ANB RN

Situation: Pt CABG/AVR/septal myoectomy POD 4 or 5. Pt on Heparin, Amiodarone pulls out PICC line at 0000. BP starts to decrease 80s/40s. You need to start Neo. PIV x 3 started- all bags/IV tubing changed. As pt's chest becomes unstable (popped a wire or two) and starts to bleed. At 0300, PA comes in to place central line. Does your facility require you now change bags/IV tubing again after only three hours because it is a new line? One co-worker said it is a must due to CLABSI risk. (I could understand that if the hubs were not scrubbed appropriately or previous lines were old). I could not find any policy from my employer or a study that substantiates claim of increased risk. Please tell me what your facility requires or links to any studies you might have read on the matter. Thanks

Situation: Pt CABG/AVR/septal myoectomy POD 4 or 5. Pt on Heparin, Amiodarone pulls out PICC line at 0000. BP starts to decrease 80s/40s. You need to start Neo. PIV x 3 started- all bags/IV tubing changed. As pt's chest becomes unstable (popped a wire or two) and starts to bleed. At 0300, PA comes in to place central line. Does your facility require you now change bags/IV tubing again after only three hours because it is a new line? One co-worker said it is a must due to CLABSI risk. (I could understand that if the hubs were not scrubbed appropriately or previous lines were old). I could not find any policy from my employer or a study that substantiates claim of increased risk. Please tell me what your facility requires or links to any studies you might have read on the matter. Thanks.