A primary continuous and any secondary sets should be changed when a new CVC is inserted. The INS standards of practice addresses this but it does leave room for interpretation. See page S48 of the standards on the set change coinciding with the peripheral catheter change. This does not address a CVC, but it only makes sense to me that a new CVC should not be in contact with any IV tubing that is questionable in it sterility or integrity.
Lynn Hadaway, M.Ed., RN, BC, CRNI
Lynn Hadaway, M.Ed., NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Office Phone 770-358-7861
We have discussed this and don't find a lot of research, but from the point of view of making sense, it definitely.
The peripheral IV sites are not inserted using sterile technique. All of the CVCs are inserted using sterile technique. Nurses have been responsive to this and understand that they don't want to take a contaminated tubing to the sterile placed CVC. Of course, we have coached them for years on this!