A clean environment is important
Germs can cause infections and are found on your skin and clothing. Antiseptic solutions can kill germs where regular soaps cannot. Carefully wash and dry your hands as instructed by your healthcare provider before handling your catheter to help protect it and your exit-site from germs.
Importance of hand washing
Treatment: Connecting and disconnecting
Prepare your work area
The work area where you do your PD treatment should:
- Be well lit
- Be away from any drafts
- Be away from open windows
- Have all fans turned off
- Be free of clutter
- Not have pets in the area/room
- Have a phone in the room and a flashlight in case of emergencies
For safe treatment, you should have a clean work surface that has been cleaned with a recommended cleaning agent and is large enough to arrange your supplies.
Gather your supplies
To get ready for your PD treatment, you will potentially need:
- Solution bags
- MiniCap Disconnect Cap
- IV pole or hook
- Weight scale
- Blood pressure cuff
- Hand sanitizer
- Pump soap
- If needed, supplies for adding medications
- Additional supplies your nurse may recommend
If the expiration date has passed, select a new solution bag, repeat the checks with the new solution bag, and continue your preparation. Notify your nurse of any problems with the solution bag. Also, it is important to check to see if the fluid in the bag is clear.
When gathering your solution, remember to check for:
S : Strength
E : Expiration date
A : Amount (or size of bag)
L : Leaks
It is important to handle your packaged PD supplies carefully to keep them sterile.
Do not touch supplies that need to stay sterile in order to avoid infection.
What is sterile?
Sterile means completely free of germs.
It is important to keep germs from entering your peritoneal cavity. Safe connecting and disconnecting is done when you remember what parts of your supplies need to stay sterile. These supplies are packaged to keep them sterile and will need to stay sterile after the package is opened.
What is clean?
Clean means most of the germs have been removed, but not all.
Good hand washing and drying makes your hands clean, not sterile. Your work surface is clean, not sterile.
The aseptic technique is used to keep germs away from the sterile parts of your supplies and equipment. This will help keep germs from entering the peritoneal cavity and causing an infection (peritonitis).
Putting on a mask, washing and drying your hands thoroughly as trained and remembering not to touch the sterile parts of your supplies are important steps in aseptic technique.
What do I do if a sterile part is dropped, touched, or contaminated?
Throw it away and start with a new sterile supply.
If you touch or believe you have contaminated your transfer set, DO NOT USE IT.