Policy Manual sample

MDT Home Health Care Agency, Inc. 70 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. NON CLAMPING SPECIFIC THERAPIES INTERNAL VOLUME PICC 1. 3-5 ml saline before and after medication administration 2. 3-5ml heparin solution 10- 100units/ml When not in use, once everyday 3- 5ml heparin solution 10u/ml per lumen Not recommended Sterile TSM-weekly and prn Gauze-every 48-72 hours (e.g., M-W-F) May use clamp if present on extension set; not necessary Dependent on distal end point-mid- subclavian vein-similar to PIV; superior vena cava-similar to CVC 0.04-0.4ml plus extension Midline 1. 3-5 ml saline before and after medication administration 2. 3-5ml heparin solution 10- 100units/ml When not in use, once everyday 3- 5ml heparin solution 10u/ml per lumen Not recommended Sterile TSM-weekly and prn Gauze-every 48-72 hours (e.g., M-W-F) May use clamp if present on extension set; not necessary Same as peripheral IV 0.12 to .025ml plus extension Peripheral Venous Catheters/ Needles 1. 3-5 ml saline before and after medication administration 2. 1-3 heparin solution 10u/ml Once every day with 1- 2ml 10u/ml heparin N/A Sterile TSM-with PIV restart; as needed Gauze-daily to every other day May use clamp if present on extension set; not necessary No continuous vesicant chemotherapy , central TPN formula or other highly hypertonic solution 0.04 to 0.1ml plus extension Subcutaneo us Catheter/N eedle N/A N/A N/A Sterile TSM-with SQ needle change every 5-7 days and prn Gauze-daily to every other day No clamping Pain management, desferol, SQ injections. **No >2cc/hr. Should be infused N/A Implanted Arterial Port 1. 3-5 ml saline before and after medication administration 2. 5ml heparin 1000u/ml 5ml heparin 1000u/ml weekly Not recommended Sterile TSM-weekly and prn Gauze-daily to 3 x per week Use clamp attached to huber needle extension port Intra-arterial chemotherapy 0.5 to 1.5ml plus extension