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Art Hansen
CVAD securement vs. patency

I refer to INS, Nursing Practice Management, New Occlusion Management Volume 1, number 2 3/2008, pages 4-5.

-not acceptable practice to infuse through a partially occluded port.

-not acceptable to  practice to leave an occluded port untreated because another port is patent.

-tight sutures at the exit site should be removed.

 

What are the merits of securing a chest inserted central line with suture tight enough to partially occlude the distal port?

 

 

Art Hansen, RN

lynncrni
There are no merits to such a

There are no merits to such a tight suture. Perhaps I am not understanding your question though. In fact, OSHA has a position apper stating that all sutures should be eliminated when securing all medical catheters. So use of sutures is not recommended due to the high risk of needlestick injuries. Also sutures grow biofilm which can lead to an infection at the insertion site. A manufactured catheter stabilization device is the preferred method for stabilizing all catheters. 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

dtarvin
OSHA and sutures

Lynn,

  Could you give us a reference where we could find that OSHA position paper?

 Darla Tarvin RN VA-BC

Mercy Clermont Hospital

lynncrni
It is a pdf document that can

It is a pdf document that can be downloaded at the OSHA website, but there is no specific page. Go to www.osha.gov, and enter Securing Medical Catheters into their search box. You will find this document at the top of the list. Click on it to download the document. 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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