PICC Line Dressing Change | Nurse Skill Demo

[@flauze]

We NEED more guys in nursing...they make situations less stressful, make work fun and provide a better work environment.

[@Helene-tc2zo]

Thats a stereotype. Women are just as fun. Also nursing is one of the very few educated positions women have. That's important. It's still a men's world. We should keep nursing.

[@cecec3357]

I’m a woman …I agree with the initial comment 😂 we need more men in the field.

[@greekindependence]

@@Helene-tc2zo I’m a male nurse, and your comment isn’t very inclusive, I feel sorry for you.

[@Krysty2k]

It is a stereotype that rings true if you work in nursing for a long time. The men tend to be a lot cooler, calm, and collected than the women and aren’t as high strung. I say this as a woman who has worked with both. Obviously, everyone is different, but IMO male nurses have a calmer energy and approach than then women. They’re also a lot more patient and willing to train new nurses than the women are.

[@patriceparker4901]

Noticed you touch the insertion site with the unsterile glove after cleaning and did not see you measure the air circumference or migration from insertion site to picc line hub but maybe you have a different policy that you follow

[@dcrab16]

I died when I saw the non-sterile hand touching insertion site.

[@yuuji328]

@@dcrab16 RIP 😢

[@ThePearsalls]

Ya tons of non sterile touching. 🤢

[@khloekam1954]

As a VAN nurse-I was horrified by all of this. No measuring and terrible skill set.

[@deborahmadaio4949]

yes I saw that too and was like yikes

[@lisadault6899]

In addition to breaking sterile, read the manufacturer instructions for chlorhexidine preps. You are not supposed to shake once you crack because the vials that are cracked inside could release tiny particles that can bleed through the foam and abraid the skin.

[@ronaldmoore6619]

I’m a PCU nurse and this was excellent. You guys make a good team.

[@nursingandnclexmastery]

Thank you, Ronald. Glad you enjoyed the video!

[@sweetscent5010]

The guy is so nice and friendly

[@laurieb4393]

This is all wrong. Using non sterile gloves while touching the insertion site and line is something you would never do. Regular gloves to remove dressing without touching anything under the dressing, then switch to sterile for cleaning, touching and removing stat lock. I wouldn't leave the line unsecured while turning away to gather supplies either. Let the chlorhexidine dry before applying dressing or it can get irritated/itchy for the parie5

[@LivingLifewKay]

Just exactly what would you secure the line with? You need both hands.

[@douglaspjk9085]

Tape from the kit. This is all wrong as stated above. It literally says in the video don’t touch the insertion site then the nurses puts her dirty gloves directly on it. It’s shocking.

[@efyHealth]

Thanks! Very informative.

[@RedHeaded_stepchild88]

The green caps touched the sterile field. That "field is no longer sterile. Also you have your un-sterile hand touching the insertion site..

[@patriceparker4901]

Absolutely...the alcoholic curos just broke the sterility of her field. I never place the patient's arm on my sterile field. I always set it up on a separate table and place a clean underpad under my patient's arm

[@lolwealego6951]

You did well to put emphasis on controlling movement. Just a comment about external measurement was missed but the presentation was excellent

[@arturor3123]

Love the skills series, thank you guys!

[@nursingandnclexmastery]

Glad you enjoy it! Thanks for watching!

[@라랄리라라]

Oh thank you so much

[@Cat15210]

You touched the insertion site directly. Also, you shouldn't switch to that camera view from up above- you should keep the view directly on the PICC site to show what you're doing.

[@conniemorris8964]

You neglected to mention to let each the chlorhexidine and skin prep to DRY COMPLETELY before applying the statlock and tegaderm.

[@nursingandnclexmastery]

Correct, you should not cover the cleaned area until the skin is completely dry. This is usually one minute or longer. Always follow your facilities procedure policy.

[@TPfromtheD]

My problem is I can never fit the sterile gloves provided inside the sterile kit

[@theresawestnedge8136]

I couldn't see a thing that you were doing When you were placing the new statlock. I would have put the camera in a different place. number two, you could have held it up close to the camera So we could see exactly what it looked like. I have no idea what it was. What brand, what it looked like, or anything.

[@herocorona]

suggesting to "just use tape" is sometimes not a good instrution, as it should be the tape that is in the sterile kit to avoid contamination.

[@cher9626]

As an LPN student IVs are out pf our scope of practice until we graduate. I think we learn dressing changes next semester

[@angelicaortega6720]

The fingers are covering the area it’s hard to see the secure iodine the wings

[@nfgnffj]

Caught a boo boo. Your supposed to pick sterile tray with sterile gloves. Sterile to sterile. So she's supposed to pick up the box from the inside of the box by pushing on either sides of the inside of the box to pick it up and move it.

[@douglaspjk9085]

She broke the sterile field over and over.

[@BeeShae]

Measure the amount of line.

[@lapislazarus8899]

That nightmare SNF I was in, one of the caps came off a lumien from my PICC and ended up underneath me. Thank goodness I was mobile and could feel it! I got up into my chair to find the nurse and get the lumien cleaned and a new cap. Imagine if I were a patient with hypothesia or reduced mobility? Something like that in my sheets under my butt cheek could have led to a serious sore. I cannot believe that horrible place is still in operation. They are the only SNF that will take patients on methadone maintenance in the largest city in my mostly rural state. We're not ALL criminal junkies! I had to get on it after being overloaded with prescription pain medication for years after a knee reconstruction surgery that damaged my perineal nerve. Edit: bad grammar

[@gb975]

While the concept is straightforward, I think this video/skill should be updated and re-done a bit more prudently and with better camera angles.

[@syedjaffar7053]

It's hard to do on real person and very easy on Dummy.

[@lapislazarus8899]

Hey! I'm a model patient!

[@alexismontoya1732]

Thank you!!

[@nursingandnclexmastery]

Glad you enjoyed the video!!

[@francishubertovasquez2139]

What if the patient later have organomegaly or lung growths at the side of PICC line insertion with signs and symptoms? Inform the specialist first?

[@nursingandnclexmastery]

If you see or suspect that something is abnormal, always notify the provider before accessing or providing therapy through a central line.

[@alexakranz8122]

Secure that picc line before moving the arm

[@nursingandnclexmastery]

If only all patients were as still as mannequins!

[@DavidRobinson-wy7lx]

Initially I read your comment as, “Secure that picc line before you remove, as in amputate, the arm” 😳😂

[@Md-zq4nx]

Sterile glove touching non sterile part of the glove 😮‍💨

[@leslischarbrough1362]

Totally contaminated your sterile hand when applying stabilization device....

[@karenapple77]

This is the worst example! Those gloves are way to big to work in!

[@pamelahough3896]

Thank you!

[@nursingandnclexmastery]

You're welcome!