Reply To: Central Line Discussion

  • Kristin Burns

    Member
    October 25, 2020 at 5:58 pm

    Hi Chris,
    How often do caregivers flush the patients central line when they are at home and the line is not in daily use?
    Do you teach flushing with saline & heparin or just one or the other?
    Thanks for any feedback!
    Kristin Burns RN, BSN, BMTCN
    Boston Children’s Hospital 
    Boston, MA

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    Kristin Burns BSN, RN, BMTCN
    Hematopoietic Stem Cell Transplant
    Boston Children’s Hospital
    Boston, MA
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    Original Message:
    Sent: 02-18-2018 08:32 PM
    From: Chris Donaghey
    Subject: Central Line Discussion

    Hi all,

    As practices shift and evidence gets updated, the one element of the central line maintenance bundle everyone can agree on is the daily discussion.

    This sometimes gets reduced to the evident necessity for a line in our population I.e. a kid needing chemo, blood products, and lab draws needs a line.

    Functionality, lab bundling, accesses of a line, and other issues are also included, and they’re more open-ended.

    However, it can seem redundant to nurses and physicians alike to discuss lines that are needed and have no issues/changes.

    Questions:

    In what way (huddles/rounds/other) does your unit discuss every line every day?

    Who initiates the discussion (RN/MD/NP/other)?

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