shawnmed

Thanks, Bobnurse & Donna. Your insight is surely appreciated. I've downloaded a few articles online that addresses the CR-BSI. They problem is not only with positive pressure connectors. Its needleless systems altogether. A couple of reasons why... 1. Not all nurses are swabbing the connector before they access the valve. 2. Most of the valves can't be swabbed thoroughly because of the design of the valve. For instance, with the Ultrasite there is no way you can totally swab that valve due to the bumps & ridges on top of the valve. Bacteria & germs reside here that can't be removed since swabbing is an action of friction. You have to have a totally flush swabbing surface in order to be effective. Otherwise you don't have an aseptic device. 3. Some of the valves have huge poppet stickdown issues when clamped. This is a potential problem with the Posiflows. Let me know if you would like me to forward you a few published studies regarding this. Thanks again for sharing your experiences.

I appreciate your comments, BobNurse. Shawnmed

If you are using a positive pressure valve on central lines and peripherals, have you seen any decrease in catheter occlusions? Are there any benefits to using it on all the lines?

Is anyone out there using a Positive Pressure Valve on all your Central Lines as well as your Peripheral Lines? I heard from a nurse that a Positive Pressure Valve was not recommended for peripheral lines. I have not been able to find any documentation that states this. I would think a Positive Pressure Valve would decrease overall catheter occlusions. Please let me know if you might have any insight on this. shawnmed

Increased infection rates have been a key problem with the Clearlink product. Facilities here in the NW have noticed a significant increase in infection rates after converting the the Clearlink. The valve is prone to poppet stickdowns and extreme blood reflux. On top of the mechanical issues, there have been distribution issues with this product. Baxter has even issued a warning letter regarding the increase in infection rates. The Interlink is a little better with infection rates but still has its share of catheter occlusions. Plus its a very costly system to use since you have to use blunt cannulas & alligator clips. Most facilties go through thousands of these extra pieces at a huge cost to their facility. I would suggest using Interlink as opposed to Clearlink. However, neither one of these are Positive Pressure Valves. More and more facilities are converting to Positive Pressure Valves that will decrease overall infections & occlusions. Good luck.