PICC PICC Equipment & Device Selection 2

Question 1

Per INS standards, what is the preferred method for PICC external securement?

Accepted Answer

Engineered stabilization device (ESD)

Answer

Sutures at the insertion site

Answer

Sterile surgical tape

Answer

Cloth tape over the hub

Question 2

How often should a transparent semipermeable membrane (TSM) dressing on a PICC site be routinely changed?

Accepted Answer

Every 5–7 days or when soiled, loose, or no longer intact

Answer

Every 24 hours

Answer

Every 48 hours

Answer

Every 2 weeks

Question 3

A chlorhexidine-impregnated dressing is MOST indicated for which PICC patient?

Accepted Answer

A patient at elevated CRBSI risk when standard bundle measures have not sufficiently reduced infection rates

Answer

All PICC patients regardless of risk

Answer

When a standard TSM dressing is temporarily unavailable

Answer

Pediatric patients only

Question 4

What is the primary mechanical purpose of an external PICC securement device?

Accepted Answer

Prevent catheter migration and accidental dislodgement

Answer

Prevent air embolism at the insertion site

Answer

Facilitate easier medication administration

Answer

Reduce catheter-related bloodstream infections directly

Question 5

Which type of needleless connector was associated with higher CRBSI rates due to complex internal fluid pathways and is no longer recommended?

Accepted Answer

Original negative displacement mechanical valve connector

Answer

Neutral displacement connector

Answer

Positive displacement connector

Answer

Antimicrobial needleless connector

Question 6

An alcohol-impregnated antiseptic hub cap (passive disinfection cap) on a PICC needleless connector primarily functions to:

Accepted Answer

Passively disinfect the connector between accesses without additional scrubbing

Answer

Replace hand hygiene before line access

Answer

Sterilize medication before injection into the line

Answer

Replace active scrub technique when the cap is applied

Question 7

What is the minimum recommended saline flush volume for a PICC after each use per INS guidelines?

Accepted Answer

10 mL

Answer

1 mL

Answer

5 mL

Answer

20 mL