Reply To: Y site Port needles

  • Kimberly Duback

    February 7, 2019 at 5:58 pm

    ​At my institution, we have chosen non y-site port needles exclusively for pediatrics.  We are a pediatric hospital in an adult system and adults has decided to exclusively use the y-sites.

    The reason we have determined not to use the y-site it multi-folded:
    – Reduce potential points of entry, potentially minimizing both a place for a chemo spill (since the cap isn’t bonded on the y-site) or a potential avenue for infection
    – Also, when we had the y sites several years ago, we had challenges with blood always backing up so that there was a slight residual at the bend of the y-site. Again, we didn’t want this to be a vector for infection or a clot
    – One less thing to worry about.  We had several instances where people would forget to add the cap and the manufacturer cap that is on the end of the line is very loose so we had several that fell off (and caused a lot of bleeding from a backflow of blow) and also again the risk for infection.  Times where a cap was forgotten on access then required an additional cap change which then opened the line an additional time.

    I agree that having a y does have some pros, as you stated (also easy for giving incompatible IV push medications since it is just a quick flush and then the med), but our clinical teams agreed the pros didn’t outweigh our perceived cons.

    Kimberly Duback, MS, APN, PCNS-BC, CPN, CPHON
    Advanced Practice Nurse
    Advocate Children’s Hospital
    United States of America
    Original Message:
    Sent: 02-07-2019 05:05 PM
    From: Sarah Stankus
    Subject: Y site Port needles

    ​Question on Y site Port needle usage and Pediatrics any EBP or merely a facility based preference?
    Recently we’ve been doing a neutral cap trial with our Ysite Port needles and experiences a few issues. We prefer Y site for emergency medication access as needed. The caps we’re trialing are leaking at the proximal end. The rep informed us this is normal as the cap design is sensitive to back pressure. Our greatest concern is chemo spill during infusions and we’ve stopped the trial. Wondering what Port site others are using and any EBP that specifically outlines a certain type for Pediatric population. Thank you.

    Sarah Stankus, RN
    Osceola, IN
    United States