Does anyone have references that address the use of excessive tubing/extension sets/Y sets/etc, and clotting problems?
I'm aware of the mechanical valve, positive/negative displacement devices issues, but I have staff that adds extra tubing that I think (and can't prove yet!) is causing clotting in the PICCs. There is no need to connect a Y heplock to a dual lumen PICC then only use one port for the single infusion the patient is getting.
Â Right now, we are using the Vaxcel BSI product, and the PASV doesn't seem to prevent the clotting. We also use the BD flushes, which are supposed to address the 'plunger' issue when flushing.
Lastly, how does everyone like the Q-syte?
Thanks for your input.
Manager - Vascular Access Services
St. Mary's Passaic