peripheral line insertion

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Hi Guys,

When inserting a peripheral line what do you use to cleanse the skin with? We currently use sterets which contain 70% isopropyl alcohol. :down:That aint gud!!!!!!!!Do you use different solutions dependant on gestational age? Cheers :bow:

Specializes in nicu.

we recently changed to 2% chlorahexadine. i don't think that is good for the skin either!

Specializes in NICU, PICU, educator.

Chlorohex...we wipe it off with saline wipes.

We use Betadine and used to wipe it off with alcohol, but we changed to Betadine and sterile saline wipes.

We dont use chlorahexadine at all in our unit. We use betadine and alcohol.

Specializes in PICU, ICU, Transplant, Trauma, Surgical.
Chlorohex...we wipe it off with saline wipes.

:yeahthat:

Specializes in NICU.

For regular peripheral IVs we use 70% alcohol wipes, no wiping it off.

For PICCs, we use chlorhex, and again, don't wipe it off.

Wasn't sure which you meant!

Specializes in Level III NICU.
For regular peripheral IVs we use 70% alcohol wipes, no wiping it off.

For PICCs, we use chlorhex, and again, don't wipe it off.

Wasn't sure which you meant!

Ditto for us. Our PICC kits come with the chlorohexadine preps in them.

Specializes in NICU.

Does depend on the age of the baby...for ELBW babies we do not use any alcohol- use betadine for any invasive procedures followed by sterile water. but for term babies we just use alcohol for PIV's and chlorhexidine/betadine for PICC's/midlines.

Specializes in NICU.
Chlorohex...we wipe it off with saline wipes.

That's what we do too.

Thanks guys. We don't use bethadine cos of the risk of iodine absorption through the skin with the risk of thyroid problems. It is hard trying to strke a balence between infection control and protecting the integrity of the skin!!!:

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