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DEFINITION:
Cleaning, examining, documenting, and
reporting as necessary, any change in the catheter exit site and
surrounding skin condition.
EQUIPMENT/ MATERIAL:
2 - Surgical masks
2 - Sterile towels
1 Pair Non-sterile gloves
4 - 4x4 Gauze sponges
1 Pair Sterile gloves small/large
Adhesive Surgical dressings (Mepore)
Povidone-iodine solution
1 inch tape
Alcohol Swabs
COMMENTS:
1.
The hemodialysis nurse will provide
catheter care pre or post
hemodialysis
treatment on the day of
dialysis in Hemodialysis
Unit.
2.
On non-dialysis days, the nurse on the
floor is responsible for providing
catheter
care to in-patients if needed.
PROCEDURE
EXPLANATION
1. Put a mask on and wash hands thoroughly.
1. Prevent infection.
2. Prepare sterile field with towel and on it
arrange sterile supplies needed
for the
catheter care.
3. Put on non - sterile gloves: Remove the
3. Examine site for drainage, pain, redness and that
dressing over catheter and
examine exit site.
the catheter is secured with sutures, if required.
4. Put on sterile gloves and clean the exit site
4. Povidone may be irritating to the skin.
of the catheter, using povidone-
iodine
soaked gauzes. Start cleaning
close to exit
site and work outwards. Remove
excess
povidone using alcohol swabs.
5. When skin is dry, apply sterile adhesive
surgical dressing over the
catheter exit site.
6. Document procedure performed and any
changes observed. Any change
requiring
medical assessment, notify the
Nephrologist.
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