INS Standards state that needleless connectors should be scrubbed prior to each access. In using the SASH method for example, the (simplified) steps would be:
Scrub - Saline - Scrub - Antibiotic - Scrub - Saline - Scrub - Heparin
In developing a system-wide policy for PICCs and CVC's, I am running into resistance. With the support of Infection Prevention and Control (!!!), the policy reads:
Scrub - Saline - Antibiotic - Saline- Heparin One scrub at the beginning only as this sequence is considered "one access".
I am continuing to press this issue and have been asked to find out what other hospitals do. My question is: do your nursing policies SPECIFICALLY state "scrub before each and every access"? If so, could you provide me with a copy of your policy? Y0u can email me your policy if you prefer to [email protected]