Reply To: Cap Changes

  • Carie Murphy

    February 21, 2022 at 9:15 am

    We do not change with TPN/IL or with tubing changes, but we do with all the other scenarios that you stated.  Our facility has taken the position that based on the evidence, you have an increased risk for a positive CVL infection the more you go into the line.  There may be new evidence out there that we may not be aware of, and, if so, could you point me to that newer evidence?  Good questions, though.  I am interested to see what others are doing, too.


    Carie Murphy, MSN, RN, CPON

    Assitant Nurse Manager, Weaver 4

    Peds Hem/Onc/BMT Educator

    Wolfson Children’s Hospital

    800 Prudential Drive, Weaver Tower 4

    Jacksonville, FL  32207

    ( (904)202-0520



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    Original Message:
    Sent: 2/18/2022 12:30:00 PM
    From: Jacqueline Orozco
    Subject: Cap Changes


    We are currently reevaluating our central line policy and discussing the frequency of cap changes.  Currently we are changing them prior to blood cultures, q24 hr with TPN/lipids, if blood/debris is noted and q96 hrs with tubing changes.  We are also changing them with each routine dressing change. I’m am curious to know what everyone’s current practice is for cap changes.  Are you all also changing them with dressing changes even if the lines are heparin locked/not being used?  My concern is specifically the neutropenic population if we transition to not changing them unless under these scenarios. Are any of you not changing them and, if so, have you seen any adverse changes?

    Thank you for your input!

    Jacqueline Orozco BSN RN CPHON
    Medical Surgical Unit
    McLane Children’s Medical Center
    Baylor Scott and White Health

    Jacqueline Orozco, BSN,RN,CPHON
    Pflugerville, TX
    United States