will not interfer when armboard placement.
* Replace armboard and secure with velcro straps.
* Check monitor to ensure adequate wave form, depressed wave form may indicate a bend in the arterial line.
* Label dressing with time and date of change.
* Record date and time of next dressing change on flow chart.
* Note in patient's chart condition of insertion site and inform Physician of signs of infection.
Ref: Maki G (1994), Infection Associated with Indwelling Medical Devices, 2nd Ed., Ch 8, pg 188-189
Reviewed February 1996
R : 35.2
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It was originally posted on 6/5/98; 2:28:01 PM.
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DRAWING BLOOD SAMPLES FROM A RADIAL/FEMORAL ARTERIAL LINES ON ADULT PATIENTS |
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