Reply To: Caps on end of central lines

  • Mary Lynn Rae

    Member
    December 9, 2014 at 1:59 pm

    TUBING CHANGES

    (to include cap/extension tubing)

    TIME INTERVAL

    FLUID/DRUG

    6-12 hours

    • Propofol (when syringe is changed the NAD/tubing should be changed)

    24 HOURS

     

    Whether on a syringe or large volume pump

    • Albumin
    • Amiodarone
    • Cyclosporine
    • Intralipids
    • Tacrolimus (FK506)
    • Nitroglycerine
    • Pentobarbital

    **If any of the above medications are y-sited into other fluids-the whole set up must be changed daily (see NICU exception above)

    72 hours

    • Transducer lines/monitor solutions
    • ­ if there is anything running with the monitor solution (i.e. drips; IV fluids etc.) everything is changed at 72 hours

    96 HOURS

    • Maintenance Lines (continuous)
    • Hyperalimentation (continuous)
    • Drips (i.e. dopamine)
    • Medication tubing (see below-intermittent tubing)
    • Cytotoxic Medications (continuous and not Etoposide)

    SINGLE USE or 24 hour expiration if given more than once/day

    (i.e. BID/TID)

    • Amphotericin/Ambisome
    • Immunoglobulins
    • Anti-thymocyte Globulin
    • Rifampin
    • Azathioprine, Cidofovir, Ganciclovir and Mycophenolate
    • Cytotoxic Medications that are not continuous

    Intermittent Tubing

    • Intermittent tubing that is disconnected from the patient is good for 24 hours if it is capped, kept at the patient’s bedside, and labeled with an expiration date/time and initials.
      • Exception to this includes disconnection for a blood draw.
    • For tubing such as syringe pump or piggy back tubing connected to a continuously infusing line (such as a maintenance line) you do not have to change it until the primary line is changed at 96 hours.

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    Mary Lynn Rae, CPHON, MSN, RN
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    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. 

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