I'll be my mother's caregiver for her chemotherapy picc line. I take a class tomorrow but your video helped give me (non medical background) ease of mind and a look at what I will be learning tomorrow. Thank you very much for this

@NurseMinder

3 жыл бұрын

Awesome :). You’ve got this!

@jesusiscomingsoon.3888

2 жыл бұрын

I pray for the miraculous healing power of God on your mum amen.

Thank you much . Bc of nurse shortage, this video helps defray fear by those giving home care.

@NurseMinder

2 жыл бұрын

Thank you for your comments 💕

I appreciate this information so much...I'm my Mother's caregiver and this helps👌

@NurseMinder

2 жыл бұрын

fantastic

Thank you for this!

@NurseMinder

Жыл бұрын

Happy to help

Excellent demonstration

@NurseMinder

4 жыл бұрын

thanks for taking the time to write!

@careshare5194

2 жыл бұрын

PICC line flushing at home - kzread.info/dash/bejne/lYysx8R_gquolsY.html

Beautiful demo of this skill

@NurseMinder

4 жыл бұрын

Thank you!

@JL-iw6mg

3 жыл бұрын

Just adding my thanks such an elegant teaching style.

The first 2 mls placed is for patency of the line. If the line is clogged it may need alteplase- TPA (clot buster). Most places don’t use heparin locks anymore because it’s high alert and too many errors. Also- flushing a line is considered clean technique and gloves are not needed so long as the nurse does not touch to line port (where the leur-lock is being connected) or the inner part of the plunger of the saline syringe while pulling back or administering the NS. I would just say that all PICCs or midlines NEED to have a sterile cap placed at the end of the procedure. If you aren’t giving a med prior to and are aspirating blood you really should flush with a consecutive 20 at the end. So unless the person is in CHF and on fluid restriction the order should go 10 with aspiration and initial patency check followed by a 20ml flush especially with an end cap change. To the young lady monitoring her moms line. I would ask for resources for that. Bring her into a professional. The chances of introducing microorganisms into the line is high and especially higher when you don’t have the skill or knowledge needed to maintain one- sepsis is scary! Good luck to you.

@sschevmale24

11 ай бұрын

Dude you always need gloves

Nice good job

@NurseMinder

4 жыл бұрын

Thank you for taking the time to write!

well done

@NurseMinder

4 жыл бұрын

thank you

Just wanting to give a WARNING on PICC lines, they should never be inserted into a person with total leg paralysis that only has their upper body for transfers. The transfer from wheelchair to bed is enough to severely damage the brachial plexus nerves, and cause permanent paralysis to the patients arm.

@NurseMinder

4 жыл бұрын

Thanks for sharing

Watching your videos for clinical review. Will be doing it in the lab before on a real person.

@NurseMinder

Жыл бұрын

Awesome!

Nice video, you have a pleasant way of explaining your methodology. At my hospital, we don’t push the plunger all the way to the very end when flushing as to not introduce air into the line.

@NurseMinder

4 жыл бұрын

There is some conversation about that here too. And the manufacturer recommends removing the air before you start.

@JadenYukifan28

5 ай бұрын

@@NurseMinderI had a PICC Line put in several months ago for 8 weeks, did the medication and flushing mostly myself, but I did have one drawback...because or the medication my speech was slurred as if I was drunk.

Thank you for making this video! My doctor only sent me the saline flush and not any heparin or sodium citrate. Should I be concerned that I'm not using either one of those? Also, how often do you recommend a picc line flush when not in use?

@NurseMinder

3 жыл бұрын

There are some PICCs that can be locked with saline. They are called closed end - meaning they have a valve that or events blood from coming up the cathalon (no clots). The ones that do not have this are open ended and heparin is used for those

@NurseMinder

3 жыл бұрын

Picc lines are flushed once in 24 hours (usually when med is admin). If not used, then a daily check is our process

@kirkd.2997

3 жыл бұрын

@@NurseMinder Thank you for your advice; that was very helpful! I'll try to find out which type I have so I can have peace of mind.

is there one that does not need a heparin lock? I am trying to jog my memory but I am not sure. Your vides are great. Thanks for sharing your expertise😊

