Scrub, Flush & Cap
How long should you scrub a needless connector with alcohol if a Curos cap is not present?
At least 15 seconds using friction, then allow to dry.
How often must transparent dressings be changed on a CVAD?
Every 7 days or PRN if soiled, loose, or moist
What is the minimum flush volume for a peripheral IV before and after use?
2.5mL of normal saline
A nurse changes a central line dressing without wearing a mask. What bundle component was missed?
Masking during dressing change to prevent droplet contamination.
What is the minimum flush volume for a central line catheter after blood sampling or TPN?
20mL of normal saline.
Currently on our VAD11 procedure, who is responsible for performing central line dressing changes (other than PICC line)?
Bedside Clinician (RN or LPN II)
What must you confirm before using a CVAD for medication administration?
Brisk blood return
A transparent dressing on a CVAD is 9 days old but nonetheless intact. What is the issue?
Dressing is overdue- change every 7 days per hospital procedure.
If an administration set is detached, what should be placed at the end of the line?
A sterile red cap
Are chlorhexidine gel (CHG) pad dressings required on CVADs if the patient does not have any allergies to chlorhexidine?
Yes
What is the minimum flush volume for a CVAD before and after use?
10 mL of normal saline
A curos cap was left off a disconnected line during transport. What should have been done?
A curos cap must always be placed on disconnected ports.
How long should a curos cap be in place for complete disinfection prior to accessing?
1 minute
What must be included in every dressing label?
Change Date
What is the proper flushing technique for any central line or midline?
Pulsatile or push-pause technique
A nurse reuses tubing from a prior central line IJ to a new PICC line.
Never reuse old tubing on a new central line- must use a new administration set.
What is the minimum flushing frequency of central lines when there is no continuous infusion?
Every Shift
How long should you cleanse the skin with an antiseptic solution for when changing a CVAD dressing?
Cleanse the skin using a back-and-forth motion for at least 30 seconds. If skin is moist cleanse for 2 minutes.
Other than flushing before and after each medication administration, when else are you supposed to flush your CVAD?
Upon discontinuation of continuous infusions
Blood is visible in the connector after two 10ml flushes. What’s the next action?
Change the needleless connector immediately.