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Tue, 12/26/2006 - 15:13

Heather Nichols

Dialysis catheters and cortis

Can any RN pull a dialysis catheter?Â What is everyone elses policy on this issue?Â Also, should a cortis be allowed to leave the ICU?Â If so, only the PCU, or also the floors?Â Should any RN be able to pull a cortis?Â Just curious as to what everyone else is doing.

Thanks!Â Heather

Fri, 01/12/2007 - 19:09

AnnBriggs

This question came up in my

This question came up in my hospital as well. I know many Dialysis catheters are placed as jugular non-tunneled CVCs but I'm not clear about how many tunneled dialysis catheters are being used in current clinical practice. Since discontinuing the non-tunneled catheters is essentially the same as any other non-tunneled catheter that is easy to address but I do wonder how much of a factor the tunneled models would be in the market. Please advise since we need to address this in a new P&P.

Sat, 01/13/2007 - 07:03

lisayrn

At my facility RN's are not

At my facility RN's are not to pull any dialysis lines. Like Donna, we also discourage a Cordis from leaving the ICU. Usually a PICC is ordered to pull any type of CVV prior to transfer from ICU. If the pt. is not a PICC candidate the cordis is exchnaged for a CVC. I believe the ICU nurse remove the cordis as it is not tunnelled.

Lisa Y., RN, BSN University of Pittsburgh Medical Center/Horizon IV Therapy

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