What is a Peripherally Inserted Central Catheter?

A peripherally inserted central catheter, often called a “PICC line,” is a long, very thin, flexible tube that is usually placed into one of the large veins in the arm, often just above or just below the elbow. This tube is threaded into a large vein above the right side of the heart.

Why are PICC Lines Used?

The PICC line will be used to give IV (intravenous) medicines or fluids. Because the tube is so small and flexible, the line can last several weeks to months, which means fewer needle pokes and less pain.
The PICC line can be flushed and capped off when not in use. When it is time to give medicine, the medicine is connected to the PICC line and disconnected again when the medicine is finished.

Preventing Infection

It is very important to prevent infection. An infection might require removal of the line. Cleanliness is a must! It is very important to follow the directions you were given in the hospital for keeping your PICC supplies sterile while at home so that no bacteria can enter the line and cause an infection. The dressing and cap must be changed weekly. Hands should be washed with soap and water for 15-20 seconds before handling the line.

Flushing the PICC Line

The PICC line must be flushed so fluids will flow easily. If the line becomes clogged, it may have to be removed. A nurse will teach you how to flush the line and give medicines before you are discharged from the hospital.

General PICC Line Care:

• No strenuous activity or heavy lifting for first 48 hours after line is placed.
• Never use scissors to remove tape/dressing from around the line.
• Make sure the site stays dry at all times, even while showering. Swimming is also off-limits while the line is in place. Cover with LiquaShield when showering so the dressing does not get wet.
• Always tape line to your arm to prevent it from snagging on objects. PICC Sleeves can be worn over the line during the day and add an extra level of protection.
• Swimming and submersion are not allowed.
• Change dressing/cap every 7 days or sooner if dressing starts to lift up.
• No rough or contact sports as line may move or be damaged.
• To prevent damage to line, do not use pins, sharp clamps or scissors near your line.
• Avoid having dental work done while the line is in place as bacteria can be released into the bloodstream and attach onto the end of the line. If dental work is necessary, tell your dentist about the line at least 5 days before the dental work.