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STANDARDS:
* Management and care of Central Venous Catheters (CVC) may only be undertaken by
Registered Nurses accredited to give intravenous medication and Registered Nurses
accredited to give intravenous medication may undertake training to care for CVC.
* Central Venous Catheter dressings must be changed at least every 72 hours 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 chances 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
hospital stay of the patient.
* If infection does occur, arrangement must be made with the Physician for earliest
possible site change to be carried out.
SPECIAL
CONSIDERATIONS:
Patients with long term Central Catheters in place may carry out the procedures they
are familiar with under supervision of a qualified Nurse from Lismore Base Hospital,
while in hospital. Management of the Central Line by the patient must meet the standards set down by Lismore Base Hospital.
EQUIPMENT:
Dressing pack x 1 Hansapor (wound dressing) 15 cm x 8 cm x 1
Hibitane solution
Rubbish bin
R : 28.1
PROCEDURE:
*
Explain procedure to patient prior to commencement.
* Aseptic preparation prior to commencing procedure.
* Prepare dressing pack at bedside prior to positioning patient.
* Place patient in supine position.
* Remove old dressing and check site for discomfort, redness, inflammation and/ or
leakage of fluids
from around insertion site.
* Clean area around insertion site with Hibitane solution,
allow area to dry before applying
Hansapor dressing.
* Label dressing with time and date of change.
* Record date and time of dressing change on flow chart.
* Note in patient's chart condition of insertion site and inform Physician of signs
of infection.
Reviewed September 1995
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