Just a small adjustment to your eloquent explanation of flushing technique--When using a Positive Displacement Valve (and I am speaking specifically of the CLC but I believe the same applies to all Caps with this technology) the Nurse MUST disconnect the syringe (not merely pause) prior to clamping otherwise the clamping process will interupt the displacement of fluid resulting in occlusion
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Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
-------------- Original message --------------
From: Lynn Hadaway <[EMAIL PROTECTED]>
It sounds to me like this rep is using unnecessary scare tactics to sell his product. However, there are many hospitals that prefer to have the catheter extension leg clamped during periods between infusions. When using a positive displacement needleless connector, clamping immediately will prevent the internal mechanism from working properly. In other words, the fluid held in the connector reservoir will not inject the refluxed blood out of the catheter lumen because the clamp is closed. The answer to this is to teach your nurses to wait a little bit of time after flushing and before clamping. This allows time for the positive fluid displacement to occur and then the catheter can be clamped. LynnAt 6:04 AM -0800 1/28/06, Dee Gary wrote:I have a question for both groups:A medical device sales rep has been telling us that using positive pressure caps (i.e. CLC 2000, Ultrasite, etc.) with open ended PICC lines, which have clamps on the extension legs, are a safety concern. He states that if a nurse forgets to clamp the extension leg, and the positive pressure cap comes off, then a bleed out situation could occur and this is a safety concern.Can anyone that has had experience using positive pressure caps with open ended PICC lines please validate what we are being told?Thank you very much!Dee
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