FOLEY CATHETER CARE
Procedures
Instructed patient / caregiver if the catheter breaks, whether bleeding does or does not occur, do not panic. Using sterile gauze, apply sufficient pressure at the site so it is tightly and well covered and immediately report this to the physician. Maintain pressure on the site at all times.
Instructed patient caregiver seek professional help immediately if any discharge, redness, swelling or pain around the catheter insertion site is noticed.
Instructed patient / caregiver that if the catheter breaks, whether bleeding does or does not occur, do not panic. Using sterile gauze, apply sufficient pressure at the site so it is tightly and well covered and immediately report this to the physician. Maintain pressure on the site at all times.
Skilled nurse remove PICC,line per doctor order, the catheter tip should also be examined and there is no breakage at the end, no S/S of infections noted. Skilled nurse applied at the insertion site with sterile gauze to prevent bleeding which and when the bleeding stops, the gauze is removed and a sterile dressing is applied. Instructed patient the dressing should remain for approximately 24 hours. After this time, the site should be assessed and a new dressing applied if needed. Patient understand the instructions given.
Instructed patient in medications Vancomycin and
Cefepime treats bacterial infections. Instructed patient about Midline activities to avoid Bathing: Caregivers may tell you to
take showers rather than baths to help prevent infection. When bathing, keep the area where the catheter is inserted covered
and sealed with plastic wrap. This will keep the area of skin and the bandage dry, and help prevent an infection.
Instructed patient flush PICC line after and before the procedure, resistance to flushing may indicate partial or complete catheter occlusion. Do not proceed with power injection study until occlusion has been cleared.
Instructed patient catheters that present resistance to flushing and aspiration may be partially or completely occluded. Do not flush against resistance. If the lumen will neither flush nor aspirate and it has been determined that the catheter is occluded with blood, a declotting procedure per nurse may be appropriate.
Instructed patient if you have Fever, chills, tenderness, redness, or pus at the catheter site, Swollen arm, Check your child’s temperature and call the doctor right away.
Instructed patient it is very important to prevent infection, which might require removal of the PICC line. The nurse will show you how to keep your supplies sterile, so no germs will enter the catheter and cause an infection.
Instructed patient if you have fever, chills, tenderness, redness, or pus at the catheter site or swollen arm,check your child’s temperature, and all the doctor right away.