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UAC protocol

NICU   (241 Views | 2 Replies)
by Ashley NICU Ashley NICU (New) New Educator Nurse

Ashley NICU has 12 years experience and specializes in NICU.

64 Profile Views; 6 Posts

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!

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NICU Guy has 5 years experience as a BSN, RN and specializes in NICU.

2 Followers; 3,709 Posts; 33,376 Profile Views

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/

 

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JadedCPN has 13 years experience as a BSN, RN and specializes in Pediatrics, Pediatric Float, PICU, NICU.

1 Follower; 1,050 Posts; 9,212 Profile Views

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! 

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