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GROSHONG® CATHETER CARE AND MANAGEMENT PROCEDURE
TO THE GROSHONG® CATHETER PATIENT
 You
now have a semi-permanent central venous catheter. This catheter
gives us access to your veins without inserting a needle into your
hands or arms. This catheter requires weekly care. It must be flushed
with saline every week to keep catheter patent. The skin around
the catheter must be kept clean and a sterile dressing is required
over the area where the catheter exits the skin. With care, your
GROSHONG® catheter will remain free of complications.
This care will become as routine as brushing your teeth, but never
let it become so routine that you break the rules of sterility.
GROSHONG® CATHETER PROCEDURES
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A. Flushing of Catheter
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•To be done weekly unless otherwise instructed
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1. |
Assemble supplies |
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•Pre-filled saline syringes,
one for each lumen
•Alcohol swabs |
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2. |
Wash hands with soap and water |
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3. |
Pull back gently on syringe plunger
to loosen seal, then gently push plunger up until you see a
drop of fluid at the top of the syringe |
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4. |
If you see any air in the syringe,
tap syringe until air floats to top and gently press plunger
until you see a drop of fluid at tip |
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5. |
Swab end of clave cap on GROSHONG®
Catheter with an alcohol swab |
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6. |
Open clamp on catheter; attach syringe |
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7. |
Inject saline into catheter |
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8. |
Remove syringe from cap |
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9. |
Close clamp |
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10. |
Repeat for each lumen |
DRESSING CHANGE
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•Dressing change to be done once a week unless
otherwise instructed |
| A. Assemble supplies |
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•CVC kit
•Flat clean working area |
B. Procedure |
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1. |
Wash hands with soap and water and
apply non-sterile gloves |
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2. |
Remove old dressing |
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3. |
Wash hands with soap and water |
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4. |
Open sterile dressing kit; being
careful not to touch inside of kit |
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5. |
Caregiver should put on mask; the
patient has the option of putting on a mask or turning their
head away from the GROSHONG® Catheter
site. |
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6. |
Open glove package and put them on;
at this point do not touch anything but the items in the kit |
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7. |
Clean an area around the catheter
insertion site with alcohol swabstick; always work in a circular
motion starting closest to the catheter and working outward |
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8. |
Repeat the above procedure using
another alcohol swabstick; cleaning an area about 3" in
diameter: Do the same with the 3rd swabstick |
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9. |
Allow alcohol to air dry (approx.
30 seconds) |
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10. |
Repeat step 7 using the 3 Betadine
swabsticks |
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11. |
Cover with transparent dressing;
this provides an occlusive dressing and allows the patient to
bathe or shower without disturbing the dressing |
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12. |
Loop remaining catheter and tape
it securely to the skin with tape to prevent catching on clothes |
CAP CHANGE
| A. Assemble supplies |
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•Sterile clave cap |
B. Procedure |
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1. |
Wash hands with soap and water |
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2. |
Open clave cap package; leave cap
in package |
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3. |
Make sure clamp is closed |
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4. |
Remove used cap; do not release catheter
from this point until new cap is on |
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5. |
Remove sterile protector from end
of male adapter and screw cap securely, but not too tightly
onto the end of catheter |
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6.
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If you touch the male adapter of the
cap, discard and use a new cap |
GROSHONG® CATHETER COMPLICATIONS
| A. Unable to Flush Catheter |
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•Call your nursing agency immediately
•Do NOT try to force solution, catheter may rupture |
B. Catheter Breakage |
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•Clamp catheter
above area of break nearest the patient
•Notify your nursing agency immediately
•Catheter can be repaired but requires prompt attention |
C. Redness, swelling or discharge around insertion site |
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•The above may indicate
infection of catheter
•Notify your nursing agency immediately |
GROSHONG and HICKMAN are registered trademarks of
C.R. Bard, Inc. and its related company, BCR, Inc.
For any questions or concerns, call your
home IV nurse according to the instructions your nurse has given
you. Horizon Healthcare Services can also be reached 24 hours a
day at (717) 544-3590 or toll free at (800) 848-3204
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