@NurseMinder

3 жыл бұрын

Yes. Close ended PICCs

@careshare5194

2 жыл бұрын

PICC line flushing at home - kzread.info/dash/bejne/lYysx8R_gquolsY.html

👍

Nice presentation.I have seen your video as a reference for my Picc medicine administration.But the video seems like 3 years ago.Is there any updates??pls reply

@NurseMinder

2 жыл бұрын

The changes to look for our those in your facility. Sometimes they favor a circle motion for swabbing - other than that the process is probably the same - there is not often changes

Thank you very much for this! I’d like to ask how much of Heparin should I flush to make sure there is enough (not too much/ less) to make the heparin lock?

@NurseMinder

9 ай бұрын

That is something you will find in your physician orders

Good video, my question is why do we close the clamp when flushing when there is one ml left in syringe

@NurseMinder

3 ай бұрын

It is creating ‘negative pressure’ and prevents blood from entering the line (reduce risk of clots)

Hi, you mentioned we put in 2 ml saline before we pull back. why don't we pull back first to check the patent first?

@NurseMinder

3 жыл бұрын

My syringe as 10 cc - so there is no room to pull back to check patency. The 2 ml first also lets me know the line is flushing and working. We can have a patent line without flashback

Hello, I'm curious. If medication needs to be administered through the PICC line, wouldn't it be necessary to withdraw the sodium citrate as is done with heparin? If so, it would be important to determine the amount of sodium citrate being injected into the line so that the next caregiver knows how much to aspirate prior to administering the medication. Please inform me if the procedure differs with sodium citrate, and whether it is acceptable to administer it without aspiration. Thank you!

@NurseMinder

4 ай бұрын

You will want to look at your hospital policy to review their process. To be honest - it has been years since working with a PICC line for me. I would need to review the policy too

Hello NurseMinder, can you please tell us why you flushed 2ml first and then aspirated, instead of aspirating and then flushing? Thank you

@NurseMinder

2 жыл бұрын

Yes. The 2 ml flush is to make sure it is not clotted, to check patency, blood flow. Then when we aspirate, we should reasonably expect blood return.

@jarradlacey4114

2 жыл бұрын

@@NurseMinder thank you

Wish some more would have been addressed as far as a sterile field… I’m so confused on that while trying to do my mother in laws pic line at home… 😭

@NurseMinder

2 жыл бұрын

I have a video on sterile field :)

I'm not a nurse or nursing student (retired paramedic) and I'm curious why you use the pulsing technique when introducing the fluid. I haven't seen this before. Thanks in advance.

@NurseMinder

9 ай бұрын

Great question. This is one of the elements where you may see differing approaches we use a push-pause (stop-start) method to promote removal of blood/fibrin and to help prevent buildup of medication precipitate on the internal lumen of the device.

hii question, is it okay if blood mixes with saline when you’re performing a pull back for patency?

@NurseMinder

Жыл бұрын

Ideally you see the blood flow before it mixes but often a small amount of blood reaches the syringe. I have no policy to reference on this so your educator will have preferred practice guidelines

@ccdd9130

Жыл бұрын

@@NurseMinder thank you! so if a small amt of blood mixes with it then its fine to keep pushing? its not gonna cause any side effects to the patient?

How we will know the distal and proximal

@NurseMinder

4 жыл бұрын

They lines are labelled :)

Just wondering when you locked the line with the nitrate , should we be removing that before the first saline flush?

@NurseMinder

4 жыл бұрын

Not at all.

@zahrausman1705

4 жыл бұрын

If I use a syringe for flushing the PICC line with normal saline can I use the same syringe for flushing after the medication. That is almost 30 minutes later

Which company picc line is this ??

@NurseMinder

3 жыл бұрын

I don’t remember

I have a heart problem and the cardiologist think that I might have to get a catheter or intervention

@NurseMinder

2 жыл бұрын

Sounds series

What if there are small tiny buddies in the line after you flush? Is this something to worry about?

@NurseMinder

4 жыл бұрын

There is a lot of debate about "how much air" is too much. In a PICC line if you have air bubble then I would think you did not follow the procedure. Review technique. Even small air bubbles can lodge in a small vessel and cause harm to the patient.

