Bard Groshong PICC Instructions For Use Manual
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Bard Groshong PICC Instructions For Use Manual

Catheters
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Groshong
PICC and
Catheters
Instructions For Use

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Summary of Contents for Bard Groshong PICC

  • Page 1 Groshong PICC and Catheters Instructions For Use...

  • Page 2: Table Of Contents

    Table of Contents Table of Contents Page Contents Product Description Product Description, Indications & Contraindications Contraindications, Warnings & Cautions Precautions Precautions, Possible Complications 6-14 Insertion Instructions 1. Site Selection 2. Length Determination 3. Preflushing Catheter 4. Site Preparation 5. Venipuncture 6.

  • Page 3: Product Description

    Product Description Product Description A family of single and dual-lumen peripherally placed and central catheters made from specially formulated and processed medical grade materials, in a tray with accessories for reliable long (greater than 30 days) or short term (less than 30 days) vascular access.

  • Page 4: Product Description, Indications & Contraindications

    Product Description, Indications & Contraindications The benefits provided by the Groshong * valve are: 1. Increased patient safety due to reduced risk of air embolism or bleedback. 2. Elimination of the need for heparin flushing to maintain catheter patency. 3. Reduced need for catheter clamping. 4.

  • Page 5: Contraindications, Warnings & Cautions

    - Continuous infusion of vesicants. Warnings: • Intended for Single Patient Use. DO NOT REUSE. Bard Access Systems products are single use devices and should never be reimplanted. Reuse carries with it the attendant concern of cross-infection regardless of the cleaning or sterilization method.

  • Page 6: Precautions

    Precautions Precautions: • Follow Universal Precautions when inserting and maintaining the catheter. • Follow all contraindications, warnings, cautions, precautions and instructions for all infusates as specified by its manufacturer. • Use aseptic techniques whenever the catheter lumen is opened or connected to other devices.

  • Page 7: Precautions, Possible Complications

    Precautions & Possible Complications III. After placement, observe the following precautions to avoid device damage and/or patient injury: • Do not use the device if there is any evidence of mechanical damage or leak- ing. Damage to the catheter may lead to rupture, fragmentation and possible embolism and surgical removal.

  • Page 8: Insertion Instructions

    Insertion Instructions Insertion Instructions 1. Identify the Vein and Insertion Site • Apply a tourniquet above the anticipated insertion site. • Select a vein based on patient assess- ment. Veins of the antecubital fossa are recommended (basilic, cephalic median cubital veins) with the basilic preferred. •...
  • Page 9 Insertion Instructions 3. Preflush the Catheter • Attach prefilled syringe to the Luer attach- ment on the flushing stylet. • Preflush catheter with sterile normal saline. • The syringe may be left attached during pro- cedure. 4. Prepare for Insertion •...
  • Page 10 Insertion Instructions 6. Perform Venipuncture • Remove the needle guard. • Grip only the needle hub during insertion. Do not apply excessive pressure to the T-handles (if applicable). • Perform venipuncture and observe for flashback. • Holding the needle stationary, advance the introducer sheath into the vessel by pushing forward.
  • Page 11 Insertion Instructions 7. Withdraw the Introducer Needle • Support the introducer sheath to avoid displacement. • Apply slight pressure on the vessel above the insertion site to mini- mize blood flow. • Release the tourniquet. • Withdraw the needle from the introducer sheath. 8.
  • Page 12 Insertion Instructions 9. Complete Catheter Insertion • Continue to advance the catheter. For central placement, when the tip has advanced to the shoulder, have the patient turn head (chin on shoulder) toward the insertion side to prevent possible cannula- tion into the jugular vein. •...
  • Page 13 Insertion Instructions 11. Attach Suture Wings • Remove the suture wing from the delivery card. • Squeeze the suture wing together so that it splits open. • Place the suture wing around the catheter near the venipuncture site. • If the “Y” adapter of the dual lumen catheter is at the insertion site, the suture wing will not be needed.
  • Page 14 Insertion Instructions 13. Remove Non-Splittable Introducer • Remove non-splittable introducer. • Slide the non-splittable introducer off the proximal end of the catheter. 14. Modification of Catheter Length Single Lumen Catheters Only • Using a sharp scalpel or sterile scis- sors, carefully cut the catheter leav- ing at least 4 cm to 7 cm of the catheter for connector attachment.
  • Page 15 Insertion Instructions • With a straight motion, slide the oversleeve portion of the connector and the winged portion of the connector together, aligning the grooves on the oversleeve portion of the connector with the barbs on the winged portion of the connector. Do not twist. Note: Connector portions must be gripped on plastic areas for prop- er assembly.

  • Page 16: Venipuncture

    Insertion Instructions 17. Verify Placement • Verify catheter tip location radiographically. 18. Securing the Groshong* Catheter: Single Lumen "S" Curve Suture Wing Dual Lumen Hubs Suture Wing 1. Suture wing near 2. Place 2 anchor 3. Place 3rd anchor 4. Chevron 3rd 5.

  • Page 17: Suggested Catheter Maintenance

    Suggested Catheter Maintenance & Catheter Removal Suggested Catheter Maintenance The catheter should be maintained in accordance with standard hospi- tal protocols. Suggested catheter maintenance is as follows: • Dressing Changes Assess the dressing in the first 24 hours for accumulation of blood, fluid or moisture beneath the dressing.
  • Page 20 An issued or revision date for these instructions is included for the user’s information. In the event two years have elapsed between this date and product use, the user should con- tact Bard Access Systems to see if additional product information is available. Revised date: February 2007 *Bard and Groshong are trademarks and/or registered trademarks of C.

This manual is also suitable for:

Groshong midline

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