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Reply To: Y site Port needles
MemberFebruary 8, 2019 at 11:36 am
Thank you so much for the response. Our sister institution within the organization trialed and moved forward with these same caps in the Adult population without issue. As we have the larger Peds population the trial came to our facility. Come to find out our sister organization doesn’t use a Y site Port so this issue wasn’t identified. I believe much as you outlined above there are many benefits to a non ysite style-less points of entry, decreased infection risk, decreased blood back up, etc. Thank you very much I believe this is helpful in looking at our historical practice and discussing further as we see what others around us may be doing.
Sarah Stankus, RN, BSN, OCN
Adult & Pediatric RN Educator
South Bend, IN
Sent: 02-07-2019 05:57 PM
From: Kimberly Duback
Subject: Y site Port needles
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
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