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

269

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

SKILL 12-13

Caring for a Peritoneal Dialysis Catheter (Continued)

Comments

10.Continue to hold catheter with nondominant hand. After

skin has dried, clean the catheter with an antimicrobial-

soaked gauze, beginning at exit site, going around

catheter, and then moving up to end of catheter. Gently

remove crusted secretions on the tube, if necessary.

11. Using the sterile applicator, apply the topical antibiotic to
    the catheter exit site, if prescribed.


12. Place sterile drain sponge around exit site. Then place a
    4 4 gauze over exit site. Remove your gloves and secure
    edges of gauze pad with tape. Some institutions recommend
    placing a transparent dressing over the gauze pads instead
    of tape. Remove masks.


13. Coil the exposed length of tubing and secure to the dress-
    ing or the patient’s abdomen with tape.


14. Assist the patient to a comfortable position. Cover the
    patient with bed linens. Place the bed in the lowest
    position.


15. Put on clean gloves. Remove or discard equipment and
    assess the patient’s response to the procedure.


16. Remove gloves and additional PPE, if used. Perform hand
    hygiene.

ExcellentSatisfactoryNeeds Practice