Our infection prevention team is wondering if anyone routinely changes out PICC or central lines after a code situation?
Are you asking about a CVC that was inserted during a code situation? If so, CDC guidelines states that all catheters inserted during an emergent situation where proper skin asepsis can not be employed should be changed as soon as the patient is stable or within 48 hours. Many people apply this statement only to those catheters inserted by EMS outside the hospital, however the statement applies to all catheter types and all settings.
I am not aware of any standards or guidelines stating that a catheter should be changed after a code when it was placed under proper conditions before the code situation. Eager to know what others are doing. Lynn
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
No I meant placed prior to a code under sterile conditions. The infection prevention team is questioning technique during a code, scrubbing the hub etc. So we are looking to see if anyone changes the line out after a code.
We do not replace perfectly good lines on a routine basis on the chance that they might become infected. We work so hard to keep good lines in place as it is!
Wendy Erickson RN
Eau Claire WI