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We add a bifurcated y set that has been called the “access port” to the central line. Our tubing configuration is something like this depending on patient needs: Line, Hub, microclave/cap, bifurcated set with microclaves, microbore extension set, trifurcated set with microclaves on 2 lumens, primary tubing set, bag. Staff love the bifurcated set near the hub to draw labs from. They feel that this has made the difference in our CLABSI rate in the past year. We saw > 40% reductionJ
This topic has been mentioned before, but I haven’t noted many specifics, but if you could please answer each of the following, that’d be very helpful:
1) Does your unit use a stopcock/”homemade” system to draw labs from central lines?
2) Have you tracked data regarding CLABSIs/line functionality/etc. before and after implementing your system? If so, was a change noted?
3) What evidence drives this practice? The more clearcut
I am curious as ONS access guidelines do not mention this recommendation (and I cannot find specifics from INS) and I know I’ve heard of structured systems being used in other hospitals.
Thanks for the info!
—————————— Chris Donaghey, CNS,CPHON,MSN,RN Clinical Nurse Specialist – Hematology/Oncology/Stem Cell Transplant Indianapolis, IN United States ——————————