I had to have this for 6 weeks because I had sepsis. It was so painful and I hated having it changed every Friday a nurse would come and change it and it hurt so much. Watching this I can just feel all over again what it felt like.
@DASPHILADELPHIA Жыл бұрын
Fantastic video! Thank you so much for an amazing tutorial.
@MarckensonCharles-wx4yv Жыл бұрын
Weeeed and sweet pea in a few minutes and the boys are going through w u at home Depot in with the kids are in a lot yet and I think I need a day of the way and sweet tr outfit and sweet u think I need to go to the kids and the boys are coming back to the kids and the boys are coming back to the kids and the boys are coming back to the kids and the boys are well I don't know how much fun we can make a lot more than y you guys have ❤❤❤❤❤❤❤❤
@manindersingh7356 Жыл бұрын
Thank you for posting this video! I always worry about maintaining sterile technique with new skills and this was extremely informative with regards to sterility! Never thought of using the sterile gauze pads! Thanks again!
@royanque8374 Жыл бұрын
I'm just here because of physics girl. 😆 But yeah Im a nurse but not practicing. This was informative.
@jennykvox Жыл бұрын
Excellent job!
@phenellamartin97672 жыл бұрын
Vwgr
@amyanderson49812 жыл бұрын
Great job!
@gracielou60992 жыл бұрын
The best video I had seen about picc dressing change love it thanks!
@jamiedrake13632 жыл бұрын
JoAnna phone throws 😳 🚪 grandma walk 🚶♂️ door 🚪 😳 =(
@jamiedrake13632 жыл бұрын
💋 😗 Love you Lower ,JoAnna 💘
@jamiedrake13632 жыл бұрын
Cinnamon cereal
@jamiedrake13632 жыл бұрын
Lily Dog
@kagomeshuko2 жыл бұрын
Why is my weight always about 20lbs more than I really weigh?
@thewhitewolf58 Жыл бұрын
Nothing is more accurate then stepping on a scale. But a bed is so you can weigh someone who has difficulty getting out of bed.
@lozzar10692 жыл бұрын
What makes things difficult for me is in our hospital those wings on the picc line are usually sutured into the skin which makes the biopatch hard to anchor down any tips for that?
@saraheart28044 ай бұрын
Just place the biopatch on top of the insertion site.
@don47972 жыл бұрын
Much better than the "podcast" version on the CDC website. Thanks for sharing their DVD version!
@j-turd70163 жыл бұрын
Thank you, just got entered into the picc line world, I’m your 300th sub!
@TCCoordinator3 жыл бұрын
You are Welcome!
@shazown3 жыл бұрын
Helpful 👍🏻
@sunflower-fp5kw3 жыл бұрын
Should be inner to out when u scrubbing the picc .
@TCCoordinator3 жыл бұрын
Thank you for your comment. You have made a very common mistake, there is a difference between the use of Betadine swabs and ChloraPrep applicator. Betadine swabs are used starting in the center with concentric circles until you reach the outside of what you wish covered. ChloraPrep is to be used scrubbing back and forth. BD has a great website with in-service videos for more information. www.bd.com/en-us/offerings/capabilities/infection-prevention/skin-preparation/chloraprep-patient-preoperative-skin-preparation-products/chloraprep-in-service-resources
@rebeccarowell95013 жыл бұрын
Thank You great video!!!
@GRTVO4 жыл бұрын
Thanks for this. I wish I'd started using the BioPatch Disk sooner. I'm having the nephrostomy removed next Wednesday LOL.
@lisakrav46814 жыл бұрын
Bravo!!
@rassoulsaliou99504 жыл бұрын
When this first cale out ???
@rodolfovaladez4204 жыл бұрын
Hi John. Great and accurate demonstration. thank you. by the way, Can a Home health LVN in California perform the PIC line dressing change? Is it within the scope of a LVN? i will appreciate your prompt response. Thank you
@nomsookonkwo65783 жыл бұрын
It is not within the scope of LVN but you be certified to insert peripheral line and change picc line dressing like me an LVN.
@jenniferbustillos38692 жыл бұрын
You can change picc dressings if you’re IV certified
@mercyh1934 жыл бұрын
Awesome video! Thanks so much! Do you have any with a stat lock?
@stephifam94004 жыл бұрын
I do this at home I've had s pic for three years
@chandrachhantyal53654 жыл бұрын
where is the link
@shawnellis83114 жыл бұрын
Thanks 😊
@brettrhoads24445 жыл бұрын
I just wanted to say you did an excellent job. This video is a good resource and its clear you put a lot of time and effort into creating it. You even took the time to explain to the trolls the reasoning behind your technique when they conflated chlorhexadine and other disinfectants; you even messaged links to scholarly articles. Don't mind the ancillary staff trying to Monday night quarterback you with their limited knowledge. From the perspective of a CEN you did everything right.
@donnateaching55625 жыл бұрын
This is very very accurate and helpful, thank you so much
@sharmajoyce64955 жыл бұрын
You cleaned from outside to inside. OMG! Clean pic cline first then move out and away and around. WTH!!!!
