PICC Line Dressing Change with SorbaView Shield Dressing and BioPatch Disk

[@brettrhoads2444]

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.

[@manindersingh7356]

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!

[@j-turd7016]

Thank you, just got entered into the picc line world, I’m your 300th sub!

[@TCCoordinator]

You are Welcome!

[@DASPHILADELPHIA]

Fantastic video! Thank you so much for an amazing tutorial.

[@donnateaching5562]

This is very very accurate and helpful, thank you so much

[@CountryCutiee]

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.

[@hammypie]

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?

[@huibrewer5260]

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.

[@jennykvox]

Excellent job!

[@gracielou6099]

The best video I had seen about picc dressing change love it thanks!

[@mercyh193]

Awesome video! Thanks so much! Do you have any with a stat lock?

[@GRTVO]

Thanks for this. I wish I'd started using the BioPatch Disk sooner. I'm having the nephrostomy removed next Wednesday LOL.

[@amyanderson4981]

Great job!

[@rodolfovaladez420]

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

[@nomsookonkwo6578]

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.

[@jenniferbustillos3869]

You can change picc dressings if you’re IV certified

[@DiaFollicle]

Do suggest any extra methods to retain the dressing for patients with oily or sweaty skin?

[@rebeccarowell9501]

Thank You great video!!!

[@lisakrav4681]

Bravo!!

[@royanque8374]

I'm just here because of physics girl. 😆 But yeah Im a nurse but not practicing. This was informative.

[@stephifam9400]

I do this at home I've had s pic for three years

[@funkinmunkin]

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?

[@TCCoordinator]

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

[@gloriahallelujah111]

Thank you so much, great step by step explanations.

[@hammypie]

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.

[@alma-patrickalvarado9956]

John Gordon ..”povidone” not PROVODINE

[@speedysweetheartflamewolf6]

Was that a mannequin arm... Please tell me it was...

[@TCCoordinator]

speedysweetheart It was a manikin arm 😅

[@huibrewer5260]

It looks so real! Took me a good minute to tell that it was fake

[@mercyh193]

I thought it was a real person!

[@averiltabotndip775]

Thank you so much

[@godisgreatalways6208]

Thank you

[@lozzar1069]

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?

[@saraheart2804]

Just place the biopatch on top of the insertion site.

[@shawnellis8311]

Thanks 😊

[@jamiedrake1363]

💋 😗 Love you Lower ,JoAnna 💘

[@saraheart2804]

If only the dressings came off that easily.

[@sunflower-fp5kw]

Should be inner to out when u scrubbing the picc .

[@TCCoordinator]

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

[@JameeDrew]

Restaurant Chinese litchfield 🎉

[@tarsierb.2445]

No mask???

[@TCCoordinator]

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.

[@mercyh193]

He put a mask on his patient and wore one himself.

[@eryncook7681]

He contaminated that sterile field and the PICC kit a 1000 times! Ahhhh! I hope this was not a real patient!

[@stephifam9400]

Yes it was bit scary ;//

[@sharmajoyce6495]

You cleaned from outside to inside. OMG! Clean pic cline first then move out and away and around. WTH!!!!

[@TCCoordinator]

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

[@stephifam9400]

Always inside out and never go back to the site ;/

[@mattdaoust2505]

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.

[@Vito_A_Labella]

you contaminated the gloves about 20 times

[@TCCoordinator]

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_Labella]

@@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

[@brettrhoads2444]

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?

[@dancechica]

@@brettrhoads2444 When he picked up with the other sterile glove with his gloved hand, his thumb touched the inner part of the glove

[@brettrhoads2444]

dancechica that’s exactly what you’re supposed to do. The inside of the glove doesn’t touch the patient does it?

[@iantea921]

wwueuiuuiuueeu

[@phenellamartin9767]

Vwgr

[@jamiedrake1363]

Cinnamon cereal

[@gabrielledanielle3830]

What stupid wrong demonstrations using non touch technique

[@Undine66770]

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-Dame]

Most hospitals can't afford it. Pediatric hospitals have them because children so the process is less traumatic for them.

[@stephifam9400]

Very true. My skin gets so sore from tegaderm

[@jamiedrake1363]

JoAnna phone throws 😳 🚪 grandma walk 🚶‍♂️ door 🚪 😳 =(

[@jamiedrake1363]

Lily Dog