I plan to take CRNI exam in March.
There have been many disagreements about CVAD partial occlusions in my facility. Tonight I challenged a doctor who claimed that the partial occlusion to the triple lumen Chest Inserted Central Catheter's distal port was due to the suture being too tightly drawn and that it was okay to use.
My reading of the INS Publication Nursing Practice Management, volume 1, number 2, March 2008; New Standards for Catheter Occlusion Management tells me:
1. Unacceptable to infuse through a partially occluded CVAD port.
2. Unacceptable to continue the other ports of a CVAD with an occluded port and
3. Tight Sutures causing an external mechanical occlusion should be removed.
He was not impressed. He questioned to authority of these "standards". I told him they are the standard nurses are judged against in court.
Am I wrong? He said I was.
Art Hansen, RN