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Central Line Dressing and Cap Change Instructions, Lecture notes of Nursing

Instructions for changing the dressing and clear caps on a central line, including the supplies needed, steps to follow, and safety precautions. It also includes instructions for flushing the line with normal saline or heparin.

Typology: Lecture notes

2021/2022

Uploaded on 09/12/2022

ilyastrab
ilyastrab 🇺🇸

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Central Line Dressing Change Instruction Sheet
Supplies
Alcohol based hand sanitizer
Sterile gloves*
Sterile gauze*
Non-sterile gloves
Alcohol swabsticks*
Skin prep swabsticks*
Antibacterial wipes
Chlorhexidine sponge*
Dressing (with anchor piece)*
Yellow masks*
Chlorhexidine patch*
* Located in dressing change kit.
1. Clean work area with an antibacteral wipe and allow to
dry. Place supplies on work area. Remove dressing kit
from outer wrapper and place on work area.
2. Wash your hands with soap and water or use alcohol
based hand sanitizer. Take masks from top flap of kit and
put them on (everyone in the room needs a mask). Put
on non-sterile gloves at this time.
3. With non-sterile gloves on, remove the dressing starting
at the bottom and peeling up towards the top. Do not
touch the catheter insertion site. Check for signs of
infection (redness, pus, swelling). If you notice any of
these signs, finish the dressing change and call your
provider.
4. Remove non-sterile gloves and wash hands. Carefully
open dressing kit, only touching edges of the wrap.
Take sterile gloves packet from top of kit, place on a
clean, level surface, and put them on using sterile
technique.
5. Use alcohol swabsticks if needed to clean dried
blood on line. Then, using chlorhexidine sponge,
scrub skin using a back/forth motion (friction rub)
for 30 seconds. Allow area to air dry for 30 seconds.
Do NOT blow on or fan the area.
6. Apply chlorhexidine patch with BLUE side up (BLUE
to the sky) and with the slit under the catheter.
Spread the slit apart and place around the line or
hub of the catheter. Turn slit to 5 or 7 o’clock with
slit edges touching.
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Central Line Dressing Change Instruction Sheet

Supplies Alcohol based hand sanitizer Sterile gloves* Sterile gauze* Non-sterile gloves Alcohol swabsticks* Skin prep swabsticks* Antibacterial wipes Chlorhexidine sponge* Dressing (with anchor piece)* Yellow masks* Chlorhexidine patch*

  • Located in dressing change kit.

1. Clean work area with an antibacteral wipe and allow to dry. Place supplies on work area. Remove dressing kit from outer wrapper and place on work area. 2. Wash your hands with soap and water or use alcohol based hand sanitizer. Take masks from top flap of kit and put them on (everyone in the room needs a mask). Put on non-sterile gloves at this time. 3. With non-sterile gloves on, remove the dressing starting at the bottom and peeling up towards the top. Do not touch the catheter insertion site. Check for signs of infection (redness, pus, swelling). If you notice any of these signs, finish the dressing change and call your provider. 4. Remove non-sterile gloves and wash hands. Carefully open dressing kit, only touching edges of the wrap. Take sterile gloves packet from top of kit, place on a clean, level surface, and put them on using sterile technique. 5. Use alcohol swabsticks if needed to clean dried blood on line. Then, using chlorhexidine sponge, scrub skin using a back/forth motion (friction rub) for 30 seconds. Allow area to air dry for 30 seconds. Do NOT blow on or fan the area. 6. Apply chlorhexidine patch with BLUE side up (͞BLUE to the sky͟ ) and with the slit under the catheter. Spread the slit apart and place around the line or hub of the catheter. Turn slit to 5 or 7 o’clock with slit edges touching.

7. Draw a square with the skin prep swabstick, where the edges of the dressing will be sticking. Allow to dry. 8. Apply large dressing first. Remove the upper part of the backing without touching the sticky side. 9. Place dressing so chlorhexidine patch and catheter hub are visible through the window. 10. Remove the lower backing and arrange lines so they exit through the notch. Overlap edges of dressing to form a seal. 11. Slip the anchor piece under the lines and over the edge of the dressing. Remove backing one side at a time and smooth dressing down. 12. Write date on dressing. 13. Change clear caps. Follow provider orders for flushing. (See next page)