@TCCoordinator5 жыл бұрын
Sharma Joyce Thank you for your comment. You have made a very common mistake, there is a difference between the use of Betadine swabs and ChloraPrep applicator. Betadine swabs are used starting in the center with concentric circles until you reach the outside of what you wish covered. ChloraPrep is to be used scrubbing back and forth. BD has a great website with in-service videos for more information. www.bd.com/en-us/offerings/capabilities/infection-prevention/skin-preparation/chloraprep-patient-preoperative-skin-preparation-products/chloraprep-in-service-resources
@stephifam94004 жыл бұрын
Always inside out and never go back to the site ;/
@mattdaoust25053 жыл бұрын
Not only that, he handled the bio ring with the same right "sterile" hand after handling the chloroprep that he touched several times with his bare hands prior to and while opening the sterile field. I would have understood of he kept that his "dirty hand" but the bio ring goes immediately around the insertion site.
@tarsierb.24455 жыл бұрын
No mask???
@TCCoordinator5 жыл бұрын
G P Thanks for the question. If you go to 3 min 50 seconds on the video you will see my mask. Prior to that a mask was put on the patient.
@mercyh1934 жыл бұрын
He put a mask on his patient and wore one himself.
@DiaFollicle5 жыл бұрын
Do suggest any extra methods to retain the dressing for patients with oily or sweaty skin?
@hammypie5 жыл бұрын
Thank you for this video, so helpful! How would the Home care nurse know which port to use for what purpose? For example taking blood and giving an infusion of abx... they have 2-3 ports?
@huibrewer52605 жыл бұрын
hammypie Usually the red lumen for blood draw because the lumen is bigger. If no red, then the purple lumen for the same reason. Lumen shouldn’t matter for infusions of antibiotics. I was taught to alternate the lumens to keep them open.
@speedysweetheartflamewolf65 жыл бұрын
Was that a mannequin arm... Please tell me it was...
@TCCoordinator5 жыл бұрын
speedysweetheart It was a manikin arm 😅
@huibrewer52605 жыл бұрын
It looks so real! Took me a good minute to tell that it was fake
@mercyh1934 жыл бұрын
I thought it was a real person!
@Vito_A_Labella6 жыл бұрын
you contaminated the gloves about 20 times
@TCCoordinator6 жыл бұрын
Vito Labella thanks for the comment. How? There was an infection control nurse and OR nurse in the room during filming to ensure no break in sterility.
@Vito_A_Labella6 жыл бұрын
@@TCCoordinator around minute 5:15 it's the way you open the sterile gloves,,you touch to many inner surfaces,,,,look is minor stuff,,,I was a paramedic for 28 years,,,and I found if while training young medics if I overlooked minor stuff they got lax,,,,, BTW I get my PICC line Monday @ 1:30,,meds start Tues,,for 6 weeks than testing and maybe another 6 weeks,,,,,but all in all you did a great job and thanks for the video made me feel a lot better,,,God Bless
@brettrhoads24446 жыл бұрын
You're straight wrong Vito. He opened the sterile glove package and donned the gloves exactly right. What sterile procedures are you doing as a paramedic that make you such a great authority on the matter? And why didn't you cite the other 19 times?
@dancechica5 жыл бұрын
@@brettrhoads2444 When he picked up with the other sterile glove with his gloved hand, his thumb touched the inner part of the glove
@brettrhoads24445 жыл бұрын
dancechica that’s exactly what you’re supposed to do. The inside of the glove doesn’t touch the patient does it?
@eryncook76816 жыл бұрын
He contaminated that sterile field and the PICC kit a 1000 times! Ahhhh! I hope this was not a real patient!
@stephifam94004 жыл бұрын
Yes it was bit scary ;//
@ventilator986 жыл бұрын
Would you post the whole course?
@Undine667706 жыл бұрын
I physically cringe when people DON'T use adhesive remover to take the dressing off. What about the people with extremely sensitive skin? Taking it off with your fingers is just going to make the skin raw... meanwhile adhesive remover is a little bit easier. I mean, that's how my mom changes mine - it's just my opinion, as a person with extremely sensitive skin.
@Grande-Dame5 жыл бұрын
Most hospitals can't afford it. Pediatric hospitals have them because children so the process is less traumatic for them.
@stephifam94004 жыл бұрын
Very true. My skin gets so sore from tegaderm
@gabrielledanielle38306 жыл бұрын
What stupid wrong demonstrations using non touch technique
@funkinmunkin7 жыл бұрын
Why do you keep going back to the PICC site with the Chloraprep that you have rubbed back & forth outside the immediate area of the dressing site?
@TCCoordinator7 жыл бұрын
Hi, Great Question! CHG is meant to be scrubbed on the site to exfoliate the skin, this is why it works better at preventing infections. Unlike alcohol and provodine swabs that you do circles from inside to out and it lay on top of the skin some bacteria can hide. Chg you do a waffle pattern but the key is to scrub. Here is a good article about it: journals.lww.com/nursing/Citation/2003/11000/Is_your_skin_prep_technique_up_to_date_.15.aspx Is your skin‐prep technique up‐to‐date? MOUREAU, NANCY L. CRNI, BSN Nursing: November 2003 - Volume 33 - Issue 11 - p 17 I.V. Rounds
@gloriahallelujah1117 жыл бұрын
Thank you so much, great step by step explanations.
@hammypie5 жыл бұрын
Matthew Zabala - calm down, you CAN go back with Chloraprep according to the literature, it’s not going to recontaminate. You cannot do this with alcohol though.