I knew it was not a correct Technique

  1. 1 My co-worker showed me how to do a PICC Line dressing change yesterday. I knew it was an incorrect technique because I reviewed the skill in youtube before. All my co-worker did was just removed the tecoderm and replaced it with a new one then dated it. What? What would you do if you were in that situation.
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    Visit  FutureRN_NP profile page

    About FutureRN_NP

    From 'The Big Apple'; Joined Sep '06; Posts: 140; Likes: 38.

    35 Comments so far...

  3. Visit  tokmom profile page
    8
    I wouldn't assume youtube was correct. I would follow the hospital policy and lay a copy by her charts, or wherever her stuff is at work and let it be.
  4. Visit  tojal1989 profile page
    2
    so whats the point of that? to "air it out" lol. My hospital has a kit.. with clean gloves take out tegaderm, put on sterile gloves and mask, remove biopatch, clean area with sterile solution on this swab (forget what its called), replace new biopatch, new tegaderm. some nurses put a bew stat lock some dont. Look up the policy in your hospital
    lindarn and Meriwhen like this.
  5. Visit  PeepnBiscuitsRN profile page
    3
    I would trust the PICC nurse who has probably done plenty of dressing changes, and was also specially trained to become a PICC nurse. If I've learned anything by now it's that how you do things in school, in a nice controlled lab atmosphere is not an accurate reflection whatsoever of the real world. If you watched a procedure on you tube I'm willing to bet it was done under very calm controlled conditions.

    I learned this real fast when it came to putting in a foley- yes I kept sterile, but the minute I started screwing around wrestling that stupid fenistrated drape and the other drape thingy, the preceptor I was with snatched it clean out of my hand and said that those things are nothing but a pain in the butt to try to finagle.
    Last edit by PeepnBiscuitsRN on Jan 29, '12 : Reason: typo
    lindarn, Meriwhen, and Aurora77 like this.
  6. Visit  K+MgSO4 profile page
    3
    Quote from tokmom
    I wouldn't assume youtube was correct. I would follow the hospital policy and lay a copy by her charts, or wherever her stuff is at work and let it be.
    bit passive aggressive don't you think?

    Would it not be better to have a conversation in private about this with the P & P in hand?
    canoehead, lindarn, and Amanda.RN like this.
  7. Visit  Ruby Vee profile page
    12
    Quote from k+mgso4
    bit passive aggressive don't you think?

    would it not be better to have a conversation in private about this with the p & p in hand?
    you're new? your co-worker isn't? leave it alone. read the policy and procedure for your hospital, do it correctly in your practice and if you're ever in the position of being a preceptor of course show your orientee the correct way. but leave your co-worker alone.
    Cat_LPN, canoehead, fromtheseaRN, and 9 others like this.
  8. Visit  Meriwhen profile page
    7
    You Tube is like Wikipedia: there's tons of useful information on it...but not always accurate informations since anyone with an account can post or edit material.

    I guess the same could be said for coworkers.

    I'd follow whatever procedure is outlined in your hospital's P&P.
    PsychNurseWannaBe, roemerr, lindarn, and 4 others like this.
  9. Visit  tokmom profile page
    1
    K+:Passive aggressive? Hmmm, I don't think so. The OP sounds new to the facility. I don't think approaching the nurse and telling her how it is done is wise. Quietly placing the PP gets your point quietly across. I didn't tell her to put the nurses name on it. Just simply place it in the vicinity and leave it be.
    lindarn likes this.
  10. Visit  shhhh profile page
    1
    Quote from tokmom
    K+:Passive aggressive? Hmmm, I don't think so. The OP sounds new to the facility. I don't think approaching the nurse and telling her how it is done is wise. Quietly placing the PP gets your point quietly across. I didn't tell her to put the nurses name on it. Just simply place it in the vicinity and leave it be.

    But with that plan, you're assuming that she'll actually read the policy. You know, like she was supposed to BEFORE she "changed" the dressing. Haha.
    lindarn likes this.
  11. Visit  Vespertinas profile page
    1
    Quote from PeepnBiscuitsRN
    I learned this real fast when it came to putting in a foley- yes I kept sterile, but the minute I started screwing around wrestling that stupid fenistrated drape and the other drape thingy, the preceptor I was with snatched it clean out of my hand and said that those things are nothing but a pain in the butt to try to finagle.
    WOAH! woah woah
    lindarn likes this.
  12. Visit  Vespertinas profile page
    1
    Quote from tokmom
    I didn't tell her to put the nurses name on it. Just simply place it in the vicinity and leave it be.
    The nurse would probably know who it came from or at least WANT to know who it came from. If this is the way many people are doing it on the unit maybe it would be better to bring up to the manager that it may be beneficial to the floor if everyone got a brief inservice on central line dressing changes. That way no one is singled out and everyone gets the education
    Woodenpug likes this.
  13. Visit  leslie :-D profile page
    3
    Quote from FutureRN_NP
    My co-worker showed me how to do a PICC Line dressing change yesterday. I knew it was an incorrect technique because I reviewed the skill in youtube before. All my co-worker did was just removed the tecoderm and replaced it with a new one then dated it. What? What would you do if you were in that situation.
    i would have tilted my head, given her one of these , and ask her, "aren't we supposed to change it according to the contents of the (sterile) kit?"...
    or something to that effect.
    afterall, you're new, so you can get away with (innocently) questioning her.

    that's how i would have handled it, anyways.

    leslie
    gaylarn4, catlvr, and psu_213 like this.
  14. Visit  turnforthenurseRN profile page
    1
    Look up the policy. My hospital has a kit, though the last kit I used didn't even have a biopatch in it So I usually just assemble my own. Kit comes with sterile gloves, mask, biopatch, chloraprep, liquid adhesive and tegaderm-like dressing. I put on the mask, tell the patient to look away and with clean gloves I remove the old dressing. Put on sterile gloves, clean it, put on a new biopatch and redress it. Date, time, initials. Dressings are good for 7 days if not visibly soiled, but that is my hospital's policy. Yours might be different.
    Meriwhen likes this.

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