Still having some pushback regarding the need for a "virgin" line for parenteral nutrition. Is a "virgin line" a requirement? If a line is "dedicated" for nutrition, what and how much flush is required prior to initiating nutrition? If blood components were previously infused via the now-dedicated line, is vigorous flushing all that is required prior to dedicating the line for nutrition? Any references I can provide for the MD with questions/concerns? Thank you all for any information and support you can provide. Your input is greatly appreciated.
I have never seen the phrase "virgin line" in any literature nor have I ever seen this concept described without the name. There is no amount of flushing that will rid the catheter of any biofilm/fibrin that is already present within the catheter. But that does not mean that the patient must suffer the pain, discomfort and cost of having a new line put in just so they can get some type of PN. Again, why is this doctor not showing you his/her references for their position? 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