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POLICY :
Management and care of CVC at LBH may only be
undertaken by the following:
a) Registered nurses accredited to give intravenous medication
b) and only registered nurses accredited to give intravenous
medication may undetake training to care for CVC sites and lines.
STANDARDS :
Procedure should be carried out under strict asepis.
- To have a uniformed approach to drawing blood from a centraal
line by trained staff.
- The CVC is not a ideal site for drawing blood samples but may
be used in conditions where other access is not available.
- Caution is to be taken when aspirating blood samples from the
CVC not to hemolysis sample or collapse/damage catheter or blood vessel
- Caution is to be taken not to contaminate blood sample with
solutions infusing through other ports.
OUTCOMES :
The patient will experience no infection through contamination of
the CVC line during his or her stay in LBH.
- Blood samples drawn from the CVC will not be contaminated by
other solutions infusing through CVC
- No damage will occur to the vessles or CVC during the taking
of blood samples from the CVC.
EQUIPMENT:
-
Sterile dressing pack, two 10cm x 10cm
- Hibitane solution
- One pair sterile gloves
- Rubbish bin
- Yellow leur lock cap
- Heparinised saline( 50 u/ 50 mls)
- #19 needle to draw up solutions
- Sodium Heparin 5000 u/ ml
- Yellow 'Vacutaainer' shield
- Eye protection
- 'Vactutainer' luer adaptor, 5 ml syringe x 2, 1 ml syringe x 1,
appropiate 'Vacutaainers' for collecting blood samples.
PROCEDURE :
Explain procedure to patient before starting
- Aseptic preparation before starting procedure.
- Prepare drsg pack at bedside before postioning patient.
- Clamp off port on CVC being changed with blue slide clamp.
With multiple lumen catheters blood sampling is done through the
Proximal port.
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