Central Venous Catheter Care Standing Orders

PLACE LABEL HERE

CENTRAL VENOUS CATHETER CARE

STANDINGORDERS

Nurse initiated standing order based on medical staff approved criteria/policy (500-64).

Orders with a “” are indicator choices and are NOT implemented unless checked. Initial the bottom of each page when indicated (multipage).

• Sterile, q 7 days and prn.

• NS 5 ml prior to blood sampling
• NS 10 ml or more before and after meds and fluids, including incompatible meds and fluids
• NS 20 ml or more after viscous solutions, blood draw and transfusion
• NS 10 ml q shift when not in use

• Change needleless connectors q 7 days
• Change passive-disinfection (green) caps with each use

• Cathflo (activase)

• Instill 2mg per occluded lumen
• May repeat x 1 if catheter remains occluded/sluggish after 120 minutes
• Notify physician if occlusion persists after 2nd dose

• Sterile, q 7 days and prn.

• NS 5 ml prior to blood sampling
• NS 10 ml or more before and after meds and fluids, including incompatible meds and fluids
• NS 20 ml or more after viscous solutions, blood draw and transfusion
• NS 10 ml q shift when not in use

• Heparin 5 ml of 100 units/ml prior to deacces-sing & q 4 weeks for mainten-ance

• Change non-coring needle q 7 days
• Change needleless connector q 7 days
• Change passive-disinfection (green) caps with each use

• Cathflo (activase)

• Instill 2mg per occluded lumen
• May repeat x 1 if catheter remains occluded/sluggish after 120 minutes
• Notify physician if occlusion persists after 2nd dose

• Sterile, q 7 days and prn by dialysis nurse
• If no HD, q 7 days

• ALWAYS remove heparin from lumen by aspirating 3-5 ml from each lumen. DO NOT flush heparin through lumens.Do not remove needleless connector
• NS 10 ml or more before and after meds and fluids, including incompatible meds and fluids
• NS 20 ml or more after viscous solutions, blood draw and transfusion

• Heparin 5,000 units/ml
• IF allergic to Heparin or HIT positive, useSodium Citrate 4%

• Instill fill volume of each lumen

• Change HD-specific needleless connectors q 7 days
• Change passive-disinfection (white) caps with each use

• Cathflo (activase)

• Instill 2mg per occluded lumen
• May repeat x 1 if catheter remains occluded/sluggish after 120 minutes
• Notify physician if occlusion persists after 2nd dose

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Date TimeNurse SignaturePhysician Signature PID Number

Copy to pharmacy

*1-32657* FORM 1-32657 REV.07/2016 Page 1 of 1