Policy Manual sample

MDT Home Health Care Agency, Inc. 68 INTRAVENOUS ACCESS DEVICE MAINTENANCE RESPONSIBLE PERSONNEL: RN MDT Home Health Care Agency, Inc. INTRAVENOUS ACCESS MAINTENANCE GUIDELINES CATHETER ROUTINE FLUSH MINIMUM FLUSHING FLUSHING POST BLOOD DRAW DRESSING CHANGE TYPE DRESSING CHANGE FREQUENCY CLAMPING VS. NONCLAMPI NG SPECIFIC THERAPIES INTERNAL VOLUME Intraperitoneal Catheter and Port Before and after medication administration with 20ml compatible solution of 0.9% NaCl 5-10cc 0.9% NaCl when port accessed N/A Sterile TSM-Weekly and prn Gauze-daily No clamping Chemotherapy, antibiotics 1 to 2 plus extension Epidural Catheter and Ports Epidurally Implanted Pumps None-use of 3cc compatible preservative-free solution to flush following medications None required N/A Sterile TSM-3 x per week and prn Gauze-daily N/A Pain management (morphine, Fantanyl, Sufantanil) *Volume no >30cc per hour N/A Intrathecal Catheters None-use preservative-free solution to mix medications None required N/A Sterile TSM-3 x per week and prn Gauze-daily N/A Pain management; chemotherapy MTX; ARA- C; Thiotapin. *Volume no >30cc per hour N/A Onmaya Reservoir None-use preservative-free solution to mix medications None required N/A Intermittent access only: 23-25 g butterfly Sterile preparation prior to access. No long term access- intermittent access only N/A Chemotherapy- preservative- free agents (e.g., Methotrexate, ARA-C) N/A Implantable Pumps~Inf usaid Pump (arterial placement) Synchrome d Pump Infusaid: Pumps typically infuse 1- 2.5cc/day and up to 5cc/day Refill pump dependent on volume delivered. Never allow pump to be completely empty N/A Intermittent access only- pump requires heparin with medication to maintain potency None N/A Chemotherapy Pain Management Baclofen Chemotherapy Pain Management Total pump volume – 50cc Total pump volume – 18cc