PICC line list for patients

[gonzo1, ASN, RN]

Our unit has decided we need an information sheet to give our pts getting a PICC line so they will know what to expect. We have a problem with pts refusing CHG baths and such.

I suggested that we make a list of what to expect while having a picc line in.

So far I have CHG bath every 24 hours, linen and gown change, line flush every 12 hours, antiseptic caps on injection hubs.

Alot of our patients wear their own clothes (part of the Hilton experience) but we find them wearing the same thing every single day for days. Any ideas on how we can nicely and descretely say they need fresh clothes after every bath?

I think we need to come up with an information sheet on what to expect while the PICC line is in so they won't be shocked. What do you wish your PICC line pts knew before they got the line.

I also intend to list a couple of good things about having a PICC such as labs being drawn by RN and not getting stuck all the time. Any thoughts on the subject would be greatly appreciated.

[IVRUS, BSN, RN]

I understand that in many Hospital settings, a CHG daily bath is part of the central line protocol. But, outside of the hospital walls, I don't know one institution, or home care agency that has that as a policy. Also, many Infectious Disease Doc's DO NOT want you doing lab draws from any central line due to increase infection risks. That being said, patients must know that there will be a sterile dressing placed on top of the IV catheter and that dressing must remain, C/D/I. Also, they need to alert you if the line gets tugged on, and they never should push it back in. Showers for every patient requires you as the nurse to adequately protect the line each and every time. Alcohol caps for the end of the needleless connector are single dose items. Because PICC's are one type of Central line, all types of medications can infuse through them. Let me know if you have questions.