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’re currently re-working our pediatric central line policies, and we are keeping ANTT principles in mind.
Our central line bundle, when finished, will consist of at least procedures on: Verifying placement (both new and in use lines) Port accessing IV therapy administration set change (including use of filters) IV therapy solution change (including use of filters) Needleless connector change Picc insertion Flushing (including if Heparin is needed) Dressing change Blood sampling (including limits for pediatric safety) Blood cultures Reparing broken or leaking line De-accessing a port Removing a PICC
We’re also looking into possible use of swab caps, prep for OR or IR placement of central lines, and inpatient bathing with central lines.
For most of these things, clean goves are used. For accessing a port, PICC insertion, and dressing changes sterile gloves are used. We require mask use by the nurse, patient and people in the room for things where the line is “open” (accessing, deaccessing, dressing changes, insertion, needless connector change.)
We currently are using the Microclave needleless connector. (we just changed to the recently after a review and some problems with our old connector.)
—————————— Amanda Lulloff, PhD, RN, PCNS, CPHON Clinical Nurse Specialist Blank Children’s Hospital Des Moines, IA —————————— ——————————————- Original Message: Sent: 07-11-2019 06:49 PM From: Nicole Lennox Subject: CVAD practices
Hi Everyone, We are currently updating our CVAD practices and we are really interested to see how other institutions practice.
In particular in relation to CVC do you utilise ANTT principles?
Do you use normal gloves or sterile?
Do you place a value on the end of your CVC and if so which value do you use?
Any information would be great
Thank you all for your time
—————————— Nicole Lennox Nurse Educator Cancer Centre for Children The Sydney Children’s Network Westmead Campus Sydney, NSW Australia ——————————