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Nursing Management of Venous Access Devices

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Nursing Management of Venous Access Devices

Uploaded by

aashika15
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Nursing Management of

Venous Access Devices:


Non-tunneled Central
Catheters
Mimi Bartholomay, RN, MSN, AOCN
Denise Dreher, RN, CRNI, VA-BC
Theresa Evans, RN, MSN
Susan Finn, RN, MSN, AOCNS
Debra Guthrie, RN, CRNI
Hannah Lyons, RN, MSN, AOCN
Janet Mulligan, RN, MS, VA-BC
Carol Tyksienski, M.S.,R.N.,N.P.
Non-tunneled Catheters:
Subclavian/Jugular/Femoral Lines
 Also known as:
 Central Venous Catheter
 CVC / CVAD
 TYPES
 Single lumen - SL
 Double lumen - DL
 Triple lumen - TL
 Quadruple lumen
Subclavian/Jugular/Femoral Lines
 Benefits:
 short term central
access up to four
lumens
 central access
alternative to PICC
 emergency access
 Risks/Complications:
 Pneumothorax
 air embolism
 infection
Subclavian/Jugular/Femoral
Lines
 Placement: A sterile procedure at bedside or in the
operating room performed by physician or designee
 Central Line Infection Prevention Checklist must be completed
 Dwell time: based on ongoing clinical evaluation
 Use of lumens
 Distal lumen: CVP monitoring, blood sampling, viscous fluids,
blood products
 Middle lumen: TPN (if no TPN, can use for blood sampling,
meds, and transfusions)
 Proximal: any fluid or blood product
 Refer to MGH Nursing Policies and Procedures Trove
05-03-01
Non-tunneled Catheter Care and Maintenance:
Flushing
Refer to MGH Nursing Policies and Procedures Trove 05-03-06
Type of Catheter Routine Flushing Frequency of Flush

Non-tunneled catheters Adults/Adolescents: Intermittent use: After


or Multiple Lumen Heparin 10 units/ml; flush completion of any infusion or
Percutaneous with 5ml (50 units). blood sampling.
Catheters Maintenance: every 24 hours
when not in use.
Pedi/Toddlers/Infants: Intermittent use: After
completion of any infusion or
Heparin 10 units/ml; flush blood sampling.
with 2ml (20 units).
Maintenance: every 24 hours
when not in use.

Neonates/NICU: Intermittent use: After


Heparin 10 units/ml; flush completion of any infusion or
with 1-2ml (10-20 units). blood sampling.
Note: The volume of flush Maintenance: every 12-24
should be equal to the hours.
catheter volume.

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