Questions regarding Umbilical Access

  1. I'm in advanced OB/PEDS and my teacher and I would like to know as much about umbilical access lines as you can tell me. How long can you wait before you have to access the umbilical cord? How do you keep it moist and open? How long can you use the umbilical cord? Anything else you think would be useful I would greatly appreciate. Thanks
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  2. 4 Comments

  3. by   Jolie
    Quote from Kalico
    I'm in advanced OB/PEDS and my teacher and I would like to know as much about umbilical access lines as you can tell me. How long can you wait before you have to access the umbilical cord? How do you keep it moist and open? How long can you use the umbilical cord? Anything else you think would be useful I would greatly appreciate. Thanks

    I'm too short on time to post a tutorial on umbilical arterial and venous catheters, but I would suggest contacting the nurse manager or nurse educator of OB/Nursery/NICU at the hospital where you do your clinicals. UACs and UVCs are common in Level II and Level III units, so I am certain that there is a unit in your area that could provide the information you are seeking. Ask for a copy of the policy and procedure for insertion and care of umbilical catheters, a sample of the catheters used, or even an opportunity to observe in the unit.

    When I managed a NICU, I truly enjoyed helping students with this kind of thing.
  4. by   Mimi2RN
    I agree, check with your local hospital for their policy and procedures.

    That being said, I have seen UAC started after a couple of days, and UVC's at 5-7 days. One of our docs has done that when we have had problems with peripheral lines. Usually a UAC is d/c'd around day 3, and a UVC at 7-10 days. I am sure things are different at other hospitals, but I'd be interested to know what other nurses have experienced.
  5. by   sunnysideup09
    We also discontinue a UAC after 3 days. Our UVC we don't keep longer than 15 days, but most get discontinued at 7 days.

    Christine, RNC, BSN

    Quote from Mimi2RN
    I agree, check with your local hospital for their policy and procedures.

    That being said, I have seen UAC started after a couple of days, and UVC's at 5-7 days. One of our docs has done that when we have had problems with peripheral lines. Usually a UAC is d/c'd around day 3, and a UVC at 7-10 days. I am sure things are different at other hospitals, but I'd be interested to know what other nurses have experienced.
  6. by   SteveNNP
    You can access the umbilical cord the minute the kid's born. We try to get those out as soon as we can, and place a PICC line. If we don't put a UAC/UVC in right after birth, <24 hours, we usually won't put one in, since the ductus venosus/arteriosus starts to close as soon as the baby's born. At that point, we'll do the PICC line and a periperal arterial line. Hope this helps!

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