I am wondering if anyone has evidence that would support the least risky way to declot a complete occlusion on a central line (after they have checked for other causes). Sometimes it may take a few hourse to instill the entire dose. It is unlikely that a nurse has a few hours to spare to declot. I dont see anything in SOP 56 to give any direction.
What is the recommendation? Do they go hub to hub or through a new needlelss connector?
Do they leave the syringe attached at the bedside and come back repeatedly to cont to try to work the med in or do they have to remove the syringe if they leave?
If they remove the syringe and have not instilled the full dose, what do they do? Is it counted as a dose given? (I would hope they do not try to reconnect the used syringe later but am guessing this happens sometimes.)
If the nurse left the syringe attached and secured to the central line, would that be considered leaving medication at the bedside?
On a partial occlusion should they go hub to hub or through a NC? I am wondering which technique is least likely to contaminate the line.
thanks in advance for your responses.