Reply To: Caps on end of central lines

  • Margaret Conway

    Member
    February 19, 2015 at 9:18 am

    Per the  2011 CDC   Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011  Naomi P. O’Grady, M.D  (my comments in green)

    Replacement of Administration Sets

    1. In patients not receiving blood, blood products or fat emulsions, replace administration sets that are continuously used, including secondary sets and add-on devices, no more frequently than at 96-hour intervals, [177] but at least every 7 days [178-181]. Category IA

    2. No recommendation can be made regarding the frequency for replacing intermittently used administration sets. Unresolved issue

    3. No recommendation can be made regarding the frequency for replacing needles to access implantable ports. Unresolved issue

    4. Replace tubing used to administer blood, blood products, or fat emulsions (those combined with amino acids and glucose in a 3-in-1 admixture or infused separately) within 24 hours of initiating the infusion [182-185]. Category IB

    5. Replace tubing used to administer propofol infusions every 6 or 12 hours, when the vial is changed, per the manufacturer’s recommendation (FDA website Medwatch) *186+. Category IA

    6. No recommendation can be made regarding the length of time a needle used to access implanted ports can remain in place. Unresolved issue

     Needleless Intravascular Catheter Systems
    1. Change the needleless components at least as frequently as the administration set. There is no benefit to changing these more frequently than every 72 hours. [39, 187-193]. Category II Guidelines for the Prevention of Intravascular Catheter-Related Infections 20. (We change caps q96 hours unless blood products, liposomal fluids have infused then within 24 hours per the IV administration set recommendation.)

     2. Change needleless connectors no more frequently than every 72 hours or according to manufacturers’ recommendations for the purpose of reducing infection rates *187, 189, 192, 193]. Category II

     

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    Peggy Conway, BSN,RN CPON
    Children’s Hospital Boston
    Wilmington, MA
    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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