IV Heparin/saline lock

  1. 0 Hi all,
    Can anyone tell me on a Heparin/saline lock how often the adapters are changed and how often is the IV catheter changed?
    sweet sue
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  3. Visit  sweet sue profile page

    About sweet sue

    Joined Jan '08; Posts: 3.

    6 Comments so far...

  4. Visit  S.T.A.C.E.Y profile page
    2
    Depends on the policy of the hospital. Some places q 48/72/96/or only when needed.
    siggie13 and sweet sue like this.
  5. Visit  IVRUS profile page
    0
    Quote from sweet sue
    Hi all,
    Can anyone tell me on a Heparin/saline lock how often the adapters are changed and how often is the IV catheter changed?
    sweet sue
    Times to change the injection caps on the end of a short term, peripheral IV catheter less than 3" in length, should coincide with the placement of a new IV catheter which is q72 hours. However, there are PRN times as well. I have seen injections caps as flat as a pancake because a patient has chewed it to be so... and I've seen them covered in feces... These examples are just two times where we are way past a prn time!

    Injection caps on midlines/PICC's and other catheters that are placed under sterile conditions, according to INS, should be changed q 7days and prn.

    Recommended dwell time for midlines (again according to INS) is 2-4weeks.
    There is not a recommended dwell time for PICC catheters as they can safely stay in for years in the absence of complications.
    Other IV catheters may vary on dwell times and you'd have to refer to P&P and manufacturers recommendations.
    ie.. Tunneled IV catheters may dwell for years, whereas a Subclavian TLC may be 7-14 days (if it has antibiotic coating).

    Hope this helps
    DD
  6. Visit  nrsang97 profile page
    1
    My facility IV sites and tubing are changed q 72 hours.
    sweet sue likes this.
  7. Visit  EmmaG profile page
    0
  8. Visit  classicdame profile page
    0
    I believe the Infusion Nurses standards say change every 72 or prn. Check them out on www.ins1.org
  9. Visit  GrumpyRN63 profile page
    0
    Our hospital policy has changed to Q96 hrs


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