Set of maneuvers performed by the nurse in order to remove the needle from the subcutaneous reservoir chamber after completion of the treatment or blood draw.
Objective:
To prevent complications when removing the curved needle with special bevel and extension pole from the reservoir chamber.
Equipment:
– Cure trolley or trolley. – Sharps container.
Material:
– 1 pair of disposable gloves. – Sterile gauze. – Antiseptic solution. – Physiological saline solution. – 1 10 ml syringe. – 1 intravenous needle. – 1 Band-aid. – Diluted sodium heparin (commercial preparation). – Hypoallergenic plaster. – Nursing records.
Procedure:
– Perform hand washing. – Prepare the necessary material. – Preserve the patient’s privacy. – Inform the patient of the procedure to be performed. – Ask for the patient’s cooperation. – Place the patient in supine decubitus position, with the head turned to the opposite side where the reservoir is implanted. – Put on disposable gloves. – Remove the dressing. – Assess the appearance of the skin covering the subcutaneous chamber (make sure there is no redness, edema, subcutaneous infiltration, ulceration or suppuration). – Load a 10 cc syringe with 5 ml of diluted heparin sodium. – Declamp the system. – Inject the 5 ml of diluted heparin. – Clamp the system. – Remove the needle from the reservoir, holding the reservoir with the index finger and thumb of the non-dominant hand. Extract the needle by applying a force perpendicular to the user’s skin.
– Apply antiseptic solution and place a plaster. – Discard the sharp material in the container intended for this purpose. – Collect the material. – Leave the patient in a comfortable position. – Remove gloves. – Wash hands. – Record in the nursing documentation: procedure, reason, date and time, incidences and patient’s response.
Observations:
Never inject liquids through the reservoir with syringes of less than 10 ml, since the silicone of the chamber may crack and extravasate the medication.
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