This specialty practice discussion group is intended for nurse educator members of APHON. Remember that... View more
This specialty practice discussion group is intended for nurse educator members of APHON. Remember that anything published in this community can be seen by any member of the community. Please be considerate of the HIPAA Privacy Rule when posting to the community.
We utilise repair kits for external cuffed catheters and they are repaired by APNs. We also use stat-locks for these lines to limit accidental removal.
Chris Williams Nurse Consultant Royal Children’s Hospital Melbourne Australia
As more CLABSI prevention initiatives are emerging, we were wondering what other institutions are doing for Central Lines that have broke/ruptured.
1) Is your institution’s first line of action to repair or replace a central line (i.e. broviac)? How do you determine if a line is to be replaced or repaired?
2) If a line is repaired, who repairs the line (i.e. surgery vs hem/onc & physician vs APN vs RN)?
3) Are there any prophylactic antibiotics or precautions that your institution takes if a line breaks?
4) Does your institution use anything to specifically prevent breakage or dislodgment for lines such as broviacs? For example, do you use the Statlock or Grip-Lok, or do you routinely utilize steri-strip to ensure that a loop remains under the broviac dressing?
—————————— Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON Advanced Practice Nurse Advocate Children’s Hospital Oak Lawn, IL United States of America ——————————