Changing a Central Line Dressing

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Changing a Central Line Dressing

• Lauren Naylor, R.N., B.S.N.
• Spring 2008

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Audience and Environment

• Audience
• Adult Learners
• Critical Care Nurses
• ICU, CCU, PACU

• Environment
• Respect
• Humor
• Encouraging
• Lots of Sunlight
• Temperature controlled

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Goals

• - Comprehend the importance of aseptic technique
• - Recognize when a dressing needs to be changed
  and the preliminary signs/symptoms of sepsis

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Objectives

• Demonstrate how to properly change a central line
  dressing
• Explain when a dressing needs to be changed
• Give examples of some of the first signs of sepsis

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Lesson Overview

• Prime Time 1
• Sepsis Spotter
• Central Line Demo
• 6 minute video on dressing changes

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Lesson Overview

• Down Time
• 1-5 to stay alive
• What do we need?
• Problem finder

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Lesson Overview

• Prime Time 2
• Group work
• - practice line changes
• - peer evaluation

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Evaluation and Assessment

• Return Demonstration
• Verbalize S/S of infected site
• Verbalize S/S of preliminary sepsis

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Cerebral Lobes

• Occipital Lobe
• Temporal Lobe

• Parietal Lobe
• Frontal Lobe

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Gregorc Learning Styles

• Concrete Sequential
• Concrete Random

• Abstract Sequential
• Abstract Random

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Multiple Intelligences

• Visual/Spatial demo, how-to
• Verbal/Linguistic Lecture, group work
• Logical/Mathematical hands on reasoning
• Bodily/Kinesthetic Demo
• Interpersonal group work
• Intrapersonal mastering skills

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Technologies Used

• Internet
• Hospital intranet
• PowerPoint/LCD projector

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Sources

• Sousa, David A. How the Brain Learns. California
  Corwin Press, Inc. 2001.
• Anthony F. Gregorc, PhD. Gregorc Style
  Dilineator A Self-Assessment Instrument for
  Adults
• Dr. Nick Bernice, Spring 2008 Lectures
• Dr. Angela Cristini, Lectures, Spring 2008
• http//www.ldpride.net/learningstyles.MI.htm
• Images Taken From
• http//www.brandeis.edu/best/student_projects/EnvE
  d/multiple20intelligences.jpg
• - http//www.firstscience.com/home/images/legacy
  gallery/ey
• http//www.lovenishan.com/central_line.jpg
• http//imagecache2.allposters.com/images/pic/ADVG/
  436Talking-Smeagol-Posters.jpg
• http//soymocha.pbwiki.com/f/group20work.gif