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How to Care for your Implanted Venous Access Port
WHAT YOU NEED TO KNOW:
What is an implanted venous access port?
An implanted venous access port is a device used to give treatments and take blood. It may also be called a central venous access device (CVAD). The port is a small container that is placed under your skin, usually in your upper chest. A port can also be placed in your arm or abdomen. The port is attached to a catheter that enters a large vein.
How can I prevent an infection?
- Wash your hands often. Use soap and water. Clean your hands before and after you care for your port. Remind everyone who cares for your port to wash their hands.
- Wear clean medical gloves when you care for your port. Do not touch or handle your port unless you need to care for it.
- Clean the skin around your port every day. Ask your healthcare provider what to use to clean your skin.
- Check your skin for infection every day. Look for redness, swelling, or fluid oozing from the port site.
How do I access my port?
Your healthcare provider will show you or a family member how to access your port with a needle. Never try to use your port without proper training from a healthcare provider. To access your port:
- Gather your supplies. If you have a cough, wear a mask while you prepare and access your port.
- You may need to attach tubing to the needle. The tubing has a clamp that must stay closed when not in use. You will attach a syringe that contains saline to the tubing. Open the clamp and slowly push saline through the tubing and needle. Then close the clamp to remove air from the tubing before you access your port. Leave the syringe attached to the tubing.
- Clean your port site and the skin around it. Ask your healthcare provider what solution to use. Clean your skin for 90 seconds or as directed. Allow the cleaner to dry completely. Do not blow on the site to dry the area.
- You may need to apply topical medicine to numb the port area. Use the numbing medicine as directed. The more your port is used, the less it will hurt.
- With one hand, feel for the edges of your port. Use this hand to stretch the skin across your port, to help hold the port in place. With your other hand, insert the needle through your skin and into the center of the port. Push the needle in until you hit the back wall of the port. Once the needle is in place, open the tubing clamp, and slowly pull back on the syringe. If blood flows back into the tubing and syringe, the needle is in the proper place. If you do not see blood, you will need to change the position of the needle. Close the clamp on the tubing. Ask your healthcare provider how to throw away the blood-filled syringe correctly.
- You may need to cover the site with a gauze bandage while the needle is in place. This keeps air, dirt, and germs from entering the port. Ask your healthcare provider how often you should change the bandage if you leave the needle in place.
When should I flush my port?
Flush your port with saline (salt water) before, after, and between medicines and treatments. Flush your port with heparin (a blood thinner) between each port use. Your port also needs to be flushed with heparin every 4 weeks when it is not being used regularly. You will use a syringe to push a small amount of saline or heparin into the port and catheter. Flush your port to keep the catheter from getting blocked and to prevent medicines from mixing in the tubing.
How do I give myself medicine or other treatments through my port?
Your healthcare provider will show you or a family member how to give medicines or liquids through your port. Medicines and treatments enter your port through tubing attached to the needle.
How do I remove the needle from my port?
Wash your hands and put on clean medical gloves. Flush your port as directed. Remove the needle. Ask how to dispose of your needles if you do not have a needle container. You may need to cover your port site for a short time after you remove the needle.
When should I contact my healthcare provider?
- You have a fever.
- You run out of supplies to care for your skin or port.
- Your port site is red, swollen, or draining pus.
- Your port site turns cold, changes color, or you cannot feel it.
- The veins in your neck or chest bulge.
- You have trouble using your port.
- You have questions or concerns about your condition or care.
When should I seek immediate care or call 911?
- Blood soaks through your bandage.
- You hear a bubbling noise when your port is flushed.
- The skin over or around your port breaks open.
- Your heart is jumping or fluttering.
- You have a headache, blurred vision, and feel confused.
- You have pain in your arm, neck, shoulder, or chest.
- You have trouble breathing that is getting worse over time.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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