Place the transparent bio-occulsive dressing over the catheter, centering over the insertion site. Remove sterile gloves. Place the third steri-strip to the outside of the dressing, placing it under the catheter then crisscrossing over the top of the outer dressing. Label dressing with date and initials. Use only a 5cc or greater syringe.
Smaller syringes can increase pressure and potentially rupture the catheter.
Treat each lumen separately for maintenance and flushing. PICCs must be flushed very punctual at the end of gravity infusions to avoid potential catheter embolus. Gently flush using 3cc normal saline in a 5cc or greater syringe. When infusion is complete, flush PICC very promptly to avoid embolus. When using needle free system always flush, clamp catheter, then remove syringe.