Can someone tell me if they have a better way of handling this issue?
We are seeing a lot of patients on Inotropic therapies, and our question is this: Using a CADD, our cassettes are changed q 48 to 72 hrs. Currently, we tell the nurses to only check for line patency at the time of the cassette change. We have them withdraw 5 mls of blood, and then perform a saline flush and then attach the new cassette. Some nurses are concerned because on a 24/7 continous infusion, with PICC's having an internal diameter of 0.7 to 1.3 mls, that it means that the pt will go without this medication for the time that it takes for the new cassette to get it into the blood stream. Many of these medications are Vesicants, and I say that absolute and positive line assessment must be made at intervals. Does INS address this? I can't seem to find anything? Lynn?