Please help me clarify this issue, I can't put my hands on my INS standards right now....for port usage, after accessing and no blood return.Â
Start with repositioning pt, deep breathe, cough, re-accessing; do you:
Â a.Â If pt reports no blood return, but port functions, call MD and obtain order to use.
Â b.Â Call MD to get order for tPA and attempt to clear line.
Â c.Â If no blood return remains, call MD and get order for dye study to determine catheter placement and device functionality.
We are having a discussion about this because in Oncology we do #'s b and c.; on the floors it seems they do # a. I feel we should change the practice to b and c....any input please to [email protected]