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Jenn M.
Changing IV tubing for new CVL

 We are currently updating our CVL policy and want to put in a statement requiring a tubing changing prior to hooking fluids/meds up to a new CVL (fluids previously running through PIV).  Is this your practice?  Also, when switching from one lumen to another or from one CVL to another, do you routinely change the IV tubing?

lynncrni
 Without a doubt, any new

 Without a doubt, any new catheter of any kind requires a new IV adminstration set. This is addressed in the INS Standards of Practice. All catheter hubs, especially if you are using a needleless connector in the system carries a risk of transferring organisms from one catheter hub to another. To reduce this risk of cross contamination, the national standard is to set up a new IV set for a new catheter. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

srfnswm
We have always required new

We have always required new tubing when going from PIV to CVC. I have caught a few nurses not following this rule and watched them connect from a PIV to a new PICC I had just placed, even after I explain that most PIVs are not put in using clean or sterile technique, and are therefore considered dirty.

Since the above occurred more often than I was comfortable with, I simply cut all tubing and bags when I clear the PICC line for use. I do flush the PIV, and if the pt is on a medication that cannot be stopped, I mark the bag and tubing so that I know whether it was connected afterwards to the PICC. :)

rnrobin
New line, new tubing!!!! 

New line, new tubing!!!!  Always!

When obtaining blood cultures from a central line and there is no blood return, how long should one wait after patency has been established, either by flushing the line or cathflo has been instilled?

LeighMilazzo
Tubing change

Can you please direct me to where in the INS standards this is addressed?

Thank you

Leigh Milazzo RN, BSN, VA-BC

Vascular Access Nurse

Hillcrest Baptist Medical Center

lynncrni
 Standard #43, Standard

 Standard #43, Standard statement 43.2, page S55. Please note this is a standard statement with a "shall" verb rather than a practice criteria statement with a "should" verb. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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