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Discussion

PICC Line in school

Hi everyone, I am a school nurse at an elementary school - I was just informed by my supervisor that a student will be at school on Mon with a Picc and antibiotics are to be given during school hours. I have not had to work with a PICC in a few years, but, I looked at a couple of reference books and my mind has been refreshed. But, I am having a hard time finding any info on activities this student should refrain from (ex. PE?) Also, my office is also used for storage, so, I am worried about contamination. Any suggestions would be helpful.

Thanks!

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I'm not real sure! Do you have any state nurse consultants you can contact?

I would be worried about contamination as well.

Who provides this child's home/office care? They should be able to give you a policy/procedure to follow for infusion in school, infection control and guidance on school activities.

Sounds like this may be your opportunity to insist on a space dedicated to nursing in your school.

Thank you for helping this child!

The student should come with some sort of antibiotic protocol and specific instructions from the doc. Often times, it is hooked to a small portable pump, and infused over a span of time then disconnected. You just have to remember the SASH protocol (Saline, abx, saline, heparin) when infusing.

As far as activities - PE should probably be avoided. Way too easy for someone else to grab hold of it and give it a yank. It may be beneficial, depending on the age of the student to secure it a bit tighter to the arm with a little stockinette or surgilast.

I agree with Jolie - this is a good time to really drive home the importance of having unnecessary stuff stored in your office. Your office should be as clean and clutter free as possible.

There is a standard protocol for picc lines in Hootman, J. Quality nursing interventions in the school setting: Procedures, models, and guidelines http://www.nasn.org

There is also care plan info for central lines in In Individualized healthcare plans for the school nurse. C. Silkworth, M. Arnold, J. Harrigan, & D. Zaiger (Eds). North Branch, MN: Sunrise River Press. http://www.schoolnursebooks.com

Neither list activities the child cannot participate in. Check with the provider who writes the orders.

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