All right, I'll tell you. I had been answering this question privately. It was Vaxcel with PASV.
Yes, I work for Boston Scientific, but I was not the driving force behind the trial of this catheter in my facility, and anyone on my team will tell you the same thing I am telling you. We were seeing 2 occlusions per day, on average. We started the trial, and saw one occlusion in 2 months. This success rate has continued.
Incidentally, we are not using a positive or neutral displacement valve with this catheter. It was part of the negotiation with our Purchasing manager that we drop the CLC2000 if we trialed this catheter. The hospital is currently using Interlink, so that is what we are putting on the end of the catheter.
I am impressed with the multiple reports of success with saline only flushing and positive displacement caps on open-ended catheters, but it just did not work for us.
Leigh Ann
-----Original Message-----
From: Vickey Garrett CRNI <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Mon, 30 Jan 2006 17:36:03 -0500
Subject: Re: prepping prior to access
I was curious as well, But didn't want to ask so I'm glad Nancy did. >>> "Nancy Costa" <[EMAIL PROTECTED]> 01/28/06 10:42 AM >>> I dying to know - What was that one thing? ----- Original Message ----- From: Leigh Ann Bowe-geddes To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] Sent: Friday, January 27, 2006 8:48 AM Subject: Re: prepping prior to access 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 If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. 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