Peripherally Inserted Central Catheter (PICC) Home Care Guide

Introduction

A Peripherally Inserted Central Catheter (PICC) is a valuable form of intravenous (IV) access that facilitates the rapid delivery of medications and fluids throughout the body. This long, thin, flexible catheter is inserted into a vein in the arm or leg, terminating in the superior vena cava (SVC), a large vein outside the heart. When properly cared for, a PICC can remain in place for an extended period, enabling patients to receive treatments and manage their health at home. However, proper PICC care is essential to prevent potential complications.

Risks Associated with PICC

While generally safe, PICCs can pose certain risks, including:

• Formation of blood clots in or around the catheter.
• Deep vein thrombosis or pulmonary embolism.
• Inflammation or infection at the insertion site.
• Bloodstream infections.
• PICC malposition or movement.
• Catheter breakage or damage.
• Nerve or tendon irritation during insertion.

Caring for Your PICC

Adhering to specific guidelines for PICC care is vital. Consult your healthcare provider for personalized guidance. Here are some essential care steps:

Preventing Infection:

• Wash hands regularly, especially before touching the PICC or infusion device.
• Only use clean and sterile supplies.
• Flush the PICC as instructed by your healthcare provider.
• Keep the PICC dressing dry and secure.

Preventing Other Issues:

• Do not use a syringe less than 10 mL to flush the PICC.
• Avoid having blood pressure checked on the PICC arm.
• Secure the PICC to your arm with tape when not in use.
• Do not attempt to remove the PICC on your own.

Caring for Your PICC Dressing:

• Keep the dressing clean and dry.
• Follow instructions for bathing and showering.
• Wash hands before and after changing the dressing.
• Monitor the insertion site for signs of infection.

Disposal of Supplies:

• Dispose of syringes in a sharps container.
• Place used dressings in a plastic bag before disposing.

General Instructions:

• Carry your PICC identification card or wear a medical alert bracelet.
• Clamp the tube when not in use.
• Carry a smooth-edge clamp for emergencies.
• Avoid using sharp objects near the tube.
• Avoid heavy lifting as recommended by your healthcare provider.
• Attend follow-up visits for dressing changes.

When to Seek Medical Assistance

Contact a healthcare provider if you experience any concerning symptoms, such as:

• Pain in the arm, ear, face, or teeth.
• Fever, chills, or redness around the insertion site.
• Fluid, blood, or warmth at the insertion site.
• Pus, bad odor, or raised skin.
• Problems with the PICC, including breakage or abnormal flushing.
• Irregular heartbeat, chest pain, or shortness of breath.
• Swelling, redness, or pain in the PICC arm.
• Red streaks on the arm or emergency symptoms.

Summary

A Peripherally Inserted Central Catheter (PICC) is a flexible tube inserted into a vein in the arm or leg.

Proper care allows a PICC to remain in place for months, enabling home-based treatments.

PICC insertion and removal should be performed by trained healthcare providers.

Maintain hygiene, prevent infections, and follow care guidelines.

Always carry identification and avoid sharp objects near the catheter.

Consult your healthcare provider for personalized advice and address any concerns promptly.