I know I sound like an advertisement but the invision plus connector is not
procedure dependent. You can clamp or not whatever is the policy. It
is a new design.
Denise
----- Original Message -----
Sent: Monday, February 27, 2006 12:09
PM
Subject: RE: Nuetral injection cap
What a catch 24 this is
Having a policy to remove
clamps from a non valved catheter is not the best options from a legal
standpoint. The clamp is on the catheter due to the risk of air embolism
and bleed out in a open ended central line during cap and tubing
changes. Now I know with PICC lines that risk is almost zero but from a
patient safety risk the clamp must be added to all open ended central
lines.
Taking the clamp off as in the case of the Arrow being
removable can put the facility at risk. Nurses are told to clamp or
pinch the tubing during tubing and cap changes however there would be no clamp
to close. Although the risk is low that is why the clamps are
there. It is part of the design for market approval due to patient
safety risk.
I understand your frustration in the education of
teaching the nurses to unclamp the lines after the caps are in place or
tubing.
Good luck on the education piece.
kathy
________________________________
From: [EMAIL PROTECTED]
on behalf of [EMAIL PROTECTED]
Sent: Sat 2/25/2006
3:43 PM
To: Nicastro, Margaret
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject:
Nuetral injection cap
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
-------------- 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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