I can share that seeing bedside nurses in the acute setting infuse into a 
central line with gravity has often had me come upon blood backed up into the 
tubing and the line clotted off. Our policies state that we will infuse with a 
pump and that is what JCAHO will hold us accountable for.
 
Robin

        -----Original Message----- 
        From: [EMAIL PROTECTED] on behalf of Nancy Bagnall-Trick RN, CRNI 
        Sent: Wed 4/5/06 6:31 PM 
        To: [EMAIL PROTECTED] 
        Cc: 
        Subject: New Question
        
        
        Hello Everyone -
        
        Need feedback/specific info relative to central lines (short and long 
term CVCs, Ports, PICCs, etc), beyond the INS SOP.  Does anyone out there have 
recent experience with JCAHO's specific expectations regarding the use of pumps 
for central lines? (both hospital and home care)  This topic has come up for 
discussion and there are those have the expectation that all infusions given 
centrally will be infused via a pump, and then there those who say if a pump is 
cost-prohibitive then ok to gravity infuse.   I have my own opinion (of course  
<http://us.i1.yimg.com/us.yimg.com/i/mesg/tsmileys2/50.gif> ),  but would 
really like to have someone with recent JCAHO experience give me their 
impressions/opinion on this topic.  
        
        Any and all responses much  appreciated.
        
        Thanks -
        Nancy 
        
        
        
        Nancy Bagnall-Trick RN,CRNI 
        IV Resource Associates, Inc. 
        6592 Cortland Ave. 
        Brighton,MI 48114 
        Office: 517-546-4228 
        Mobil: 586-419-1777 
        [EMAIL PROTECTED] 
        
        
        

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