Our CVAD policy states to change all tubing, add-on devices, and fluids when a CVC is changed.
I can't find an INS Standard or CDC Guideline to support this and I need ito satisfy a physician's request for information.
Standard 48.3 states to change the tubing when the peripheral is changed, but doesn't mention CVC. Common sense should deduce to do the same with a CVC.
Practice criteria "C" under Standard 29 states to change add-on devices with each catheter.Â The term catheter covers CVC.
OurÂ practice came into question after a surgeon changed a CVC that was suspected to be the source of sepsis--!!!
Is there any standard/guidline/recommendationÂ to support our policy?Â Â I'm looking for credible published documentation.
I don't expect much resistance with the tubing change, but I do expect resistance on the fluid change.
Staff use common sense. If there's time before the line change-out, they'll order new drips.
If there isn't time, and the drips can not be safely held to wait for new bags, it may be necessary to spike the existing drips with new tubing before connecting to the new line.