Percutaneous Nephrostomy (PCN) Site Care, Tube Care, and Irrigation

Video Runtime: 9 Minutes

Assessing a percutaneous nephrostomy (PCN) site is a necessary procedure for patients who require the use of a PCN for treatment. In this training, we’ll review the equipment and procedures to perform an assessment of the nephrostomy insertion site, troubleshoot possible complications related to nephrostomy obstruction, and explore evidence-based care to reduce infection. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

It is important to have a thorough understanding of PCN and site assessment as understanding line maintenance is crucial when caring for patients with lines and drains at home, the assessment is a relatively common and high-risk procedure that requires knowledge of aseptic technique to prevent possible infectious processes, and clinicians need to be aware of possible sequelae and monitor the patient for signs and symptoms of dehydration, infection, and/or bleeding. Throughout this procedure, nursing staff must adhere to proper aseptic technique, utilizing sterile gloves and a sterile field.

This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.