Central Venous Access Devices - The Royal Marsden

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9. If necessary, remove the Statlock securing device, taking carenot to pull the catheter. Attach the PICC to the new Statlockbefore applying it to the skin.10. Open the transparent dressing and remove sheet 1.11. Place the dressing on the arm so that it covers the catheterinsertion site and the Statlock.Opsite IV3000StatlockInsertionsite12. Press the dressing into place as you remove sheets 2 and 3.13. Wrap the lumen/s in gauze to prevent pressing into the skin.14. Finally, place a bandage or tubigrip over the gauze, but not overthe transparent dressing, as it allows any moisture to escapefrom the site and helps to prevent infection.How do I flush the catheter?The catheter must be kept clear by injecting it (flushing) withheparinised saline. You will use 5ml (50iu) of heparinised salineonce a week, after your dressing has been changed. If you havea dual lumen catheter you must inject both tubes in the waydescribed. The injection caps will need to be changed once a weekat the time of flushing.8
Central venous access devices1. Wash your hands well, and dry them.2. Fit a blue needle on the end of the syringe.3. Break the heparinised saline ampoule as instructed.4. Draw up the heparinised saline and remove any air.5. Remove the needle from the syringe.6. Clean the connection between the cap and the catheter with analcohol swab, let it dry and then remove the old injection cap.7. Open the new injection cap and remove the plastic cover.8. Attach to the end of the catheter.9. Attach the syringe onto the cap.10. Slowly inject the contents of the syringe 1ml at a time.11. Remove the syringe, keeping the pressure on the plunger of thesyringe.12. Dispose of your used equipment as you have been told, into thespecial sharps container.What equipment will I be given?• A PICC pack containing ChloraPrep swabs to use when cleaningaround the catheter, Opsite IV3000 dressings, a Statlock, gauzeswabs, bandages and dressing packs.• A flushing kit containing needleless injection caps to seal endof the catheter, alcohol swabs, a supply of heparinised salineampoules as well as some needles and syringes.Further equipment will be supplied as necessary.How is the catheter removed?Taking out a PICC is not a special procedure. It will be similar tohaving a cannula removed. The nurse will place your arm on apillow and then remove the dressing. Then s/he will gently pullthe catheter out of the vein and apply a dressing to the site. Thisdressing can be removed after 24 hours.9
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Central Venous Access Devices - The Royal Marsden

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