We have used the CLC for 4 years--At first because that is the product Arrow supplied in their insertion kit--Then it went system wide because we wanted to be "Saline Only" but there have always been issues which have exponentially escalated recently due to PICC brand change and also a greater amount of CLC product in use by more newly hired inexperienced nurses--I believe both Cook and Arrow include CLCs in their Triple Lumen trays and we placed CLCs on all 1000 PICCs we inserted this past year--Prior to Jan 2006 we used the Arrow PICC products and the "clamps" were easily removed--Now that we are using BARD products in order to remove the clamps the nurse would have to "cut" them off--If nurses are unaware of the very distinct flushing method for positive displacement valve technology withdrawl occlusion can result within hours of insertion necessitating tpa for restoration of catheter function--Also there seems to be a spike in infection related issues particularly in the ICU--They have resorted to changing CLCs every day on every lumen of every CVC--Pretty dramatic reaction and very costly as well--Out on the floor the Vascular Access RN manages the after care for all CVCs--We too find issues daily that require interventions--I think we are quicker to use tpa (the nurses call us when they can not obtain blood return for lab sampling) and we have been known to "disable" the clamps if we have too--We are constantly explaining and reexplaining the differences between "valves" and "caps"--We are encouraging independent critical thinking but are vexed by the lack of enthusiasm for all things infusion related--We like the idea that this nuetral injection cap would seemingly eliminate these frustrations
--
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
Robbin K. George RN
Vascular Access Resource
Alexandria Hospital Virginia
-------------- Original message --------------
From: "Nicastro, Margaret" <[EMAIL PROTECTED]>
> Robbin,
>
> I am curious as to what problems your ICU has encountered with the CLC. We have
> been using this device for about 8 years on all central lines in our institution
> and have not had problems.
> I am interested in hearing your problems.
>
> Margaret
> Margaret M Nicastro, CRNI, OCN
> Coorordinator IV Therapy/Oncology
> Gettysburg Hospital
> 147 Gettys Street
> Gettysburg, PA 17325
> Phone: 717-337-4312
> Fax: 717-337-4485
>
>
> ________________________________
>
> From: [EMAIL PROTECTED] on behalf of
> Sent: Tue 2/21/2006 10:54 PM
> To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
> Subject: Nuetral injection cap
>
>
> Have been reviewing some old emails I copied for personal archive--In early
> December Martha Pike wrote a lengthy and glowing evaluation of the Rymed
> Invision-Plus Nuetral injection cap--If she could please give us an update and
> allow us to use her comments for benchmarking purposes we would be most
> greatful--We are having tremendous issues with the CLC in our ICU and would like
> to recommend a change--I have visited the Web site and received an information
> packet from the company but could use some first hand professional support and
> end user input--Anyone else out there using this product please contribute your
> thoughts to the thread--Thanks to everyone in advance
>
> --
> Robbin K. George RN
> Vascular Access Resource
> Alexandria Hospital Virginia
>
>
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