Dressings
The day Central Line Dressings are changed (two answers)
What is Monday and when Compromised
What is a Final Flush of Heparin
Patients with a CVL dressing gets daily baths with
What is CHG baths
On Monday nights
When are caps changed?
What is Used to help secure central line at insertion and also used for an antimicrobial?
What is Secureport IV glue
Dressings not changed routinely on Mondays for CVL's
Heparin flushes are not needed for CVL's while continuous IVF of D5% are running.
What is False
What do you use to trouble shoot partially/fully occluded lines
What is Cath Flo
If dressing change is deferred for any reason
How often does the Stat lock for CVL line securement need to be changed.
With every Dressing change
Central Line Dressings, Mediport Access
What is a Central line Super Users
Scrub the hub prior to Accessing the central line with _____ and for _____Sec
What is Provantics 15 sec
The dwell time for Cath Flo is
30 min, 90 min, 120 min
Hourly assement for Central Line
Surrounding skin for redness, drainage, tenderness or swelling
Name two shift Assessment
What is Integrity of dressing, Date of last dressing change, pain, positive blood return, Fluid infusing, pump settings of the pump and line, integrity of lines/connections,
Attire for Dressing Changes
What is blue sterile gown, mask, bouffant, sterile gloves X2
To adequately clear the central lines, flush with
What is Turbulence
What should you do if CVL line has migrated 2cm or more and what would be ordered?
What is notify physician and order an Xray to very location
For central line dressings who needs a mask?
Family in the room, patient and Super Users.
Deaccess a Mediport.
What can any nurse do?
CHG Allergy Alternative Supplies
IV 3000, Slivasorb, betadine
Who can change IV tubing, De-access a mediport and discontinue a central line
What is All NURSES!! With proper training/Checkoffs
SASH Method stands for?
What is Saline, Administer Medication, Saline Flush, Heparin Flush
To remove old dressing, discard contaminated gloves and then clean CVL site with sterile gloves.
Why do we double glove to change central line dressings?
Placement of Patients to remove central line IJ and Subclavian
What is Trendelenburg position