Bard Groshong PICC, Instructions For Use Manual

Page 1: ...B a r d A c c e s s S y s t e m s Groshong PICC and Catheters Instructions For Use...

Page 2: ...4 Precautions 5 Precautions Possible Complications 6 14 Insertion Instructions 1 Site Selection 2 Length Determination 3 Preflushing Catheter 4 Site Preparation 5 Venipuncture 6 Catheter Insertion 7...

Page 3: ...mm Hg Since the normal central venous pressure range in the superi or vena cava is 0 to 5 mm Hg the valve remains closed at normal cen tral venous pressure Pressure in the superior vena cava must exce...

Page 4: ...placement for delivery of selected infusates See Contraindications For blood therapy it is recommended that a 4 French or larger catheter be used Contraindications The device is contraindicated whenev...

Page 5: ...eral laws and regulations Cautions Carefully read and follow all instructions prior to use Federal U S A law restricts this device to sale by or on the order of a physician Only qualified healthcare p...

Page 6: ...e opening to confirm its integrity and that the expiration date has not passed The device is supplied in a sterile pack age and is non pyrogenic Do not use if package is damaged opened or the expirati...

Page 7: ...lications including the following Air Embolism Exit Site Infection Phlebitis Bleeding Exit Site Necrosis Spontaneous Catheter Brachial Plexus Injury Extravasation Tip Malposition or Retraction Cardiac...

Page 8: ...s with the basilic preferred Release tourniquet 2 Patient Position Catheter Measurement Position the arm at a 90 angle For SVC placement measure from the planned insertion site over to the sternal not...

Page 9: ...edure 4 Prepare for Insertion Set up the sterile field Prepare the site according to institution policy using sterile tech nique 5 Apply Tourniquet and Drape Apply the tourniquet above the intended in...

Page 10: ...edle hub during insertion Do not apply excessive pressure to the T handles if applicable Perform venipuncture and observe for flashback Holding the needle stationary advance the introducer sheath into...

Page 11: ...t Apply slight pressure on the vessel above the insertion site to mini mize blood flow Release the tourniquet Withdraw the needle from the introducer sheath 8 Insert and Advance the Catheter Insert th...

Page 12: ...Avoid positioning the catheter tip in the right atrium Placement or migration of the catheter tip into the right atrium may cause cardiac arrhythmia myocardial erosion or cardiac tamponade The risk o...

Page 13: ...dapter must be secured in place See step 18 12 Remove the Stylet Assembly Stabilize the catheter position by applying light pressure to the vein distal to the insertion site Slowly remove the stylet C...

Page 14: ...nnector attachment Inspect cut surface to assure there is no loose material 15 Attach Connector to Single Lumen Catheters Retrieve the oversleeve portion of the connector and advance it over the end o...

Page 15: ...set and or saline filled syringe Aspirate for adequate blood return and flush each lumen of the catheter with 10ml normal saline to ensure patency Note When infusion volume is a concern in small or pe...

Page 16: ...S Curve 1 Suture wing near venipuncture 2 Place 2 anchor tapes over suture wing or bifurcation Form S curve in catheter 3 Place 3rd anchor tape sticky side up under catheter just above suture wings or...

Page 17: ...each use Note When infusion volume is a concern in small or pediatric patients flush with 3ml per lumen Caution To reduce potential for blood backflow into the catheter tip always remove needles or n...

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Page 20: ...product information is available Revised date February 2007 Bard and Groshong are trademarks and or registered trademarks of C R Bard Inc or an affiliate Covered by one or more of the following U S P...