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UAC protocol

Posted
by Ashley NICU Ashley NICU (New) New Educator Nurse

Specializes in NICU. Has 13 years experience.

Hello all! Just wondering what the protocol is at your institutions regarding how often you change out the microclaves on an umbilical line after a blood draw. Our policy states to change after every blood draw, but on a 500 gram kiddo, that could be every 2 hours that we open a central line! Helloooooo CLABSI. So I figured I'd ask what other units do.

Thanks!

NICU Guy, BSN, RN

Specializes in NICU. Has 6 years experience.

We change from microclave distally every 5 days.

UAC->microclave->T connector->tranducer with inline dedicated 10 mL saline flush attached to top of transducer (using a MicroClave Saline Lock with Extension (Needleless)).

For blood draws, we use the Hummi Micro-draw transfer device with self-vented syringes. Up until last month, we had a 2 yr CLABSI free streak (over 3000 central lines).

http://hummingbirdmed.com/

JadedCPN, BSN, RN

Specializes in Pediatrics, Pediatric Float, PICU, NICU. Has 15 years experience.

4 minutes ago, NICU Guy said:

For blood draws, we use the Hummi Micro-draw transfer device with self-vented syringes. Up until last month, we had a 2 yr CLABSI free streak (over 3000 central lines).

Now that is impressive!