Do not flush with syringes smaller than 5 mL as these may cause excessive resistance and damage the catheter or dislodge a clot. RNs in CCTC may flush hemodynamic monitoring circuits as required to maintain patency. RNs in CCTC are responsible for the priming, zeroing, leveling, and maintenance of hemodynamic pressure monitoring circuits and for the assessment and monitoring of hemodynamic pressures and waveforms. Refer to Procedure for Hemodynamic Monitoring Circuits. Procedure for Removal of Central Venous Catheter.Central and Arterial Line Dressing Change.Maintain Safety Bundle Standards for Insertion, Maintenance, Dressing Changes and Removal: Special dressing trays for "Arterial and Central Venous Dressing Trays" are available. Separate insertion trays are available for arterial and central venous lines.Īrterial and central venous dressing changes are done using aseptic technique. The insertion of all arterial and central venous lines should adhere to the Central Venous and Arterial Line Safety Checklist and Procedure Note. These forms should be completed and placed in the Progress Note of the Clinical Records. Site should not be touched unless wearing sterile gloves after prepping. Peripheral IVs should be removed if insertion technique is unknown or within 96 hours. Unless there is clear documentation in the chart to confirm that insertion techniques were maintained, lines should be considered at risk and changed as soon as possible using a new site whenever possible.Īll peripheral IVs should be inserted using aseptic technique. Stict aseptic technqiue should be maintained at all times during insertion, dressing changes, medication administration and accessing of intravascular devices.Īll central venous and arterial lines that are inserted without strict adherence to sterile techniques/established safety bundles should be changed as soon as possible. Lines inserted during any resuscitation (e.g., trauma resuscusitation, during a crash OR or in another hospital) should be evaluated and considered for replacement. Safe Handling of Intravenous Bag and Tubing Set-up on Articulating ArmsĪll vascular devices (peripheral, central venous or arterial) can be a source for blood stream infection and be become the nidus for a central venous infection.Ensure that patient and health care provider safety standards are met during this procedure including:
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