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daylily
What kind of non-coring needle do you use?

Our acute care facility uses the gripper plus needle with a y-site by Smiths Medical.  This needle has a great safety activation, however, there are several problems. 

1. A tinge of blood can never be cleared where the needle transitions to the tubing.

2. With the y-site you are constantly having to flush and clamp, flush and clamp because blood gets stuck in the y.

3. The plastic safety piece on top causes the dressings to sit higher and it does make it more difficult to keep them secured to the skin.

We have the IR dept. placing CT injectable ports, whereas, they have bundled the needle and the port together and received FDA approval for the two devices to be used together (for CT injections).  Now the surgeons in the OR are looking at using a different manufacturer and along with it comes another needle.

Now I'm not opposed to several different needles, however, is this how all facilities managing multiple kinds and useage of ports?  Neither port company will state that you can use another needle in their port because this is how their testing was done.

Is there a better needle out there?

How many acute facilities use a y-site?  Our nurses like it so you do not have to disconnect to draw blood.

daylily
Reposting due to no initial
Reposting due to no initial response.
Timothy L. Creamer
Bard offers 3 different

Bard offers 3 different safety infusion sets (SIS) approved for power injection, they are PowerLoc, PowerLoc Clear, and PowerLoc Max. Updated instructions for use (IFU) include indication for power injection of contrast media into the central venous system only with an implanted port that is also indicated for power injection. In other words, this family of power injectable SIS are indicated for any power injectable port.

These 3 SIS offer varying unique designs so the clinician can choose for optimal familiarity and patient outcomes. All three have a non power injectable SIS version as well.

Hope this helps answer your question, I have not used a Gripper for a long time so no confirmation on being better. Trial some and you decide.

Timothy L. Creamer, RN

Clinical Specialist, Bard Access Systems

Florida Division

Timothy L. Creamer RN, CRNI

Clinical Specialist, Bard Access Systems

Florida Division

nanmal
We went from the Gripper to
We went from the Gripper to the Huber Plus.  We had needle stick issues with the Gripper due to it withdrawing from the port kind of hard. We also didn't like the way the Gripper came out of the port--seemed to withdraw at a kind of a curved angle.  The Huber Plus is not an improvement; very flimsy and I think a greater risk for needle sticks.  I liked the foamy platform the Gripper had which rested against the patient. 
Timothy L. Creamer
The PowerLoc Max and non

The PowerLoc Max and non power injectable counterpart SafeStep both have a foam platform and some additional features. 

Timothy L. Creamer, RN

Clinical Specialist, Bard Access Systems

Florida Division

Timothy L. Creamer RN, CRNI

Clinical Specialist, Bard Access Systems

Florida Division

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