Reply To: One/Two Person Line Care Elements

  • Mary Lynn Rae

    Member
    August 21, 2020 at 6:05 pm

    Routine IV medication administration (co-sign not required): 1

    Central line blood draw 1

    Needleless connector changes 1

    Central line blood cultures (clarify if there are any differences initial spike vs. repeat cultures) 1

    Port access 1-2 (2 required only if cannot maintain sterility)

    Central line dressing change 1-2 (2 required only if cannot maintain sterility)

    Thanks,

    Mary Lynn

    Mary Lynn Rae, MSN, RN, CPHON

    Nursing Professional Development (NPD) Practitioner/Clinical Educator Hem/Onc/SCT (LC17/LC18)

    Ann & Robert H. Lurie Children’s Hospital of Chicago

    T 312.227.4224 | mlrae@luriechildrens.org | luriechildrens.org

    225 East Chicago Avenue, Box 248, Chicago, Illinois 60611-2991

     

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    Original Message:
    Sent: 8/21/2020 5:40:00 PM
    From: Angie Blackwell
    Subject: RE: One/Two Person Line Care Elements

    See answers below in red:

     

    Routine IV medication administration (co-sign not required) 1

    Central line blood draw 1

    Needleless connector changes 1

    Central line blood cultures (clarify if there are any differences initial spike vs. repeat cultures) 1

    Port access 2

    Central line dressing change 2

    Additionally, if your practices have changed, how has the practice change impacted your infection rates? Two person port access and dressing change is a policy change within the past year or so. Hasn’t majorly impacted CLABSI rates.

     

    Angie Blackwell, MSN, RN, CNS, CPON

    Clinical Nurse Specialist – Hematology/Oncology

    CHOC Children’s Hospital

    1201 West La Veta Avenue

    Orange, CA 92868

    (714) 509-4089 Phone 58754 Ascom

    ablackwell@choc.org

    A Clinical Nurse Specialist is a master’s prepared nurse who implements evidence-based practice to improve patient outcomes, advance nursing practice, and influence system changes within the organization.

    CHOC Children’s Hospital…The future is bright!

     

    ——————————————-
    Original Message:
    Sent: 8/21/2020 3:02:00 PM
    From: Chris Donaghey
    Subject: One/Two Person Line Care Elements

    Friends,

    This is specific to inpatient care. I’m curious about how other hospitals treat their line care practices.

    How many nurses must be present during the following procedures? Even if all can be performed solo, that is still valuable information.

    Routine IV medication administration (co-sign not required)

    Central line blood draw

    Needleless connector changes

    Central line blood cultures (clarify if there are any differences initial spike vs. repeat cultures)

    Port access

    Central line dressing change

    Additionally, if your practices have changed, how has the practice change impacted your infection rates?

    Thank you for sharing!

    ——————————
    Chris Donaghey, MSN, RN, PCNS-BC, CPN, CPHON
    Clinical Nurse Specialist – Cancer and Blood Diseases
    Riley Hospital for Children at IU Health
    Indianapolis, IN
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