I'm doing a presentation for the clinical staff at the rehab hospital where I work. I've noticed that some of the nurses are making errors regarding PICC line maintenance and I wanted to fix them. I've found some research articles and some excellent videos online regarding dressing changes, flushing, etc, but I am missing a piece that I feel is vital to my mission... "tips and tricks".
What are some things you've learned from experience (and if possible, an article to provide EBP) regarding the maintenance of PICC lines? There are so many tiny details that can go NOT according to plan, how do you deal with them?
An example...Someone wrapped the tegaderm AROUND the picc line. Wouldn't come undone with alcohol OR adhesive remover. But you aren't supposed to use scissors, so what do you do? What if you nick the line?
I'm sure you've had experiences like this and learned from them, so if you could please share that'd be much appreciated!