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cathflo procedure

Our team is currently updating our catflo policy for piccs, ports.  Can I have some feedback from others on the policy at your institution (hospital or homecare).  Specifically,  is   it  written into your cathflo policy that your team can cathflo a device using  nursing judgement  OR  does your team have to obtain a direct physician's order to cathflo the device??


Gwen Irwin
We have to have the doctor's

We have to have the doctor's order.

Gwen Irwin

Austin, Texas

MD order, but it is a

MD order, but it is a standing order on the PICC requisition (the default is for tPA).  The MD has to order if they do NOT want it.

Mari Cordes, BS RN 

Nurse Educator IV Therapy
Fletcher Allen Health Care, Burlington VT
Educator, Bard Access Systems 

Mari Cordes, BS RNIII VA-BC
Vascular Access Department
University of Vermont Medical Center

Thank you for your input. 

Thank you for your input.  Our team is considering  including our cathflo procedure  under our routine PICC care protocol.  The cathflo inclusion would be approved by the hospital's  medical executive committee (comprised of phyisicans).


Thanks for your input.  
Thanks for your input.  
We have standing PICC orders
We have standing PICC orders which include Cathflo.  We do not however declot ports.  These patients go to Special Procedures where they can be monitored during the procedure.
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