NEEDLE POINTS Always identify the type of port the patient - - PowerPoint PPT Presentation

Always identify the type of port the patient has.(power vs non-power)

• 1. Ask the patient or family.
• 2. Do they have a port wallet card or bracelet?
• 3. BARD brand POWER port has 3 “bumps” that

can be palpated.

• 4. SMART POWER port can be identified by 3

concave sides at the base or the letters “CT” on chest x-ray.

• 5. Documentation of port insertion procedure.

CT can only be performed through a power port with a power needle.

NEEDLE POINTS

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Pre-hospital I.V. Guidelines

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Rationale: In order to be in compliance with the CDC recommendations for pre- hospital peripheral IV placements, we are implementing the following procedure:

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Place the Red Pre-hospital I.V. sticker (see below)

• n patient’s IV site and complete sticker documentation as indicated for all peripheral

IVs that have been inserted prior to arrival to SMH. I.V. Sticker Catheter must be changed within 48 hours.

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Document in IVIEW on the vascular band that “YES” the peripheral IV was inserted prior to hospitalization.

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If ED patient, document on the ED assessment form that an I.V. was placed as a pre- hospital intervention.

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RN to notify IV Team when the pre-hospital sticker is observed on the patient or pre- hospital I.V. is documented in E-record and IVT RN will change the peripheral catheter as soon as possible.

NEEDLE POINTS

PRE-HOSPITAL I.V. Change Catheter by: Date:______ Time:_____

 Peripheral IV tubing must be changed every 4

• days. Central IV tubing must be changed every

3 days. Either use the paper tag with WARNING

• n it that is attached to the IV tubing or use

tape & mark the date it was changed.

 Document the date of the tubing change in the

appropriate IVIEW area in the EHER.

 IV bags that have no patient name label must

have the correct patient belonging label on it.

 THIS IS PER POLICY.

NEEDLE POINTS

SOLO Power PICC

Scrub the HUB for 15

seconds and allow to dry prior to any access.

Saline Only – NO HEPARIN CT injectable-purple lumen Always draw back 1-2 ml

slowly to open valve when drawing blood.

Pulsatile flush with 10 ml

NSS before and after meds & 20 cc after blood draws.

All lumens should be patent

and have good blood returns at all times.

NEEDLE POINTS

 Pre-hospital I.V. Guidelines  Rationale: In order to be in compliance with

the CDC recommendations for pre-hospital peripheral IV placements, we are implementing the following procedure:

 Place the Red Pre-hospital I.V. sticker (see

picture) on patient’s IV site and complete sticker documentation as indicated for all peripheral IVs that have been inserted prior to arrival to SMH. Catheter must be changed within 48 hours.

 Document in IVIEW on the vascular band that

“YES” the peripheral IV was inserted prior to hospitalization.

NEEDLE POINTS

 If ED patient, document on the ED

assessment form that an I.V. was placed as a pre-hospital intervention.

 RN to notify IV Team when the pre-

hospital sticker is observed on the patient or pre-hospital I.V. is documented in E-record and IVT RN will change the peripheral catheter as soon as possible. PRE-HOSPITAL I.V. Change Catheter by: Date: _____ Time: ______

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LOOK LISTEN FEEL

When charting an IV that has infiltrated

• r has caused phlebitis, the grade must be

documented in the IVIEW. To view the reference text for both, right click on the word infiltrate/phlebitis & you can choose the grade to be documented.

 Grades of 2 or greater must be reported in

riskmaster & an MD must be notified.

NEEDLE POINTS