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PICC Dressing Change (peripherally inserted central catheter) for Nurses

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NurseMinder

More and more, nurses are caring for patients with PICC lines both in hospitals and in the community and knowing how to complete a PICC Dressing Change is a nursing skill.
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This video demonstrates how to do a PICC Dressing Change (Peripherally Inserted Central Catheter) using a clean to sterile technique and goes through the equipment, the set up, the process. Includes assessment of arm circumference and catheter length, use of statlock securement device.

It is noted in the comments below that the second chlorhexidine swab is initiated at the outer border of the sterile field and brought in to the center. This should be started at the insertion site and cleansed outwards toward the patient's head. Also I realized the third chlorhexidine swab does not need to be turned over. Note that the side used under the IV line should stay upright when moving to the top of the line. I appreciate the Nurseminder Nation eyes that caught that. If I had access to the equipment still I would redo the video, but as with everything in life, it is not always a perfect set up.

The other method to use is a sterile to sterile technique in which you will put all your supplies inside a sterile field and then don your sterile gloves before working with the chlorhexidine swabs.

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