Scrub the Hub
What do you scrub a CVC injection port with and for how long?
Prevantics: 5 second scrub, 5 second dry
How frequently do you change Needless connectors/Microclaves?
Q96hrs, if dirty, Q24hrs w/TPN tubing, with blood cultures
Can a patient on continuous IV be disconnected for a shower?
NO!
How often do you flush using push-pause technique?
Following every intermittent use and at least every 12hrs while inpt. After blood draws.
How often do pts need to CHG bathe?
What do you scrub vials/skin with? and for how long? (bonus point) Are there any exceptions?
Alcohol prep pad, 10 second scrub, 10 second dry
Exception would be blood cultures: you scrub w/Prevantics
How frequently do you change continuous IV tubing?
Every 96 hours
How frequently do you change a CVC dressing?
Every 7 days or if dressing is soiled, wet, or edges are lifted, please change dressing immediately and document under flowsheets.
How much do you flush a cvc after viscous solutions such as blood products, parenteral nutrition and contrast media?
20 ml
How much NS do you flush after administering a secondary IVPB?
30 ml
When and how is a site-scrub used?
On cvc hub, with microclave change or any hub-to-hub access.
10 back and forth twists (min 10 sec) and dry for 10 sec
How frequently do you change intermittently-connected primary or secondary tubing?
Every 7 days, if dressing/port gets wet, if dressing starts to tent and needle is exposed to outside
How much do you flush lock a PORT with?
20 ml
How long can primary IV tubing be disconnected before having to replace it?
the length of a blood draw
How often do you scrub the hub? Explain the proper process if you were to administer an IV push.
With every access.
Remove curos cap, scrub (prevantics) NS flush, scrub, IV med push, scrub, NS flush, new curos cap
Max hang time for blood tubing?
4 hours
How long is the securAcath from insertion site?
3 cm
How much do you flush lock a non-tunneled catheter and CVC with? (i.e. PICC and TLH)
10 ml
Your pt has a PIV with sodium bicarb running. They get a PICC line placed and they want their PIV removed. Can you move the sodium bicarb line from the PIV to the PICC?
NO!
How many times can you use a curos cap? Please provide extra info on when they should be changed and accessing injection port once removing
1 time use. Change after showers. You still need to scrub injection port with prevantics prior to accessing port after removing curos
For CVCs and midlines that require accessing for medication administration more than ____ in a 24-hour period, obtain order for and maintain TKO infusion.
Twice
What is the best dressing for a neutropenic pt with a TLH?
IV Clear
What size syringe do you use to instill cathflow into cvc lumen?
10 ml
During lab draws, how much blood do you waste for PICC? Tunneled catheters (i.e. PORT/TLH)?
6ml PICC (1 red top)
10ml Tunneled Catheters (2 red tops)