I have done a lit search and can not find any research supporting the placement of a small extension set when creating a saline lock.  Intuitively, it makes sense to decrease catheter movement and mechanical phlebitis. Is anyone practicing in a setting where they place the end cap directly on the catheter hub and if so what is your phlebitis rate?
ÂThanks,
Deb McPherson MSN, RN
Maine Medical Center
Portland, Maine
You are right about no research, but I strongly support this in all classes that I teach. Very curious to know if someone has tract complication rates with and/or without these extension sets.
Lynn Hadaway, M.Ed., RN, BC, CRNI
www.hadawayassociates.com
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861
I haven"t done any "official" tracking, but from personal experience can tell you that yes, what you are saying is right.
Interesting thought Lynn.
Patrick Cassidy, RN
Bloomington Hospital of Orange County
Patrick Cassidy, RN
Infusion Therapy
IU Healthcare Paoli Hospital