75au78

if surgeons don't leave specific dressing change orders for their incisions, then what is the consensus on cleansing and dressing simple incisions such as a hip or knee incision w/staples. ns/gauze? also, when is it usually okay to allow the patient to shower after surgery, if they still have their staples/sutures, but are no longer draining? thanks

I have a question regarding PICCs (or central lines, in general). I have seen nurses flush all three lumens of a Triple-lumen PICC with a single 10ml prefill NS syringe and then a single heparin prefill syringe, and I have also seen nurses flush each lumen with it's own 10ml prefill syringe (3 individual NS syringes and then three individual heparin syringes). Our prefills include enough NS in 1 syringe to flush all 3 (we use 2ml NS each lumen), but I was taught to use a different syringe for each lumen. Which is the correct way, and why? I thought about the contamination issue, but if one lumen is contaminated, the whole line is bad anyway. Thanks for any help anyone can provide.

Do you have to use a separate syringe for each lumen on a multi-lumen PICC (as in 3 NS prefill syringes, and 3 heparin prefill syringes if flushing a triple-lumen PICC) and, if so, why? Also, if you're just doing the routine flush (no meds), do you need to flush with NS first, or just heparin? I've seen too many variations in this process, and nobody on my floor can give me a clear answer on this. Thanks.