Tube Feeding Administration
What must be confirmed prior to tube feeding administration and preferred method?
placement, X-ray
Frequency of CVAD dressing changes
Every 7 days and prn
How long do you scrub the hub before accessing a central line?
Scrub-the-hub with alcohol prep pads for 15 seconds before each use and in every syringe change
What needs to be labeled on a CVAD dressing?
Date, Time, & Initials
What must be verified prior to using an indwelling central line and how?
Placement must be verified by X-ray.
What 3 things should be included in physicians order for tube feeding?
Formula, rate, route
How often do you change tube feeding bag/set and tubing?
What must be applied and aligned with catheter tubing for every central and non-central venous access?
Biopatch
Needs to be ordered, performed, and documented daily when a patient has a CVAD?
CHG bath
Blood stream infections originating from central venous access devices.
What is CLABSI
Must be done before and after medication administration and feeding?
Flush with 30 mls
Frequency for changing continuous primary and secondary IV tubing lines versus intermittently used IV tubing?
96 hours for continuous
24 hours for intermittent
When performing a central line dressing change, how long do you clean around the insertion site with alcohol?
30 seconds
For TF what needs to be documented accurately and include consistency and holding times?
Intake and output
What is required prior to a PICC and midline insertion?
Signed consent.
What should all enteral feeding bags, water bags, and tubing be labeled with?
Patient's name, date, time hung, name of formula, and nurses initials.
How often do you change IV tubing for TPN?
TPN with lipids 24 hours
When performing a central line dressing change, after cleaning around the insertion site, what is the dry time?
2 minutes
Where are the 2 places that a CHG bath must be documented?
MAR
Doc Flowsheet
What do all ports of central lines need?
green curos caps
Who supplies tube feeding products to the nursing units?
Food & Nutrition Services
4 examples of when to change needless connectors on central lines.
Weekly with dressing changes
When primary tubing is changed
Prior to drawing a blood culture sample from catheter
When blood is visible in connector
What is the scrub time for prevantics?
5 seconds
For tube feeding, what should be routinely checked, documented?
residuals
How many ml's must be used for flushing a central line?
20 ml