Reply To: Caps on end of central lines

  • Regina Winfrey

    December 5, 2014 at 4:57 pm

    These are SJ guidelines for changing the Clave.

    When Maintained as a Heparin Lock

    Every Friday, and if soiled if outpatient, and every 96 hours with tubing change if inpatient.

    When Receiving an Infusion, including TPN

    (Continuous or Intermittent)

    Every 96 hours with tubing change and if soiled if inpatient, and every Friday if outpatient.

    When Receiving Lipids or TPN mixed with Lipids


    Every 24 Hours

    When receiving propofol


    Every 12 hours with propofol tubing change or within 12 hours of receiving propofol if inpatient, and before patient leaves the clinic area of where propofol was received if outpatient

    When receiving blood

    After each blood product or final blood product if more than one is being given if outpatient, and within 24 hours if inpatient

    Regina Wilkes
    CNL-St.Jude Children’s Research Hospital
    Memphis, TN
    United States

    Original Message:
    Sent: 12-04-2014 04:33 PM
    From: Ashlee Stofferahn
    Subject: Caps on end of central lines

    How often does your institution change your caps on the end of your central lines? Every 24 hours? With every blood draw? With tubing change? Every 7 days? There seems to be a lot of options out there but interested to here what other places are doing. 

    Ashlee Stofferahn, MSN, PCNS-BC, CPHON
    Sanford Childrens Hospital
    Sioux Falls, SD
    United States