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Central Venous Catheter Dressing Change Guide

This document provides instructions for changing the dressing on a central venous catheter. It outlines 17 steps, with 15 steps marked as critical elements. The procedure involves maintaining sterile technique, gathering supplies, preparing and positioning the patient, removing the old dressing while stabilizing the catheter, cleaning the insertion site using circular motions working outward from the center, applying a new sterile biopatch and transparent dressing centered over the site, and proper documentation. The goal is to change the dressing while preventing infection and dislodging of the catheter.

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Alexandra Dtc
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416 views1 page

Central Venous Catheter Dressing Change Guide

This document provides instructions for changing the dressing on a central venous catheter. It outlines 17 steps, with 15 steps marked as critical elements. The procedure involves maintaining sterile technique, gathering supplies, preparing and positioning the patient, removing the old dressing while stabilizing the catheter, cleaning the insertion site using circular motions working outward from the center, applying a new sterile biopatch and transparent dressing centered over the site, and proper documentation. The goal is to change the dressing while preventing infection and dislodging of the catheter.

Uploaded by

Alexandra Dtc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Central Venous Catheter Dressing Change

Print Student Name ____________________________


S/U

Date ___________

Central Venous Catheter Dressing Change * Indicates a critical element


*Maintaining sterile technique is a critical element

Prior to Treatment:
a. Assess Patient need for treatment.
b. Assess doctors order
c. Gather equipment - Dressing change kit, clean gloves, disposable
mask for patient.
*Perform Entry Measures

Begin Procedure:
1.
Assist the patient to a 30 degrees position that provides easy access to
the insertion site.
2.
Apply surgical mask to patient. Have patient turn head to side
opposite central line.
*3.
Open sterile kit and remove mask from kit being sure to not
contaminate kit and put on mask.
4.
Put on non-sterile (clean) gloves
*5.
Carefully remove old dressing (and biopatch) without dislodging
catheter by lifting it distally and then working proximally, making sure
to stabilize the catheter with thumb.
6.
Properly remove gloves, with soiled dressing inside, & dispose of
gloves.
7.
Inspect site for erythema, signs of infection, stability of sutures.
*8.
Remove sterile glove pack from kit without contaminating kit. Open
sterile gloves and form a sterile field.
*9.
Open sterile biopatch and drop on sterile glove paper or in sterile kit.
*10. Apply sterile gloves following sterile technique.
*11. Grasp chloraprep and activate. Starting at insertion site, use a small
circular motion to clean off any old blood or drainage. Work outward
without ever going back to the center. Wipe area larger than new
dressing.
12.
Clean catheter lumen using one alcohol swab per lumen, wipe each
catheter lumen from insertion site outward. Allow to dry.
*13. Cover site with a new sterile biopatch (blue side up) and then open the
*14.

new sterile transparent dressing and place over the center of the site.

Remove gloves, label dressing with date, time, and initials, placing on
edge of dressing so as not to conceal insertion site. .
*15. Dispose of or remove equipment and supplies.
16.
Exit procedures
17.
Documentation should include the following:
a. Assessment of the insertion site including approximation of edges,
presence of sutures, staples, and condition of skin around insertion
site noting any redness, edema, or drainage present.
b. Patients response to procedure.

1/2015

S/U
nd

S/U
rd

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