A peripherally inserted central catheter, or PICC line, is a vital medical device that allows for long-term delivery of medication, fluids, or nutrition. Proper care is essential to prevent complications such as catheter-related bloodstream infections, and keeping the insertion site dry is a top priority. This article provides practical strategies and crucial tips to help you manage bathing and showering safely with a PICC line.
Professional Waterproofing Solutions
For reliable and reusable protection, several professional products are available on the market designed specifically for PICC lines. These options often provide a more secure seal and are more durable than temporary, homemade methods.
Reusable PICC Line Covers
Specialized covers are typically made from soft, stretchy silicone or neoprene, providing a watertight seal around the arm. Brands like Bloccs and Care+Wear offer these types of sleeves.
- Easy to Use: Simply slide the cover over your arm, ensuring the elastic openings form a snug, waterproof seal above and below the dressing.
- Durable: These covers are designed for repeated use, lasting for several months with proper care.
- Sizing: It is important to measure your arm to ensure you purchase the correct size for a secure, watertight fit.
Waterproof Adhesive Dressings
Medical-grade waterproof dressings, such as AquaGuard or Shower Shield, are large, adhesive patches designed to create a moisture-proof barrier over the entire PICC site.
- Single-use: These sterile covers are typically for one-time use and are ideal for patients with sensitive skin who may react to tapes or elastic.
- Application: Carefully peel and stick the dressing over the PICC site, ensuring all edges are sealed to the skin without touching the existing medical dressing.
- Caution: After showering, dry the cover completely before removing it to prevent any drips from reaching the site.
DIY Waterproofing Methods
For a quick and accessible solution, some simple DIY methods can be used. However, these methods may offer less reliable protection and require careful application to prevent leaks.
Using Plastic Wrap
A simple and common method involves using plastic cling wrap from your kitchen.
- Procedure:
- Ensure the area is clean and dry before starting.
- Wrap the cling wrap several times around your arm, starting well above the PICC dressing and ending below it.
- Overlap the layers to ensure no gaps exist.
- Secure the top and bottom edges with waterproof tape or elastic bands to create a tighter seal. Be careful not to make the bands too tight, which can affect circulation.
Repurposing a Plastic Bag
A long, narrow plastic bag can also be used as a makeshift sleeve.
- Procedure:
- Place your arm into a clean, new plastic bag, such as a disposable umbrella bag.
- Use waterproof tape or rubber bands to create a seal at both the top and bottom of the bag, making sure the seal is well above and below the dressing.
- Ensure the bag is not contaminated with food or dirt.
Comparison of Waterproofing Methods
| Feature | Professional PICC Covers | DIY Plastic Wrap/Bag |
|---|---|---|
| Reliability | Generally more secure, with less risk of leaks. | Less reliable; proper sealing is critical to avoid water exposure. |
| Comfort | Often made from soft, stretchy materials that are gentle on the skin. | Can be uncomfortable if tape is pulled too tightly; plastic can trap heat. |
| Cost | Higher initial investment but can be reused for a longer period. | Very low cost, using readily available household items. |
| Ease of Use | Simple to apply with clear instructions for a secure fit. | Can be awkward to apply correctly, especially with one hand. |
| Breathability | Some designs feature breathable materials or a softer lining. | Offers no breathability, which can lead to sweating and moisture buildup. |
Best Practices for Showering with a PICC Line
Regardless of the waterproofing method chosen, following these best practices will maximize safety.
Before You Shower
- Always wash your hands thoroughly with soap and water before touching your PICC line or applying a cover.
- Gather all supplies needed, including your waterproof cover, before entering the shower.
- Inspect your dressing for any signs of lifting, damage, or moisture. If it appears compromised, you must not get it wet.
During the Shower
- Keep your shower short and use warm, not hot, water. Hot water and steam can loosen the adhesive on dressings and seals.
- If possible, use a shower wand to direct water away from your PICC site.
- Keep the arm with the PICC line raised and out of the direct water spray throughout the entire shower.
After the Shower
- Before removing the cover, dry the exterior thoroughly with a towel.
- Carefully inspect the PICC dressing for any signs of moisture.
- If the dressing becomes even slightly damp, contact your healthcare provider immediately. The dressing must be changed to prevent infection.
What to Do If Your PICC Line Gets Wet
If water gets past the cover and soaks your dressing, it is crucial to act quickly to prevent infection.
- Do not delay. As soon as you discover the dressing is wet, pat the area dry immediately with a clean towel.
- Contact your care team. Call your home health nurse or healthcare provider to schedule an emergency dressing change. They may advise you to come in or send a nurse to your home.
- Perform a change if trained. If you or a caregiver has been properly trained in sterile dressing changes, perform one as soon as possible.
Conclusion
Keeping a PICC line dry is a non-negotiable part of care that significantly reduces the risk of serious infection. By choosing the right waterproofing method—whether a purpose-built commercial cover or a carefully applied DIY solution—and following safe showering practices, patients can maintain personal hygiene with confidence. Regular monitoring of the dressing for any moisture is key, and immediate action should be taken if it becomes wet. Always consult your healthcare provider for the most appropriate methods for your specific needs.
For more resources and patient experiences related to living with a central line, you can visit the Oley Foundation's website.
