Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition

Name Date

Unit Position

Instructor/Evaluator: Position

SKILL 12-13

Caring for a Peritoneal Dialysis Catheter

Goal:The peritoneal dialysis catheter dressing change is completed

using aseptic technique without trauma to the site or patient;

the site is clean, dry, and intact, without evidence of inflammation

or infection. Comments

1. Bring necessary equipment to the bedside stand or overbed
   table.


2. Perform hand hygiene and put on PPE, if indicated.


3. Identify the patient.


4. Close curtains around bed and close the door to the room,
   if possible. Explain what you are going to do and why you
   are going to do it to the patient. Encourage the patient to
   observe or participate if possible.


5. Adjust bed to comfortable working height, usually elbow
   height of the caregiver (VISN 8 Patient Safety Center, 2009).
   Assist the patient to a supine position. Expose the abdomen,
   draping the patient’s chest with the bath blanket, exposing
   only the catheter site.


6. Put on unsterile gloves. Put on one of the facemasks; have
   patient put on the other mask.


7. Gently remove old dressing, noting odor, amount and
   color of drainage, leakage, and condition of skin around
   the catheter. Discard dressing in appropriate container.


8. Remove gloves and discard. Set up sterile field. Open pack-
   ages. Using aseptic technique, place two sterile gauze
   squares in basin with antimicrobial agent. Leave two ster-
   ile gauze squares opened on sterile field. Alternately (based
   on facility’s policy), place sterile antimicrobial swabs on
   the sterile field. Place sterile applicator on field. Squeeze a
   small amount of the topical antibiotic on one of the gauze
   squares on the sterile field.


9. Put on sterile gloves. Pick up dialysis catheter with
   nondominant hand. With the antimicrobial-soaked
   gauze/swab, cleanse the skin around the exit site using a
   circular motion, starting at the exit site and then slowly
   going outward 3 to 4 inches. Gently remove crusted scabs,
   if necessary.

ExcellentSatisfactoryNeeds Practice