Re: prepping prior to access

[Leigh Ann Bowe-geddes]

Denise: My question here is, do they have evidence that it actually significantly reduces occlusions? I understand the neutral displacement, etc., but I want large scale actual numbers on outcomes and number of occlusions per 1000 catheter days. Infection incidence per 1000 CDs would be interesting to see also. Can you reference this info for me? We went through several different caps here, and when it came down to actually measuring outcomes over several months for each, there was only one thing that worked for us in regard to occlusions. Thanks! Leigh Ann   Leigh Ann Bowe-Geddes, RN, CRNI IV Therapy Specialist Infusion Services Department University of Louisville Hospital Louisville, KY 502-562-3530 >>> "Denise Macklin" <[EMAIL PROTECTED]> 01/21/06 12:47 PM >>> The problem with connectors as they are currently designed you can not clean them effectively.  They have gaps etc. where bacteria can harbor.  The invision plus by Rymed has been designed for patient pathway protection and to my knowledge is the only connector available currently that is completely swabable.  Split septum connectors are also swabable but have other problems.  Rymed has som literature and has a pretty good demonstration of the issues.  All valves were designed to prevent needlestick and the positive pressure valves have the added ability of clearing the catheter at disconnection by pushing some fluid out the end of the tip.  However, these connectors have reflux on connection so you still have repeated blood exposure to the internal lumen of the catheter.  All valves only have a single barrier except the Rymed Invision plus it has a double barrier.  This is because it was coompletely designed to protect the patient fluid pathway.   It has no refulx on either connection or disconnection (neutral displacement), no dead space, is completely swabable and has a double barrier.  I know I sound like an advertisement but it really is the new generation of pathway protection connectors.  There is always someone who takes a quantum leap in design.  I really found this product to be wonderful and at least it does prove that the problems may not be that nurses are not doing their job. Denise Macklin >From: "Alma Kooistra" <[EMAIL PROTECTED]> >To: [EMAIL PROTECTED], [EMAIL PROTECTED], [EMAIL PROTECTED] >Subject: Re: prepping prior to access >Date: Fri, 20 Jan 2006 18:49:44 -0600 > > > >And if you ever find a way to get that done I'd love to hear about >it....... > >Alma Kooistra RN, CRNI > > > > > > > >From:  "Robert Nohavec" <[EMAIL PROTECTED]> >To:  [EMAIL PROTECTED], [EMAIL PROTECTED] >Subject:  Re: prepping prior to access >Date:  Fri, 20 Jan 2006 13:39:06 -0700 >We would like (in a perfect world) a 30 sec vigorous scrub > > > >>> "Janousek, Patricia" <[EMAIL PROTECTED]> 1/20/2006 11:18:47 >AM >>> >I have been asked to re-educate staff on the basics of prepping >injection caps/sideports prior to access. The question has come up if >there is a standard amount of time that is desirable (and realistic) >for >the prep. Such as alcohol prep, with friction for 3-5 seconds. Any >information would be greatly appreciated. Thanks. > >Patty Janousek, BSN, CRNI >Team Leader, IV  Team >Methodist Hospital >8303 Dodge >Street >Omaha, NE 68114 >(402)354-8760 >FAX: (402)354-5266 >PAGER: (402)577-9527 >EMAIL: [EMAIL PROTECTED] > > > >This message and any included attachments are from Nebraska Methodist >Health System and its affiliates and are intended only for the >addressee. The message may contain privileged, confidential and/or >proprietary information intended only for the person(s) named. >Unauthorized forwarding, printing, copying, distribution, or use of such >information is strictly prohibited and may be unlawful. If you are not >the addressee, please promptly delete this message and notify the sender >of the delivery error by e-mail or you may call Nebraska Methodist >Health System and its affiliates in Omaha, Nebraska, U.S.A at >(402)354-2280. > > > > ----------------------------------------------------- Confidentiality Disclaimer This message, including any attachments, is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law, including PHI (Protected Health Information) covered under the Health Insurance Portability and Accountability Act (HIPAA) of 1996.  If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender or contact the University of Louisville Health Care I.S. helpdesk at 502.562.3637 to report an inadvertently received message. -----------------------------------------------------