Central Venous Catheters 101

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This episode discusses the basic information the bedside nurse should know related to central lines or central venous catheters.

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  1. Kati Kleber, MSN RN
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Awesome information and conversation. Happy I found your channel. I am a new nurse and have learned a lot in this one video.

nikkispace
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loved the little pearl about dropping vesicants in the RA! Makes sense but never would have thought about that!

Akosua
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Hi I am actually a PICC nurse and my hospital has a dedicated team that inserts PICC lines, midlines and do ultrasound guided IV insertions on difficult sticks. We are often referred too as the vascular access team. The ECG is done on a machine called. a "teleflex" and usually done to confirm placement of the end of the tip of the catherter typically with a PICC line and we do this by watching the P wave in the rhythm peak at its highest point which indicates that the catheter tip is close to distal end of the SVC near the atrium, however, if the patient is in afib or has a pacer, we have to confirm with a CXR instead. :) The further away from the atrium the smaller the P wave and if its too far down we will get a deflection or inverted p wave which indicates we went too far and are in the atrium, sometimes thats the reason why we have to leave a few centimeters of the catheter out! If you have any questions or would like to learn more about peripheral access, dont hesitate to reach out! I love my job and its very interesting!

chickenmaddy