What is the hub on a PICC line?

Hub refers to the end of the CVC that connects to the blood lines or cap. Cap refers to a device that screws on to and occludes the hub. Limb refers to the catheter portion that extends from the patient’s body to the hub.

How long do you clean the hub of a PICC line?

Apply clean gloves. Pick up an alcohol swab with dominant hand and actively scrub the hub of the cap (top and sides) for 15 seconds using vigorous friction.

How long should we scrub the hub?

Rub for 10 to 15 seconds (unless directed otherwise by the manufacturer’s instructions), generating friction by scrubbing in a twisting motion as if you were juicing an orange. Make sure you scrub the top of the hub well, not just the sides.

What is scrubbing the Hub?

Scrub the hub was introduced in the Unites States as a low-cost intervention to reduce central line-associated blood stream infections. Each year 250,000 central line-associated blood stream infections occur in hospitals in the United States[2].

Where should a PICC line tip be?

The current standard for PICC tip position is the lower one-third of the superior vena cava (SVC) at the caval–atrial junction (CAJ).

How often should PICC line caps be changed?

The cap on the end of each lumen of your catheter needs to be changed once a week. The steps are the same for a Hickman or PICC line. For this procedure you do not need to wear gloves, but your hands must be very sterile.

How long do you scrub the hub with 70% isopropyl alcohol wipe to disinfect the port or needless connector cap?

The optimal technique or disinfection time has not been identified, although scrubbing with 70% alcohol for 5–60 seconds is recommended. Studies have reported statistically significant results in infection reduction when passive alcohol disinfection caps are used (48–86% reduction).

Why a chlorhexidine Scrub is used for central line care and how it works?

Chlorhexidine Gluconate for the Prevention of Central Line-Associated Bloodstream Infections – Current Science. Chlorhexidine gluconate (CHG) is an antibacterial antiseptic with the ability to inhibit and kill bacteria associated with healthcare-associated infections (HAIs).

Does a PICC line need a cap?

The PICC catheter needs a dressing and a cap to prevent infection. A solution called heparin is used to keep blood from clotting in the catheter. The dressing must stay dry.

Why do PICC lines get clogged?

Malfunction: PICC lines can become clogged by substances delivered through the line. There are medications that can help break up the blockage, but the line will sometimes need to be replaced. Infection: A bacterial infection can develop if the ports or insertion sites are not routinely cleaned and cared for.

When accessing the needle free connector on a catheter How long should you scrub the connector?

The optimal technique or disinfection time has not been identified, although scrubbing with 70% alcohol for 5–60 seconds is recommended.

What is the disinfectant solution that must be used on hubs and ports before and after giving IV drugs?

Decontamination of catheter hubs and injection sites The epic2 guidelines (Pratt et al 2007) recommend the use of a single patient application of 2% chlorhexidine in 70% isopropyl alcohol to decontaminate catheter hubs, injection ports and needlefree devices before and after use.