PHI Clinical Policy
Professional Healthcare, Inc. 1 of 3 I240 PICC Line Dressing Changes
I-240 PICC Line Dressing Change
Purpose
Prevent infection.
Stabilize catheter position.
Monitor site and assure catheter integrity.
Applies To
Registered Nurses
Licensed Practical/Vocational Nurses
Other (Identify): _____________________________________________
Equipment/Supplies
4 alcohol swab sticks.
3 Povidone-iodine Swabstix.
Skin prep packets.
Sterile 2 x 2 gauze dressings.
Transparent dressing.
1 pair sterile gloves.
1 pair non-sterile gloves.
Masks (per agency protocol).
Heparin flush 100 units per ml
(2ml).
Special Considerations
PICC line dressing changes will use sterile technique.
The initial dressing (after first 24 hours) should have a gauze dressing just above
the insertion site to wick away any drainage.
The entire hub and extension set should be covered by the dressing.
If no drainage after the first 24 hours, a transparent, permeable membrane dressing
will be used to prevent migration of the catheter from the exit site.
Dressings must be changed more frequently for clients who are very active or
perspire profusely.
Dressing changes will be done weekly or per agency protocol and as needed if
dressing becomes loose or soiled.
Procedure
1. Obtain physician orders.
2. Explain the procedure to the client.
3. Wash hands. Refer to Hand Washing Procedure.
4. Assemble equipment.
5. Don mask per agency protocol.
