Care of Your Central Venous Catheter Part 5

M. D. Anderson Cancer Center

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Let's go over at some of the most frequently asked questions.

What is a return demonstration?

You or your caregiver will demonstrate for the infusion therapy team nurse the skills that are needed to safely care for the catheter at home.  The nurse will ensure that the proper safe technique is used.  To complete the education for the dressing change, you must attend and repeat this class the second time since it is very important to get all the steps down.  The infusion therapy team then will help you schedule your return demonstration which can be done while you are an inpatient in your hospital room or Monday through Friday in the Infusion Therapy outpatient clinics.

Can my catheter be used for drawing blood?

Blood is not routinely drawn through the catheter because it can increase the risk of a catheter infection.  They should be avoided.  However, with your doctor's orders, this can be done if you have small veins which make blood drawing an unusually painful experience.

How do I store my flush solution?

The flush usually requires no special storage.  Store it at room temperature unless otherwise directed by a pharmacist.

How do I keep my dressing dry while bathing or showering?

A good way to keep your CVC dressing dry when bathing is to cover it, using the plastic food wrap with the sticky adhesive on it.  If you have a PICC, wrap the plastic all the way around your arm.  Then press and seal the plastic wrap down to your skin.  If your CVC is on your chest, press and seal the plastic onto and all around the CVC dressing.  And bring it back up over your shoulder.  You can add tape to the edges if needed.  Other patients report this works very well if you buy the original product and not a less expensive generic brand.

Where do I get the supplies I need?

After you have successfully and safely demonstrated this care in front of an infusion therapy nurse.  You can have the infusion therapy team fill out your supply request and pick up the sterile supplies from the patient supply department in the main hospital.  Be sure and get enough supplies to last till your next visit.  For nonsterile supplies such as the box of nonsterile gloves or alcohol wipes, you can get these from the hospital supply department or from a local pharmacy.  You will also receive a prescription for your flush.  This can be filled at the hospital pharmacies in the Clark Clinic or the Mays[phonetic] Clinic.  If you get the prescription filled somewhere else, the flush may came in a bottle and not a syringe.  Check with your pharmacy.  Finally, like many of the experiences you are facing, this is a temporary situation.  The education and support of your health care team along with your family and friends will see you through this.  Also remember, infusion therapy nurses are always on duty in the hospital if you have questions.  This is your catheter.  You have the right and responsibility to make sure it is properly taken care of.

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