Reply To: Repair versus Replace CVCs

  • Christopher Williams

    Member
    September 22, 2015 at 6:21 pm

    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

    ——Original Message——

    Good Afternoon!

    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?

     

    Thank you!

    ——————————
    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    Oak Lawn, IL
    United States of America
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