Primary hospital care cancer patients with PICCs safety management.doc

 PAGE \* MERGEFORMAT 7 Primary hospital care cancer patients with PICC’s safety management [Abstract] The study concluded: strengthening nursing and care of PICC operator safety awareness, the implementation of effective safety management can ensure the efficient use of PICC. [Keywords:] PICC Security Management In this paper, the implementation of PICC catheter in our department (via peripheral vein puncture in 120 cases of cancer patients were the reasons for the existence of the security risk analysis, appropriate preventive measures are reported below. 1 Clinical data Our department in 2006 -2009 in a total of 120 cases of cancer patients to implement PICC catheter, puncture failure in 2 cases, 10 cases of bleeding puncture, hematoma in 2 cases, 11 cases of infection puncture, catheter blockage in 5 cases, 3 cases of catheter prolapse mechanical phlebitis in 8 cases, eczema, skin around the puncture in 5 cases, the formation of fibrin sheath effusion puncture in 1 case, 10 to 180 days retention time. Analysis of care and safety hazards 2 2.1 PICC nurses lack of theoretical knowledge of basic hospital departments PICC technology than its predecessor, the average number of patients small puncture, so PICC nurses with the knowledge of active learning is not high, master PICC nurses rarely puncture technique, resulting in nurses PICC technology on the lack of theoretical knowledge, practical work of nurses in the complications of PICC lack of predictability, and thus potential problems can not take timely preventive measures. 2.2 tube nurse qualifications and lack of experience, improper nursing techniques result in the patients assessed the overall puncture failure and strayed into the external jugular vein, the operation could easily lead to non-standard puncture site bleeding, hematoma, cardiac arrhythmia, air embolism, catheter delivery bit bad , puncture complicated by mechanical phlebitis, thrombophlebitis, cathe