Central Non-Tunnelled Catheters - Saline Flush and Hepsal Lock (CVC2) If each lumen of a triple or quadruple lumen catheter is being used more than once a day there is no need for a Hepsal flush Action Rationale Equipment Required Dressing Pack containing sterile towel and gloves 10ml syringes x 1 Chlorhexidine 2% impregnated wipes x 3 10ml syringes should always be used; smaller syringe sizes may damage the 10ml 0.9% Sodium Chloride for injection(Saline) prefilled syringes or a 10ml ampoule of 0.9% Normal Saline catheter (Hadaway 1998). 5ml Heparin 10units/ml in 0.9% Sodium Chloride 1 x blue needle/filter straw Sharps container Surgical tape Alcohol hand rub/gel Plastic apron Needle free I/V access connector change as per guidelines see manufacturer’s NSF1 Cins guideline NB 5ML HEPARINISED SALINE 10 UNITS/ML WITH OPEN ENDED CATHETER Reduce anxiety Explain the procedure to the patient. Patient compliance Ensure that valid consent is gained. To ensure that the procedure can be carried Check the patient identity, prescription and flush required in accordance with trust policy out safely for the administration of medications. Before the procedure begins make sure that your hands are washed and dried Reduce risk of infection. thoroughly and that they continue to be decontaminated during the procedure. A To avoid contamination. plastic apron should be worn. Maintain aseptic technique at all times. Ensure working area is as clean as possible. Ensure all equipment is gathered before commencing the procedure and all packaging is
Central Non-Tunnelled Catheters - Saline Flush and Hepsal Lock (CVC2) If each lumen of a triple or quadruple lumen catheter is being used more than once a day there is no need for a Hepsal flush Action Rationale Equipment Required Dressing Pack containing sterile towel and gloves 10ml syringes x 1 Chlorhexidine 2% impregnated wipes x 3 10ml 0.9% Sodium Chloride for injection(Saline) prefilled syringes or a 10ml ampoule of 0.9% Normal Saline 5ml Heparin 10units/ml in 0.9% Sodium Chloride 1 x blue needle/filter straw Sharps container Surgical tape Alcohol hand rub/gel Plastic apron Needle free I/V access connector change as per manufacturer’s guidelines see NSF1 Cins guideline NB 5ML HEPARINISED SALINE 10 UNITS/ML WITH OPEN ENDED CATHETER 10ml syringes should always be used; smaller syringe sizes may damage the catheter (Hadaway 1998). Explain the procedure to the patient. Ensure that valid consent is gained. Check the patient identity, prescription and flush required in accordance with trust policy for the administration of medications. Before the procedure begins make sure that your hands are washed and dried thoroughly and that they continue to be decontaminated during the procedure. A plastic apron should be worn. Maintain aseptic technique at all times. Ensure working area is as clean as possible. Ensure all equipment is gathered before commencing the procedure and all packaging is Reduce anxiety Patient compliance To ensure that the procedure can be carried out safely Reduce risk of infection. To avoid contamination.