Re: prepping prior to access

Tue, 31 Jan 2006 19:36:31 -0800

What do you mean about "problems of its own"?
LA 
 
-----Original Message-----
From: Shawn Hong <[EMAIL PROTECTED]>
To: Nancy Costa <[EMAIL PROTECTED]>; Leigh Ann Bowe-geddes <[EMAIL PROTECTED]>; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Sat, 28 Jan 2006 08:25:20 -0800
Subject: RE: prepping prior to access

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I keep hearing about this "double barrier" about the Rymed Valve.  Does anyone really know how the "double barrier" feature really works?  The Rymed reps are trained to talk about such claims but I have not yet talked to anyone that can explain this to me other than the fact that it offers a "double barrier protection".
There's another product called the MaxPlus Positive Displacement Connector.  It's another connector with a totally flush swabbing surface.  In fact, it has the flattest surface of any device on the market.  It is being used in numerous reputable hospitals throughout the country and has had fantastic results with regards to line infections and occlusions.
Rymed has a great concept in valve technology but definitely has some problems of its own.
Shawn
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nancy Costa
Sent: Saturday, January 28, 2006 7:43 AM
To: Leigh Ann Bowe-geddes; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Re: prepping prior to access
 
I dying to know - What was that one thing?
----- Original Message -----
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
>
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>And if you ever find a way to get that done I'd love to hear about
>it.......
>
>Alma Kooistra RN, CRNI
>
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>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]
>
>
>
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>
>



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