Central Line Dressing Change

Card Set Information

Author:
pdnursekim
ID:
4108
Filename:
Central Line Dressing Change
Updated:
2010-01-12 19:52:34
Tags:
Nursing central line
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Description:
Steps to change a central line dressing
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  1. (1) PREPARATION FOR DRESSING CHANGE
    • 1. State indications for dressing change. If transparent dressing change at least every 7 days. IF gauze and tape dressing, change at least every 48 hours. Change dressing whenever it becomes contaminated, damp, or non-adherent.
    • 2. Gather equipment (dressing change kit, trash receptacle).
    • 3. *Wash hands.
    • 4. *Identify client.
    • 5. Explain procedure.
  2. (2) REMOVING THE OLD DRESSING
    • 1. Open dressing change kit. Don mask from the kit and non-sterile gloves.
    • 2. Request client turn head away from site or apply mask to client if condition necessitates.
    • 3. *Remove old dressing, take care not to dislodge the central line.
    • 4. Discard old dressing and gloves in proper receptacle.
  3. REPLACING THE DRESSING
    • 1. Cleanse hands.
    • 2. Don sterile gloves.
    • 3. Check insertion site for redness, swelling, drainage. State these items.
    • 4. Remove any visible dried drainage or blood with an alcohol swab.
    • 5. Pinch the wings on the Chloraprep applicator to release antiseptic. Cleanse in the following order:
    • a. Clean the insertion site. Press and release sponge against the insertion site to saturate the sponge.
    • b. Clean the central line.
    • c. Clean the surrounding skin using a gentle back and forth motion for at least 30 seconds.
    • 6. Allow skin to air dry.
    • 7. Apply transparent film dressing.
    • 8. Secure tubing ports with tape.
    • 9. Label dressing with date, time, and initials.
  4. (3) COMPLETING THE PROCEDURE
    • 1. Discard equipment and gloves appropriately.
    • 2. Wash hands.
    • 3. Document procedure, reason for dressing change, and site condition.

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