Reply To: Cap Changes

  • Lisa Tsang

    Member
    January 24, 2014 at 3:57 pm

    We also perform sterile cap changes with a pre-packaged kit. We do not clean inside the open hub after the cap is removed, but do carefully wipe the threading with an alcohol swab if visible blood or debris is present.

    I am very interested in whether deliberately cleaning the open hub, with either alcohol or CHG, would impact our CLABSI rates… in addition to Ashley’s question, does anyone have insight, experience or literature to support this?

    Thanks,
    Lisa
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    Lisa Tsang
    Advanced Practice Nurse
    UCSF Medical Center
    San Francisco, CA
    United States
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    Original Message:
    Sent: 01-24-2014 03:54 PM
    From: Mary Lynn Rae
    Subject: Cap Changes

    Sterile with a pre-packaged sterile cap change kit. 

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    Mary Lynn Rae
    Ann & Robert Lurie Children’s Hospital
    Chicago, IL
    United States
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    Original Message:
    Sent: 01-24-2014 03:45 PM
    From: Ashley Varnes
    Subject: Cap Changes

    This message has been cross posted to the following Discussions: Bone Marrow Transplant and APHON Open Forum .
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    How does your institution perform cap changes on central lines?  Sterile or aseptic? Do you scrub the hub once the old cap is removed?  Do you use alcohol or chlorhexidine? Thanks!

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    Ashley Varnes, RN, CPHON
    MUSC Children’s Hospital
    Charleston, SC
    United States
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