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HICKMAN®
CATHETER CARE AND MANAGEMENT PROCEDURE
TO HICKMAN® 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 daily care. It must be flushed
with Heparin every 24 hours to keep the blood from clotting inside
the catheter. 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 HICKMAN®
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.
HICKMAN® CATHETER PROCEDURES
| A. Flushing of Catheter |
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•To be done daily unless otherwise instructed |
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1. |
Assemble supplies |
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•Pre-filled Heparin 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 HICKMAN®
CATHETER with an alcohol swab |
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6. |
Open clamp on catheter; attach syringe |
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7. |
Inject Heparin 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.
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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 HICKMAN®
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 |
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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 |
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CAP CHANGE
| A. Assemble supplies |
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•Sterile clave cap
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B. Procedure |
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1. |
Wash hands with soap and water and apply non-sterile
gloves |
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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. |
If you touch the male adapter of the cap, discard
and use a new cap |
HICKMAN® CATHETER COMPLICATIONS
| A. Unable to Flush Catheter |
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•Call Horizon Healthcare
Services 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 Horizon Healthcare Services 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 Horizon Healthcare Services |
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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