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Care and maintenance of PICCs, CVCs, Cath-flo question

We have been discussing care and maintanence of PICCs , Jugular, subclavian and femoral lines and would like to know how other institutions delegate dressing changes for these lines:

Does your IV Team do all PICC dressings and all other central line dressings? Does your IV Team do just PICC dressings and the unit nurses do dressings on all other central lines or do the unit nurses do PICC dressing changes and all CVC dressing changes?

A cath-flo question: In your institution is use of Cath flo on a PICC more than 3 times considered an indication for changing the PICC?

And finally, are any hospitals out there using nurse driven protocols for PICCs, if so please describe.

All answers are greatly appreciated.

Thank You

A Yost RN

WPAHS

Pittsburgh, Pa