We are going around with this topic again...some of the units in my hospital draw back to check for blood return from central lines either daily or once per shift, some do not.Â The INS standards say to "...aspirate for a postiive blood return....prior to administration of parenteral medications and solutions."
What are people doing out there and does anyone know of evidence.
Do you aspirate for blood with each dose of intermittent med?
Do you aspirate a line for blood return that is infusing a continuous infusion? In which case do you aspirate daily, once per shift??
And what do you do if there is not a blood return?Â Stop the infusion, unocclude with some agent that is appropriate?Â
My population is neonates and pediatrics, so lines are small and many don't have a brisk blood return.Â We do not infuse a vesicant unless we get aÂ blood return, soÂ oncology kids, for example, do get a larger line, if they are able. Â Most placed by IR so tip placement verified at insertion.Â Blood return does not necessarily mean line is in proper place, only that it is intravascular unless recent tip location verified.
Would value your opinions...
Anne Marie Frey