PICC Line Dressing change

[iowa27]

OK, I'm sure this has been discussed many times over somewhere in this forum, but I haven't been able to see any discussion to my specific concern.

I'm a "returning to the field" nurse after years of doing more "desk type" nursing.

Anyway, I'm starting to work with PICCs and having a hard time removing the dressing. I'm pulling from the outside and working inward all the way around, but when I finally get to the insertion site, I'm very worried about pulling the line out due to the stickiness of the dressing. What has everyone found as the best way to avoid this problem?

Thanks in advance

[Wuzzie]

4 hours ago, eileendg1989 said:

If you say so.  All you prove is that you have a lot of time on your hands to spend posting.  You must've pulled out quite a few.  

Never pulled out one but have replaced many pulled out by ED nurses who think they know more than the people who put them in. Do you place PICCS? If not, why are you even arguing with me? It makes no sense. Also, resulting to insults is telling.  At any rate, have a nice day. 
 

[delrionurse]

8 hours ago, eileendg1989 said:

If you say so.  All you prove is that you have a lot of time on your hands to spend posting.  You must've pulled out quite a few.  

Actually if you go to your video, you will see that she pulls toward the insertion site when removing, not away. 

[Wuzzie]

2 hours ago, faithjohn said:

Actually if you go to your video, you will see that she pulls toward the insertion site when removing, not away. 

I didn’t  look at the video.  Thank you for pointing that out. LMAO. Also the line in the video isn’t even a PICC line. 

[eileendg1989, RN]

I don't know what to tell people here.  All videos I checked (I am now doubting myself) is exactly how I was trained.  Remove old dressing in the direction of the line is going.  See below...I even asked by director for the floor I work at.

 

[Wuzzie]

Even in this video they are removing it toward the insertion site. Maybe you are confused with the wording. In your first post you said to "pull away from the insertion site" but now you are saying in the direction the line is going. Two very different things. Did you choose the wrong words?

[Nursetom1963, BSN]

Why don't you see if you can spend a little time with the PICC Nurse and get some feedback? And maybe a crash course on current PICC  indications, care, and whatever else?

 

[Tenebrae, BSN, RN]

On 2/26/2022 at 9:45 PM, eileendg1989 said:

If you say so.  All you prove is that you have a lot of time on your hands to spend posting.  You must've pulled out quite a few.  

Can we quit it with the 'I'm a much better nurse than you are' ***?

[eileendg1989, RN]

Absolutely Wuzzie, that's what I meant, away from the insertion but towards the needle.  I worded it wrong.  Thanks for your patience.

[Wuzzie]

5 hours ago, eileendg1989 said:

Absolutely Wuzzie, that's what I meant, away from the insertion but towards the needle.  I worded it wrong.  Thanks for your patience.

I think you’ve got the concept but your wording is still not quite correct and this could prove troublesome in the future. The insertion site is where the PICC enters the skin. I think that is what you are referring to as the “needle”. You pull the dressing away from the hub which is what I think you are referring to when you say the insertion. This may be a colloquial difference.