I have always been trained that accessing an infusaport was to be done in aseptic/sterile technique. I have been training people for years to do this as such, as well as many other techniques, scrubbing hub, opsites to cover site, etc..... . I insert all the PICC lines , trouble shoot ports and do all the education for line care and maintenance and prevention of B.S.I. at our facility.
Unfortunately my husband was recently diagnosed with colon ca, got a port and we planned to start chemo at a physicians office setting. I was shocked with there breach in technique when they were going to access port for labs etc , care and maintenece .
1. the R.N. was going to access port using "clean" technique, clean gloves, wipe off port site with alcohol then access and draw labs etc.
2. instead of using opsite to cover and secure huber needle they wanted to just tape it.
3. when going to discontinue line they removed end cap, nurse didnt wash hands just applied gloves, and then didnt use any alcohol to scrub connection before inserting syringe of saline to flush then remove.
I certainly spoke up , insisted it be accessed using sterile technique then and opsite, then when to infusion center after pet scan for line to be de accessed the nurse went to flush and when I asked her to use alcohol to scrub hub/connection she had a fit.
I wont even go into the unprofessionalism that she exhibited when I kindly asked her to scrub the hub.
I spoke with MD and made mention of my concerns, he had heard of this as they were already " talking about me " and heard about my "trouble I was causing". Basically I spoke to all the nurses told them what I expected, then they proceeded to tell me I was way off and wrong, that what I says only goes on in hospitals, not for them. They have no intentions on changing , I am totally wrong. I discussed standards, save that line campaign etc....they were like a brick wall.
Then the head nurse went and got her standards from the ONS journal that say, all lines ports etc are to be accessed usinig aseptic technique. I told her , yes, now you have it, it says aseptic technique, that means sterile. She then insisted no it doesnt, not in that setting that it means clean.
I then said "thank you for your time and left" and have no intentions on bringing my husband back. Then half way down the road the MD called and asked my concerns, really he didnt even get a clue of what I was talking about but he was willing to have nurses do or try to accomadate my needs.( like I ever would want to put my husband in their care again) I told him I would be reviewing other practice settings and standards and probably not returning to his office at all.
What I need from you all is some input; is this so? am I interpretting things incorrectly? When I read aseptic it means sterile technique. I would love any input, articles standards etc..to give back to this physician. I already have the items for the save that line campaign.
I spoke to an ONC, nurse navigator who was just as appalled as I was, she even recommended reporting this situation to ACHA.
Thanks in advance, Gina Ward R.N,