Foley catheter insertion
Procedures
Skilled nurse performed PICC line dressing change , prepare to change your dressing in a sterile (very clean) way , Remove the dressing and check patient's skin, clean the area and catheter, place a new dressing, Tape the catheter to secure it and write down the date you changed your dressing.
Instructed patient about when should you seek immediate help? Call nurse or go to the emergency room if: The area around where the catheter enters your skin looks red, feels warm or painful, or it is oozing fluid. You see a red line going up your arm from the place where the catheter enters your skin. Your arm will also be painful.
Instructed patient what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is If you have trouble passing the catheter into the trach and it feels tight, put a few drops of saline into the tube and try to suction again. Do not force the catheter; it may push the plug in further. If you are unable to remove the mucus plug, change the trach tube and try to suction again.
Instructed patient if you has a problem trouble flushing the PICC, unable to give medicines or fluid into catheter Unclamp it (if clamp is present). Remove the kink, if the catheter is not kinked or clamped, do not force the solution into the tube. Call the home care nurse to report the problem
Instructed patient avoid damage. Don’t use any sharp or pointy objects around the catheter. This includes scissors, pins, knives, razors, or anything else that could puncture or cut it. Also, don’t let anything pull or rub on the catheter, such as clothing
Instructed patient how long will the catheter be in their abdomen. Fluid buildup is not likely to stop in the abdomen. You may keep the catheter in place as long as you need it.
The patient was instructed in electrophysiology study cardiac mapping on care of the puncture site. The patient was advised that bruising of and around the insertion
site is normal. The patient was instructed in the importance of not smoking or using tobacco products. The patient was taught how to take the pulse for a full minute. The patient was advised the importance of leading a normal, productive life. The patient was instructed to understand what precautions to take at work and at home. The patient was advised the need to identify a health care facility near home and work.
Instructed patient / caregiver keep the insertion
site and dressing dry, do not go swimming as swimming pools not only harbor bacteria but a wet dressing is an ideal medium for bacterial growth, do not allow pets or young children to play with the PICC line.
SN instructed patient / parent to ensure the drain is below the site of insertion
but not pulling on the patient. Instructed the patient / parent that there is a risk of dislodgment, requiring increased care when moving. Patient should be aware that moving whilst drain is in situ will cause some pain, but this can be minimised with regular analgesia and the patient should be encouraged to mobilise with supervision when appropriate.
SN monitored the insertion
site, including its appearance and the condition of the dressing. Palpated the site to determine if it's edematous or tender. Instructed the patient to report any pain or discomfort as soon as possible and reinforced caregiver knowledge on proper IV medication administration, Advised the patient and caregiver to keep the IV access site clean and dry at all times, make sure the site is covered before bathing, and use hand wipes for hand hygiene.