@reneemcmillan3865

Жыл бұрын

Considering getting a PICC line and will all this, I’m terrified

Iam from india, we covering line tip with sterile dressing

@NurseMinder

4 жыл бұрын

that is great, as long as the baseline principles are maintained :)

Sterile gloves for this or no?

@NurseMinder

Жыл бұрын

For removal, no, for cleaning and application, yes

Why are you not wearing gloves at the first wiping and Saline Flush?

@NurseMinder

9 ай бұрын

Policies about glove use changes over time. At the time of this video, gloves are used when it puts us at risk for contamination with the patient blood - always follow your facility policy The place where I use cloves is when I change the cap - removing the gap increases the risk of blood exposure

No gloves?

@NurseMinder

12 күн бұрын

Always follow your facility policy. They do change with time and I think post Covid- gloves are work far more often for even basic care. Clean gloves are a barrier for us and protects us from patient body fluids. If there is no risk to exposure- you don’t need them. That does not mean we relax our sterile techniques- maintain the tip and the syringe sterility and you are good

Im 😢 I didnt know I was suppose to pull back I just got into home care..they throw you to the wolves😢

@NurseMinder

4 ай бұрын

They don’t have an educator or manager sign you off on this skill? Sounds like an opportunity to improve the way your unit functions

@tracydeniser.n.1432

4 ай бұрын

@@NurseMinder I agree..they were so short they threw me right out there..sooo upsetting! Didnt get signed off on ntg

No gloves¿??????😀

@NurseMinder

4 жыл бұрын

is this is question or a statement?

@deangeltv1222

4 жыл бұрын

Question ma

@NurseMinder

4 жыл бұрын

@@deangeltv1222 the gloves can be used for the entire process but they are not necessary if you are only attaching or detaching an IV line. I put them on in the video because I was removing the cap and gloves are needed for this part of the process. If there was no cap change - you would be okay to not use gloves. Again, always check with our agency policy to see what they require. I have seen gloves used for everything and this causes panic in the patient population!

This is not the same as mine and I think a nurse should t taking care of this not someone who is getting treatment done! Especially if you are high risk of infections!!!

@NurseMinder

2 жыл бұрын

You are doing your own care? We do teach patients and families to do that as PICC lines are ofter long term and people go home with them

PICC line flushing at home - kzread.info/dash/bejne/lYysx8R_gquolsY.html

@NurseMinder

Жыл бұрын

Great

I cringe at the site of no gloves T^T

@honestlyt2826

2 жыл бұрын

You do realize she’s using a mannequin right?! It isn’t a real person with real blood.

@amyyoung2804

2 жыл бұрын

Agree. Even if it is a mannequin.

@arglc

2 жыл бұрын

If your hands are washed then they are as good as non-sterile gloves. It is fine for a non-sterile procedures which do not involve bodily fluids.

@NurseMinder

Жыл бұрын

Yes today’s work culture wears gloves for everything - even when it is not needed. I cringe at that. Patients freak out because they think there is something wrong with them when you do a blood pressure and wear gloves - overkill

@Lordsesshomaru2019

Жыл бұрын

@@NurseMinder Girl the monkey is out there. better wear gloves

I see your not wearing gloves during the flush, why is that?

@careshare5194

2 жыл бұрын

PICC line flushing at home - kzread.info/dash/bejne/lYysx8R_gquolsY.html

@NurseMinder

2 жыл бұрын

What are you wearing gloves for? PPE is used to reduce risk of exposure to blood - there is no risk

why you did not wear gloves???

@NurseMinder

Жыл бұрын

You have to consider the reason we use gloves - they are to protect us from exposure to body fluids. Many facilities will have you wear gloves for everything - always follow policy

Mam why you are not wearing sterile gloves

@NurseMinder

3 ай бұрын

The policy at the time does not require sterile gloves. If that has changed, follow your new policies

what happened to you gloves? you are talking about cross contamination but if I was a pte I would not have a clue if 5 minutes earlier you have been fishing or had a visit to the toilet and wearing a watch is a no no. Need to repeat your video sorry.

@NurseMinder

11 ай бұрын

As a patient you would have seen me wash my hands :)