VAD Types
List two examples of VADs.
What are CVC lines, PICC lines, Groshong, Hickman, Pheresis catheters, Ports, or Dialysis catheters?
All VAD dressing changes must follow this technique.
What is sterile technique?
Tacrolimus infusions require needleless connector changes at this frequency.
What is every 24 hours?
This antimicrobial disc is applied to reduce bacterial colonization at the central line site.
What is a Biopatch?
Routine flushing uses this technique.
What is the pulsatile push–pause technique?
This VAD is implanted under the skin and accessed using a non-coring needle.
What is a Port-A-Cath?
Initial VAD dressing change is performed after how many hours post-insertion?
What is 48 hours?
Standard VAD tubing & Needleless connector inpatient is changed every…
What is every 7 days?
If a VAD dressing becomes wet, loosened, or soiled, what should you do?
What is change the dressing immediately?
Standard routine NS flush for VADs is…
What is 10 mL normal saline?
When would you change a peripheral IV line?
What is a inflitrated, phelbitis, occluded?
Transparent VAD dressings are changed at this frequency.
What is every 7 days?
TPN containing tubing must be changed every…
What is every 24 hours?
This color glove protocol is used for any central line use only.
What is the pink gloves protocol?
After administering blood products, VADs must be flushed with this amount.
What is 20 mL normal saline?
This VAD requires hemodialysis personnel for all maintenance.
What is a dialysis catheter?
Gauze dressings over VADs must be changed every…
What is every 48 hours?
Lipids tubing must be changed every…
What is every 12 hours?
This action must be performed before and after any line access, dressing change, or tubing handling.
What is hand hygiene?
Ports not in routine use are flushed every how many weeks?
What is every 4–12 weeks?
How do you know if the port is compatible with CT?
What is Chest X-Ray, patient's port card, power port?
Inpatient: A VAD dressing must be changed on admission if it is older than this many hours.
What is 48 hours?
Needleless connectors must be changed immediately if _______ is visible.
What is blood, debris, soiling, leaking, or contamination?
You enter a patient’s room and see: the Biopatch is saturated, the tubing is unlabeled, and the nurse is preparing to access the line without performing hand hygiene.
What THREE immediate actions must you take to prevent CLABSI?
What are:
Stop the access and perform hand hygiene
Change the dressing immediately (wet Biopatch)
Replace and label tubing properly (ensure compliance and sterility)
During discharge, VAD lumens with clamps are required to be locked with _______.
What is provider-ordered heparin