Page 1 of 25 DESCRIPTION/OVERVIEW The purpose of this ...

CARE OF PEDIATRIC CENTRAL CATHETERS
Type of Line CVC Catheter Broviac Catheter Groshong Catheter Venous Access Ports Peripherally Inserted
Central Catheter (PICC)
Dressing: Use central line
dressing kit.
Type of Dressing: use a
bio-occlusive (Op-site,
Tegaderm, etc.) type of
dressing. Place a BioPatch
over the insertion site.
Frequency of Dressing
Change: change every 7
days or PRN loss of
occlusiveness. Change
BioPatch every 7 days.
Change non-occlusive
gauze dressings every 72
hours and PRN if dressing
is soiled or wet.
Type of Dressing: use a
bio-occlusive (Op-site,
Tegaderm, etc.) type of
dressing unless otherwise
ordered. Place a BioPatch
around the catheter at
insertion site.
Frequency of Dressing
Change: change every 7
days or PRN loss of
occlusiveness. Change Bio
Patch every 7 days.
Change non-occlusive
gauze dressings every 72
hours and PRN if dressing
is soiled or wet.
Type of Dressing: use a
bio-occlusive (Op-site,
Tegaderm, etc.) type of
dressing
Frequency of Dressing
Change: change every 7
days or PRN loss of
occlusiveness.
Change non-occlusive
gauze dressings every 24
hours and PRN if dressing
is soiled or wet.
Type of Dressing:
New Port Placement:
when the port is new,
steri-strips should be
applied to the incision and
the site should be left open
to air. After the site heals,
no dressing is necessary
unless port is in use.
Port in Use: when the
port is in use, the noncoring
(Huber) needle
must be secured and a bioocclusive
dressing should
be applied and left in
place until the needle is
changed. The needle is
left in place for up to 7
days.
Type of Dressing: use a
bio-occlusive (Op-site,
tegaderm, etc.) type of
dressing. Place a BioPatch
around catheter at
insertion site.
Frequency of Dressing
Change: the initial
dressing should be
changed within 24 hours.
After the initial dressing
change, the dressing
should be changed every 7
days or PRN. Change
BioPatch every 7 days.
Remove the dressing from
distal to proximal to avoid
pulling out the catheter.
For all catheter sites, clean the site with chlorhexidine prepstick in a scrubbing motion, working from side to side for 30 seconds. Also, clean the catheter with chlorhexidine.
Apply the dressing – be sure to coil the line before placing the tegaderm– up to – but not including the access ports. Observe the site for signs and symptoms of infection. Be
sure to date, time, and initial the dressing. Do not use BioPatch on Pediatric Oncology patients at this time.
Patients on the Pediatric Hematology/Oncology Service with broviac central line catheters will have the dressing changed every seven days, with the line coiled on top of a
sterile 2x2 gauze covered with a bio-occlusive dressing as per procedure listed within this document. If catheter is covered by a 2x2 gauze, the dressing will be changed every
72 hours.
Cap and Cap Changes
Frequency of Cap Changes: for all types of lines, needle-less access caps should be on all ports. Needle-less access caps should be changed
every 72 hours (3 days). If a hub-to-hub access is done for a blood draw or CVP reading, a new injection cap should be placed on the line when
finished.
Changing the Cap: Clamp all lines (except Groshong). Prep the cap/catheter hub for sixty seconds with an alcohol or chlorhexidine. Remove the
old cap and apply the new cap using sterile technique. Unclamp the line (if in use) and place a courtesy tab on the cap/hub. Be sure to date,
time, and initial the cap change on the courtesy tab.
_________________________________________________________________________________________________________________
Title: Venous Access Device
Owner: Clinical Education Department
Effective Date: 07/27/05
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