1. The client/caregiver can describe a peripherally inserted central line.
   1. A catheter is inserted into a vein at or above the antecubital space of the arm, and the tip extends into the distal
      superior vena cava.
   2. Insertion requires verification of placement by x-ray.
   3. A specially trained nurse or physician must do the insertion and removal of PICC.
2. The client/caregiver can list precautions for use of the PICC line.
   1. Do not take blood pressure on that arm.
   2. Avoid any trauma to that arm.
3. The client/caregiver can demonstrate care of PICC.
   1. Use a sterile technique when changing dressing. The use of a mask for client and people changing dressing is often
      required.
   2. Dressing should be changed 24 hours after insertion and at least weekly (check physician or agency policy for specific
      instructions).
   3. As needed, change dressing if it is loose or soiled.
   4. Keep the external part of the catheter coiled under the dressing.
   5. Injection caps should be changed every three to seven days or per policy/physician order.
   6. Catheter should be flushed with heparin solution per policy or as ordered by a physician.
4. The client/caregiver can list possible complications of the PICC line and what to do.
   1. Malposition of PICC lines may occur, as evidenced by increased length of the external portion of the catheter or difficulty with infusion.
      1. Notify the nurse.
   2. Bleeding may occur 24 hours after insertion.
      1. Notify the nurse.
   3. Phlebitis may occur between insertion site and top.
      1. Apply warm compresses.
      2. Notify the nurse.

References

Canobbio, M. M. (2006). Mosby’s handbook of patient teaching. St. Louis: Mosby Inc.
Centers for Disease Control and Prevention. Guidelines for the prevention of catheter-related infections. MMWR 51(No.RR- 10):1-26-2002.
Perry, A., & Potter, P. (2006). Clinical nursing skills & technique. St. Louis: Mosby Inc.
Portable RN: The all-in-one nursing reference. (2002). Springhouse: Lippincott, Williams & Wilkins.
Taylor, C., Lillis, C., & LeMone, P. (2005). Fundamentals of nursing . Philadelphia: Lippincott, Williams & Wilkins.
Timby, B. K. (2005). Fundamental nursing skills and concepts.Philadelphia: J. B. Lippincott Williams & Wilkins.