What is your concern, Tanya? Cathflo is indicated for catheter clearance
for any type of central venous catheter. If a triple lumen is occluded,
what else would you try to do? Exchanging a triple lumen only increases
the risk of venous thrombosis and stenosis and may increase infectious risk.
To leave a lumen clotted also increases infectious risk. I WANT the ICU
/critical care nurses to use Cathflo to declot triple lumens. I want any
nurse to recognize catheter occlusion and problem solve it as they would
with any type of catheter. It is always best for patients if the occlusion
is recognized early, and appropriate assessment and management of the
occlusion occur in a timely manner to prevent undue delays in delivering the
IV therapy course and preventing further complications.
Cathflo is very safe.
Nadine Nakazawa, RN
PICC Program Coordinator
Stanford Hospital & Clinics
From: "Nauman, Tanya" <[EMAIL PROTECTED]>
To: "Kokotis, Kathy" <[EMAIL PROTECTED]>, "Wilkinson,
Kimberly" <[EMAIL PROTECTED]>, "IV list server"
<[EMAIL PROTECTED]>
CC: "Perry, Stephen" <[EMAIL PROTECTED]>, "Crocker, Holly"
<[EMAIL PROTECTED]>, "Sessions, Sharon"
<[EMAIL PROTECTED]>
Subject: RE: Central lines (femoral)
Date: Wed, 21 Jun 2006 10:06:27 -0700
I'm adding this to an existing thread since I can't seem to send a new
email and have it appear on the listserve.
Are any of you using alteplase(tpa)to declot Arrow central catheters?
We have a policy that states alteplase is be used only to declot silastic
catheters-not "rigid-wall" catheters.
A couple of docs have been really mad when we refused to use it on
their pts acute care IJ lines. Are we wrong? Any input appreciated.
Tanya RN
I.V. Support
SHMC
Eugene, OR
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Kokotis, Kathy
Sent: Monday, June 12, 2006 10:07 PM
To: Wilkinson, Kimberly; IV list server
Subject: RE: Central lines (femoral)
go to www.cdc.gov
type in intravascular guidlelines for 2002
that has all the info you are looking for
kathy
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From: [EMAIL PROTECTED] on behalf of Wilkinson, Kimberly
Sent: Sun 6/11/2006 8:46 AM
To: IV list server
Subject: Central lines (femoral)
Good afternoon, another question for the group.
Are there any guidelines or policies for Culturing central lines. (
catheter tips and insertion sites?)
Any articles guidelines or policies on the length of time a femoral line
should be in? infection rate femoral vs other lines
Thank you
Kim Wilkinson
Wilmington DE
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