Deaccessing an Implanted Port

1

Skill Checklists to Accompany Taylor¡¯s Clinical Nursing Skills:

A Nursing Process Approach, 2nd Edition

Wolters Kluwer/Lippincott Williams & Wilkins

Name:

Date:

Unit:

Position:

Instructor/Evaluator:

Position:

Met

Unmet

Deaccessing an Implanted Port

____

____

1. Gather equipment.

____

____

2. Identify the resident.

____

____

3. Explain procedure to resident.

____

____

4. Perform hand hygiene.

____

____

5. Raise bed to comfortable working height.

____

____

6. Put on clean gloves.

____

____

7. Gently pull back transparent dressing, beginning with edges and

proceeding around the edge of the dressing. Carefully remove all the

tape that is securing the needle in place.

____

____

8. Clean the injection cap and insert the saline-filled syringe. Unclamp

the catheter¡¯s extension tubing and begin to flush with a minimum

of 10-mL normal saline.

____

____

9. Remove the syringe and insert the heparin-filled syringe, flushing

with 5-mL heparin (100 U/mL or agency¡¯s policy). Clamp the

extension tubing while maintaining positive pressure on the barrel

of the syringe. Remove the syringe.

____

____

10. Secure the port on either side with the fingers of your nondominant

hand. Grasp the needle/wings with the fingers of your dominant hand.

Firmly and smoothly, pull the needle straight up at a 90-degree angle

from the skin to remove it from the septum.

____

____

11. Apply gentle pressure with the gauze to the insertion site. A Band-Aid

may be applied over the port if any oozing occurs.

____

____

12. Remove gloves and place bed in the lowest position. Make sure that

the resident is comfortable before you leave the room.

____

____

13. Perform hand hygiene.

Goal: The needle is removed with minimal to no discomfort to the

resident.

COMPETENCY TRAINING: Clinical Nursing Skills

Deaccessing an Implanted Port ¨C Created 07/09/2010

Comments

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download