Central Venous Catheter Dressing Change (CVC) - Clinical Nursing Skills |

[@burnzoutesomusic4254]

Thank you for always making clinical videos! It would help a lot of nursing students who are learning online class due to covid pandemic. More videos to come ❤️ and God bless.

[@LevelUpRN]

You are so welcome!

[@brittanya7812]

As an Infection Preventionist this is good, however, after you removed the old dressing and removed your old gloves, you forgot to preform hand hygiene. Never enter/open a sterile kit without performing hand hygiene first.

[@noahbriggs2544]

Agreed, there was actually a few issues in this video but over all it was informative. But sterile is contaminated a few times.

[@petemiller2598]

Let me ask you this since you are an infection prevention person. I have always wondered-why do we treat central line dressing changes as a sterile procedure, yet peripheral lines are not handled that way? I.e. we do not open a sterile kit with sterile gloves to insert a peripheral IV, even though we still use aseptic technique. Scientifically, I don’t see how central lines are more prone to infection than peripheral lines, because any pathogens introduced into a peripheral vein will be pumped into the SVC in a matter of a couple of heartbeats, right? I know that obviously a central line’s exit point is more proximal to the heart, but it’s only a matter of like two seconds before a peripheral IV’s contents move to the exact same location. No immune process is happening in that short of a time to make a peripheral site more protective, right? What am I missing?

[@Lowgn]

@@petemiller2598 solid question.

[@sonja4164]

​@Pete Miller that's a gpod question. I'd like to know the answer.

[@tarabontke1827]

@@petemiller2598 As a nursing educator, I teach students to use sterile technique when inserting peripheral IVs. The Infusion Nurses Society publishes the Infusion Therapy Standards of Practice, and they recommend to use "aseptic non touch technique" which they say can be used interchangeably with the term "sterile." It takes a long time for best practice standards to become common practice.

[@huricanexify]

Couldn't have uploaded this at a better time I've got my Skills test tomorrow!

[@LevelUpRN]

Hope it went great!

[@andyanderson7712]

Are you a nurse now ?

[@2ts562]

Hi! May I also clean the line itself and not just the surrounding site? Btw, thank you for the informative video!

[@kosanprince]

before opening the sterile kit, needs to perform hand hygiene. After removing the dressing, the clean gloves are contaminated. Secondly, the sterile field should be maintained by disinfecting the table where all the material was placed.

[@DrLama-yy2ml]

Thank you , you are the best ❤❤❤❤

[@Bill.R.124]

The trauma to the catheter in removing the old dressing was distressing. One MUST stabilize the catheter at all times. Trauma can increase the risk of CLABSI.

[@KH3Art]

Thank you for pointing this out! I thought the same thing.

[@HappyBoxer-nb1mb]

It’s a mannequin. Theres literally no way to remove the bandage without doing what she did. Sometimes those things stick like no tomorrow. And you should know better before nitpicking something like that…. And if you were so smart, you would have pointed out that she did not perform hand hygiene after she took off her clean gloves and opened the kit….. In essence: shi* happens with mannequins. So my advice is to stop being a pedantic know it all……..

[@armandogonzalezrn]

Got that, but if you're going to be an online teacher (which all of us can see that there are a lot of students watching this) then you need to have it together with excellent technique. Otherwise, the students will have wrong information. @@HappyBoxer-nb1mb

[@RubenNurse]

Thank you for this. Your videos are very helpful to me and others. I’m a 20 year veteran nurse but I always love to educate myself. As you know in Nursing we are always learning no matter how many years of experience we have. Great job and God bless you. #NursesRock#🫶🫶🙌

[@LevelUpRN]

Thanks!!

[@pforpeace4041]

Those videos help me so much🤗

[@LevelUpRN]

I'm so glad!

[@samanthastallion1525]

Very Informative

[@LevelUpRN]

Glad you think so!

[@user-rf7ti9ny2g]

Thank you 🌹

[@LevelUpRN]

Welcome!

[@ABSOLUTELY_LM]

How often does this change need to be done ?

[@amaliagalarza8595]

Every 7 days, whenever the dressing is no longer intact or coming up, whenever it gets soiled, or whenever they come in and there’s no date or info on when the last dressing change was. Each facility might have different policies for the dressing change too.

[@LevelUpRN]

Thanks Amalia for the answer! I agree. Dressing is changed 24 hours after insertion, every 7 days, or when it becomes soiled or nonintact. As always, be sure to check your facility policy and your practitioner's order. - Ellis

[@morgancampbell7934]

Aaaah don't touch skin when placing disc!

[@nanalauj970]

Do you scrub the catheter too?

[@LevelUpRN]

The catheter itself is inside the patient. The lumens are the tubes that hang out so we can attach syringes. I think you're asking about those. If so, the answer is no, not with the impregnated swab that comes with the kit. That is used for site cleaning. If the lumens are soiled, I can use an alcohol swab to wipe them down. - Ellis

[@irinaramirez4580]

@@LevelUpRN In which part of the procedure would you recommend cleaning the lumens? Thank you!

[@ginamccraw7151]

You didn’t measure the catheter

[@aishwaryamangala9565]

Madam this unsterile

[@jinsu0504]

you cross contaminated the chg by handing it from your right hand to the left lol

[@iamtoniaellabonnie9439]

🥰😍😍😍😍

[@LevelUpRN]

Thanks for watching!

[@armandogonzalezrn]

Girl, why would you take off that dressing before setting up all of your supplies? You've left that insertion site open for a long time. Foul!

[@HappyBoxer-nb1mb]

I would have totally failed skills testing had I not either verbalized or performed hand hygiene before touching that kit… just sayin…….