I just wanted to say you did an excellent job. This video is a good resource and its clear you put a lot of time and effort into creating it. You even took the time to explain to the trolls the reasoning behind your technique when they conflated chlorhexadine and other disinfectants; you even messaged links to scholarly articles. Don't mind the ancillary staff trying to Monday night quarterback you with their limited knowledge. From the perspective of a CEN you did everything right.
Thank you for posting this video! I always worry about maintaining sterile technique with new skills and this was extremely informative with regards to sterility! Never thought of using the sterile gauze pads! Thanks again!
I had to have this for 6 weeks because I had sepsis. It was so painful and I hated having it changed every Friday a nurse would come and change it and it hurt so much. Watching this I can just feel all over again what it felt like.
Thank you for this video, so helpful! How would the Home care nurse know which port to use for what purpose? For example taking blood and giving an infusion of abx... they have 2-3 ports?
hammypie Usually the red lumen for blood draw because the lumen is bigger. If no red, then the purple lumen for the same reason. Lumen shouldn’t matter for infusions of antibiotics. I was taught to alternate the lumens to keep them open.
Hi John. Great and accurate demonstration. thank you. by the way, Can a Home health LVN in California perform the PIC line dressing change? Is it within the scope of a LVN? i will appreciate your prompt response. Thank you
What makes things difficult for me is in our hospital those wings on the picc line are usually sutured into the skin which makes the biopatch hard to anchor down any tips for that?
Hi, Great Question! CHG is meant to be scrubbed on the site to exfoliate the skin, this is why it works better at preventing infections. Unlike alcohol and provodine swabs that you do circles from inside to out and it lay on top of the skin some bacteria can hide. Chg you do a waffle pattern but the key is to scrub. Here is a good article about it: journals.lww.com/nursing/Citation/2003/11000/Is_your_skin_prep_technique_up_to_date_.15.aspx Is your skin‐prep technique up‐to‐date? MOUREAU, NANCY L. CRNI, BSN Nursing: November 2003 - Volume 33 - Issue 11 - p 17 I.V. Rounds
Matthew Zabala - calm down, you CAN go back with Chloraprep according to the literature, it’s not going to recontaminate. You cannot do this with alcohol though.
Thank you for your comment. You have made a very common mistake, there is a difference between the use of Betadine swabs and ChloraPrep applicator. Betadine swabs are used starting in the center with concentric circles until you reach the outside of what you wish covered. ChloraPrep is to be used scrubbing back and forth. BD has a great website with in-service videos for more information. www.bd.com/en-us/offerings/capabilities/infection-prevention/skin-preparation/chloraprep-patient-preoperative-skin-preparation-products/chloraprep-in-service-resources
Sharma Joyce Thank you for your comment. You have made a very common mistake, there is a difference between the use of Betadine swabs and ChloraPrep applicator. Betadine swabs are used starting in the center with concentric circles until you reach the outside of what you wish covered. ChloraPrep is to be used scrubbing back and forth. BD has a great website with in-service videos for more information. www.bd.com/en-us/offerings/capabilities/infection-prevention/skin-preparation/chloraprep-patient-preoperative-skin-preparation-products/chloraprep-in-service-resources
Not only that, he handled the bio ring with the same right "sterile" hand after handling the chloroprep that he touched several times with his bare hands prior to and while opening the sterile field. I would have understood of he kept that his "dirty hand" but the bio ring goes immediately around the insertion site.
Vito Labella thanks for the comment. How? There was an infection control nurse and OR nurse in the room during filming to ensure no break in sterility.
@@TCCoordinator around minute 5:15 it's the way you open the sterile gloves,,you touch to many inner surfaces,,,,look is minor stuff,,,I was a paramedic for 28 years,,,and I found if while training young medics if I overlooked minor stuff they got lax,,,,, BTW I get my PICC line Monday @ 1:30,,meds start Tues,,for 6 weeks than testing and maybe another 6 weeks,,,,,but all in all you did a great job and thanks for the video made me feel a lot better,,,God Bless
You're straight wrong Vito. He opened the sterile glove package and donned the gloves exactly right. What sterile procedures are you doing as a paramedic that make you such a great authority on the matter? And why didn't you cite the other 19 times?
I physically cringe when people DON'T use adhesive remover to take the dressing off. What about the people with extremely sensitive skin? Taking it off with your fingers is just going to make the skin raw... meanwhile adhesive remover is a little bit easier. I mean, that's how my mom changes mine - it's just my opinion, as a person with extremely sensitive skin.
