CENTRAL LINES SOARS

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CENTRAL LINESSOARS
June, 2011
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WHY DO PATIENTS NEED CENTRAL LINES?

• Infusion of
• V_ _ _ _ _ _ _ s
• T_ N
• C_ _ _ _ _ _ _ _ _ _ y
• Other Reasons
• P_ _ r V_ _ _ _ s A_ _ _ _ s
• Chronic Illness requiring frequent lab draws or
  treatments (e.g. CF)

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If you have questions who is your best source of
information?
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CENTRAL LINES Policies
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PLACEMENT OF CENTRAL LINES
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PLACEMENT OF CENTRAL LINES
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WHICH ONE OF THESE IS A CENTRAL LINE?

• CVC Short-term Catheter
• PICC Line
• Mid-line Catheter
• Portacath
• Peripheral IV
• Short-term Dialysis Catheter
• Groshong
• Hickman/Broviak

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Catheter Site Care
Change 1st dressing within 24 hours
Change AT LEAST every 7 days thereafter
Never re-insert catheter that comes out
If stitching comes out, secure with securement
device
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Challenges

• Patient positioning
• External position of central line
• Internal position of central line
• Wont flush
• Wont draw back blood.

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Whats Wrong with This Picture?
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Cap Changes/ Extension tubing changes

• Weekly
• After lab draws
• If cap loosens or is soiled.

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Flushing

• Saline
• ? Heparin?
• Groshongs, Hickman/Broviaks, Power Ports, PICC
  lines, CVC-Short term catheters?
• How do we know?

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THANK YOUAND HAPPY NURSING!